Cited by 131Mental Health Treatment and AccessPsychology and Mental HealthGender Roles and Identity Studies

Knowledge, attitude and behaviors towards patients with mental illness: Results from a national Lebanese study

Open access
Abi Doumit, Carla, Haddad, Chadia, Sacre, Hala, Salameh, Pascale, Akel, Marwan, Obeid, Sahar, Akiki, Maria, Mattar, Elie +3 more·2019·PLOS ONE

Abstract

OBJECTIVES: Patients with mental health disorders often have to endure the burdens of the condition itself and the stigma that follows. Since no study has been conducted in Lebanon on this topic, our objective was to assess the knowledge, attitude and behaviors towards public stigma of mental health diseases, among a sample of the Lebanese population. METHODS: A cross-sectional study, conducted between November 2017 and May 2018, enrolled 2289 participants. The Mental Health Knowledge Schedule (MAKS), the Community Attitudes toward Mental Illness (CAMI) and the Reported and Intended Behavior Scale (RIBS) were used to assess knowledge, attitude and behaviors toward mental illness respectively. The 25th, 50th and 75th percentile of the MAKS, CAMI and RIBS scales scores were considered as cutoff points for low, medium and high scores respectively. RESULTS: A high knowledge score was found in 33.0% of the participants, whereas a high attitude score and a higher behavior score were found in 32.2% and 26.9% of the participants respectively. Living in North Lebanon (Beta = 1.331) and being familiar with a non-close person with mental illness (Beta = 0.811) were associated with higher knowledge of mental illness (higher MAKS score), whereas living in Bekaa (Beta = -8.693) and being 70 years old and above (Beta = -5.060) were associated with lower knowledge toward mental illness (lower MAKS score). Higher knowledge of mental illness (higher MAKS score) (Beta = 0.670), having a high level of education (university (Beta = 8.785), secondary (Beta = 6.084) and technical (Beta = 5.677)) were associated with less stigmatizing attitudes (higher CAMI scale). Being familiar with close people with mental illness (Beta = 0.577), less stigmatizing attitudes (higher CAMI scale) (Beta = 0.077) and higher knowledge of mental illness (higher MAKS score) (Beta = 0.115) were associated with higher favorable behaviors (higher RIBS score), whereas knowing a non-close person who have a mental illness (Beta = -0.720) was associated with lower favorable behaviors (lower RIBS score). CONCLUSION: A mass media awareness campaigns that could transmit health messages to a wide public audience in the country to fight stigma toward mental illness, seems warranted.

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  1. [49]Dardas LA, Simmons LA. The stigma of mental illness in Arab families: a concept analysis. J Psychiatr Ment Health Nurs. 2015; 22(9): 668– 79. 10.1111/jpm.12237 26118332 · DOI
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Authors
Abi Doumit, C., Haddad, C., Sacre, H., Salameh, P., Akel, M., Obeid, S., Akiki, M., Mattar, E., Hilal, N., Hallit, S., & Soufia, M.
Affiliations
  • Hôpital Psychiatrique de la Croix (LB)
  • Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban (LB)
  • Lebanese University (LB)
  • Holy Spirit University of Kaslik (LB)
Corresponding author
  • Hallit, Souheil
  • Soufia, Michel
Venue
PLOS ONE
Published
2019-09-16
Volume
14
Issue
9
Pages
e0222172
ISSN
1932-6203 (ISSN-L)
OpenAlex
W2974616818
Cited by
131
References
65
Citations by year
2026: 13 · 2025: 22 · 2024: 14 · 2023: 25 · 2022: 17 · 2021: 21 · 2020: 17 · 2019: 1
FWCI
17.58
Type
journal article
Language
en
Open access
Locations
  • PLoS ONE (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • RePEc: Research Papers in Economics (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Figshare (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
  • Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords
public stigma, mental illness, mental health knowledge, attitudes toward mental illness, Lebanon, mental health awareness, educational attainment, North Lebanon, older adults, stigma reduction interventions, mental health policy
MeSH terms
Adolescent, Adult, Aged, Mental Disorders, Female, Humans, Health Knowledge, Attitudes, Practice, Lebanon, Male, Middle Aged, Surveys and Questionnaires, Stereotyping

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