We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health ill...We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health illness up through the establishment of the first mental hospital in the 1950s, tracking advances in mental health care over the past 60 years. The present is explored in terms of the current need for mental health care based on the prevalence of mental health problems in KSA. We also discuss the role of the family in caring for the needs of the mentally ill today. Finally, we look forward into the future, discuss the current education system that will produce the next generation of mental health professionals, examine areas of mental health care that need improvement, and provide a research agenda to guide the continued development of the mental health care system in KSA. Our goal is to present a blue print for the development of a state-of-the-art mental health that may serve as a model for other countries in the Middle East, while taking into account the political, cultural and religious factors that are unique to this region of the world.展开更多
Objective: Our goal was to develop a comprehensive measure of religious involvement for those affiliated with monotheistic religious traditions that fully captures the centrality of religion in life. Methods: A conven...Objective: Our goal was to develop a comprehensive measure of religious involvement for those affiliated with monotheistic religious traditions that fully captures the centrality of religion in life. Methods: A convenience sample of female caregivers of those with chronic disabling illness, recruited from North Carolina and California, completed a questionnaire including a new 10-item scale called the Belief into Action (BIAC) scale (possible score range: 10 - 100). Psychometric properties of the BIAC were examined. Results: 231 participants completed the BIAC (87% Christian). The average score was 46.3 (range: 10 - 90). Cronbach alpha was 0.89 (95% CI 0.86 - 0.91) and the intra-class correlation coefficient between two administrations (n = 60) was 0.919 (95% CI 0.869 - 0.951). Convergent validity was demonstrated by high correlations between the BIAC and existing religiosity scales;divergent validity by weak correlations with mental, social, and physical health outcomes;construct validity by high correlations between individual items and total scale score (r’s 0.58 - 0.80);factor analytic validity by a single factor that explained 94.4% of the scale’s variance;and predictive validity by small to moderate correlations with psychosocial outcomes in expected directions. Conclusion: The BIAC is a reliable and valid scale for comprehensively assessing religious involvement in female caregivers affiliated with monotheistic religions, Christianity in particular. Psychometric properties of the scale need to be established in other populations.展开更多
文摘We review the past, present and future state of mental health care in the Kingdom of Saudi Arabia (KSA). The past is reviewed prior to the modern era, discussing early explanations and treatments for mental health illness up through the establishment of the first mental hospital in the 1950s, tracking advances in mental health care over the past 60 years. The present is explored in terms of the current need for mental health care based on the prevalence of mental health problems in KSA. We also discuss the role of the family in caring for the needs of the mentally ill today. Finally, we look forward into the future, discuss the current education system that will produce the next generation of mental health professionals, examine areas of mental health care that need improvement, and provide a research agenda to guide the continued development of the mental health care system in KSA. Our goal is to present a blue print for the development of a state-of-the-art mental health that may serve as a model for other countries in the Middle East, while taking into account the political, cultural and religious factors that are unique to this region of the world.
文摘Objective: Our goal was to develop a comprehensive measure of religious involvement for those affiliated with monotheistic religious traditions that fully captures the centrality of religion in life. Methods: A convenience sample of female caregivers of those with chronic disabling illness, recruited from North Carolina and California, completed a questionnaire including a new 10-item scale called the Belief into Action (BIAC) scale (possible score range: 10 - 100). Psychometric properties of the BIAC were examined. Results: 231 participants completed the BIAC (87% Christian). The average score was 46.3 (range: 10 - 90). Cronbach alpha was 0.89 (95% CI 0.86 - 0.91) and the intra-class correlation coefficient between two administrations (n = 60) was 0.919 (95% CI 0.869 - 0.951). Convergent validity was demonstrated by high correlations between the BIAC and existing religiosity scales;divergent validity by weak correlations with mental, social, and physical health outcomes;construct validity by high correlations between individual items and total scale score (r’s 0.58 - 0.80);factor analytic validity by a single factor that explained 94.4% of the scale’s variance;and predictive validity by small to moderate correlations with psychosocial outcomes in expected directions. Conclusion: The BIAC is a reliable and valid scale for comprehensively assessing religious involvement in female caregivers affiliated with monotheistic religions, Christianity in particular. Psychometric properties of the scale need to be established in other populations.