Abstract
The Arab region has the largest proportion of young people in the world and many of the factors that contribute to the onset of depression. Yet, very little is known about the current situation of depression and its associated stigma in this region. The purpose of this pilot study was to obtain preliminary data examining clinically significant depressive symptoms, depression stigma, and attitudes towards seeking professional help for depression among a sample of Arab adolescents from Jordan. Cross-sectional data were collected from 88 adolescents attending public schools in Jordan using self-report questionnaires that were available in, or translated into, Arabic. Among the 88 adolescents, 22% reported scores suggesting mild depression and 19% reported scores suggesting moderate depression, while 24% reported scores suggesting severe depression. The most frequently reported depressive symptoms were changes in sleep patterns (76%), changes in appetite (63%), agitation (62%), and crying (61%). The majority (73%) had moderate depression stigma, and 43% had negative attitudes towards seeking professional help. Yet, 67% believed they would find relief in psychotherapy if they ever had a serious emotional crisis. Findings suggest that the prevalence of depressive symptoms may be high among Jordanian adolescents. Further, many of these adolescents may experience depression-related stigma that affects their attitudes and willingness to seek professional help. To determine the true scope of these issues, including the prevalence of depression among Jordanian adolescents, future research should obtain data from a nationally representative sample.
Acknowledgments
This study was supported in part by Duke University School of Nursing PhD Program Pilot Research Grant. Thanks to Dr. Muayyad Ahmad from the University of Jordan for his grateful comments on data management.
Conflict of interest statement: The authors report no conflicts of interest.
References
1. Costello E, Erkanli A, Angold A. Is there an epidemic of child or adolescent depression? J Child Psychol Psychiatry 2006;47:1263–71.10.1111/j.1469-7610.2006.01682.xSearch in Google Scholar PubMed
2. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the national comorbidity survey Replication–Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49:980–9.10.1016/j.jaac.2010.05.017Search in Google Scholar PubMed
3. Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet 2012;379:1056–67.10.1016/S0140-6736(11)60871-4Search in Google Scholar PubMed
4. Barney L, Griffiths K, Jorm A, Christensen H. Stigma about depression and its impact on help-seeking intentions. Aust NZ J Psychiatry 2006;40:51–4.10.1080/j.1440-1614.2006.01741.xSearch in Google Scholar
5. Brown C, Conner K, Copeland V, Grote N, Beach S, et al. Depression stigma, race, and treatment seeking behavior and attitudes. J Community Psychol. 2010;38:350–68.10.1002/jcop.20368Search in Google Scholar PubMed
6. Wrigley S, Jackson H, Judd F, Komiti A. Role of stigma and attitudes toward help-seeking from a general practitioner for mental health problems in a rural town. Aust NZ J Psychiatry 2005;39:514–21.10.1080/j.1440-1614.2005.01612.xSearch in Google Scholar
7. Dardas L, Bailey Jr D, Simmons L. Adolescent depression in the arab region: a systematic literature review. Issues Ment Health Nurs 2016;11:1–17.10.1080/01612840.2016.1177760Search in Google Scholar
8. Assaad R, Roudi-Fahimi F. Youth in the middle east and north Africa: demographic opportunity or challenge? Washington, DC: Population Reference Bureau, 2007.Search in Google Scholar
9. The United Nations. The general assembly on international youth report. Geneva, Switzerland: Author, 1981.Search in Google Scholar
10. Obermeyer C. Adolescents in Arab countries: health statistics and social context. DIFI Family Research and Proceedings.Search in Google Scholar
11. Okasha A, Karam E, Okasha T. Mental health services in the Arab world. World Psychiatry 2015;11:52–4.10.1016/j.wpsyc.2012.01.008Search in Google Scholar
12. Patel V, Kleinman A. Poverty and common mental disorders in developing countries. Bull World Health Organ 2003;81:609–15.Search in Google Scholar PubMed
13. Saxena S, Thornicroft G, Knapp M, Whiteford H. Resources for mental health: scarcity, inequity, and inefficiency. Lancet 2007;370:878–89.10.1016/S0140-6736(07)61239-2Search in Google Scholar PubMed
14. The United Nations Economic and Social Commission for Western Asia and the United Nations Program on Youth (UN). Regional overview: Youth in the Arab region. 2011. Retrieved September 15, 2015, from http://social.un.org/youthyear/docs/Regional%20Overview%20Youth%20in%20 the%20Arab%20Region-Western%20Asia.pdf.Search in Google Scholar
15. Amawi N, Mollica RF, Lavelle J, Osman O, Nasir L. Overview of research on the mental health impact of violence in the middle east in light of the Arab spring. J Nerv Ment Dis 2014;202:625–9.10.1097/NMD.0000000000000174Search in Google Scholar PubMed
16. Beck AT, Steer RA, Brown GK. Manual for beck depression inventory-II. San Antonio, TX: Psychological Corporation, 1996.10.1037/t00742-000Search in Google Scholar
17. Al-Musawi N. Psychometric properties of the beck depression inventory-II with university students in Bahrain. J Pers Asses 2001;77:568–79.10.1207/S15327752JPA7703_13Search in Google Scholar PubMed
18. Griffiths K, Christensen H, Jorm A. Predictors of depression stigma. BMC Psychiatry 2008;8:25.10.1186/1471-244X-8-25Search in Google Scholar PubMed PubMed Central
19. Griffiths KM, Nakane Y, Christensen H, Yoshioka K, Jorm AF, et al. Stigma in response to mental disorders: a comparison of Australia and Japan. BMC Psychiatry 2006:6:1.10.1186/1471-244X-6-21Search in Google Scholar PubMed PubMed Central
20. Simmons L, Yang N, Wu Q, Bush H, Crofford LJ. Public and personal depression stigma in a rural American female sample. Arch Psychiatr Nurs 2015;29:407–12.10.1016/j.apnu.2015.06.015Search in Google Scholar PubMed
21. Brislin R. Back-translation for cross-cultural research. J Cross-Cult Psychol 1970;1:185–216.10.1177/135910457000100301Search in Google Scholar
22. Chapman D, Carter J. Translation procedures for the cross cultural use of measurement instruments. Educ Eval Policy Anal 1979;1:71–6.10.3102/01623737001003071Search in Google Scholar
23. Fischer EH, Farina A. Attitudes toward seeking professional psychological help: A shortened form and considerations for research. J Coll Stud Dev 1995;36: 368–73.Search in Google Scholar
24. Elhai J, Schweinle W, Anderson S. Reliability and validity of the attitudes toward seeking professional psychological help scale-short form. Psychiatry Res 2008;159:320–9.10.1016/j.psychres.2007.04.020Search in Google Scholar PubMed
25. Simmons LA, Yang NY, Wu Q, Bush HM, Crofford LJ. Public and personal depression stigma in a rural american female sample. Arch Psychiatr Nurs 2015;29:407–12.10.1016/j.apnu.2015.06.015Search in Google Scholar
26. Dardas L, Ahmad M. Psychosocial correlates of parenting a child with autistic disorder. J Nurs Res 2014;22:183–91.10.1097/jnr.0000000000000023Search in Google Scholar PubMed
27. Dardas L, Ahmad M. Quality of life among parents of children with autistic disorder: A sample from the Arab world. Res Dev Disabil 2014;35:278–87.10.1016/j.ridd.2013.10.029Search in Google Scholar PubMed
28. Mousa E, Fares B. [Family factors leading to depression in adolescence and early adulthood].
[Dirasat Mous J 2005:10:117–40.]Search in Google Scholar
29. Corrigan P, Green A, Lundin R, Kubiak M, Penn DL. Familiarity with and social distance from people who have serious mental illness. Psychiatr Serv 2001;52:953–8.10.1176/appi.ps.52.7.953Search in Google Scholar PubMed
30. World Health Organization. Gender policy. Integrating gender perspectives in the work of WHO. Geneva: World Health Organization, 2002.Search in Google Scholar
31. Afifi M. Gender differences in mental health. Singapore Med J 2007;48:385.Search in Google Scholar PubMed
32. Doyal L. Sex, gender, and health: the need for a new approach. Br Med J 2001;323:1061–3.10.1136/bmj.323.7320.1061Search in Google Scholar PubMed PubMed Central
33. Ostlin P, Eckermann E, Mishra U, Nkowane M, Eva Wallstam E. Gender and health promotion: A multisectoral policy approach. Health Promot Int. 2006;21(Suppl 1):25–35.10.1093/heapro/dal048Search in Google Scholar PubMed
34. World Health Organization. Gender or women’s health: why should WHO work on this? Retrieved April 17, 2016, from http://apps.who.int/gender/about/gender_or_womens_health/en/index.html.Search in Google Scholar
35. Ajzen I, Fishbein M. The influence of attitudes on behavior. In: Albarracin D, Jonson B, Zana M, editors. The handbook of attitudes. Mahwah: Lawrence Erlbaum Associates, 2005;173–221.Search in Google Scholar
36. Al-Krenawi A. Mental health practice in Arab countries. Curr Opin Psychiatry 2005;18:560–4.10.1097/01.yco.0000179498.46182.8bSearch in Google Scholar PubMed
37. Fakhr El-Islam M. Arab culture and mental health care. Transcult Psychiatry 2008;45:671–82.10.1177/1363461508100788Search in Google Scholar PubMed
38. Nasir L, Al-Qutob R. Barriers to the diagnosis and treatment of depression in Jordan. A nationwide qualitative study. J Am Board Fam Med 2005;18:125–31.10.3122/jabfm.18.2.125Search in Google Scholar PubMed
39. Gearing R, MacKenzie M, Ibrahim R, Brewer K, Batayneh JS, et al. Stigma and mental health treatment of adolescents with depression in Jordan. Community Ment Health J 2014;51:111–7.10.1007/s10597-014-9756-1Search in Google Scholar PubMed
©2018 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Editorial
- Tribute to a giant: Emanuel Chigier, MD, 1928–2017
- Original Articles
- Sustainability of the results of a non communicable diseases prevention program among youth in the region of Sousse, Tunisia
- Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls
- Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study
- A pilot study of depression, stigma, and attitudes towards seeking professional psychological help among Arab adolescents
- Caffeine consumption patterns and determinants among adolescents in Serbia
- More like him, me, or us: the impact of trait similarity on adolescent women’s sexual risk behaviors in relationships
- Prevalence of physical inactivity and its association on oral conditions in adolescents
- Barriers to adolescent contraception use and adherence
- Eating attitudes and its relationship with nutritional status: a micro level study on a group of adolescent girls in the city of Howrah, West Bengal
- Prevalence of communication between mothers and daughters on sexuality and associated factors in Sagamu, southwest Nigeria
- Case Report
- An unusually long electric wire in a urethra and bladder
- Short Communications
- Examination of YouTube videos related to synthetic cannabinoids
- A cross-sectional study to assess awareness about menstruation in adolescent girls of an urban slum in western Maharashtra
Articles in the same Issue
- Editorial
- Tribute to a giant: Emanuel Chigier, MD, 1928–2017
- Original Articles
- Sustainability of the results of a non communicable diseases prevention program among youth in the region of Sousse, Tunisia
- Factors that promote and impede other-sex friendships: a qualitative study of Iranian adolescent girls
- Effectiveness of online versus live multi-family psychoeducation group therapy for children and adolescents with mood or anxiety disorders: a pilot study
- A pilot study of depression, stigma, and attitudes towards seeking professional psychological help among Arab adolescents
- Caffeine consumption patterns and determinants among adolescents in Serbia
- More like him, me, or us: the impact of trait similarity on adolescent women’s sexual risk behaviors in relationships
- Prevalence of physical inactivity and its association on oral conditions in adolescents
- Barriers to adolescent contraception use and adherence
- Eating attitudes and its relationship with nutritional status: a micro level study on a group of adolescent girls in the city of Howrah, West Bengal
- Prevalence of communication between mothers and daughters on sexuality and associated factors in Sagamu, southwest Nigeria
- Case Report
- An unusually long electric wire in a urethra and bladder
- Short Communications
- Examination of YouTube videos related to synthetic cannabinoids
- A cross-sectional study to assess awareness about menstruation in adolescent girls of an urban slum in western Maharashtra