Exploring mental illness attributions and treatment-seeking beliefs in a diverse Muslim-Australian sample

Abstract

ABSTRACT Background and Purpose: Prior research has shown that Muslim individuals attribute cultural beliefs in explaining mental illness aetiology, which may impact help-seeking behaviours. However, little research has been conducted with Muslim-Australians, nor across different cultural groups within Muslim minority populations. This research explored relationships between ethnocultural identity, cultural attributions of mental illness, and treatment-seeking beliefs in a sample of 182 Muslim-Australians. Method: A multiple regression analysis was performed to assess the relationship between ethnocultural identity and cultural belief use, as measured by the Cultural Beliefs about Mental Health Problems (CBMHP) scale. Analyses examined differences in endorsement of specific beliefs across ethnocultural groups.Results: Muslim-Australians from culturally and linguistically diverse (CALD) backgrounds (Middle Eastern, European, Asian, and others) endorsed cultural beliefs more strongly than those from non-CALD, Anglo/Caucasian backgrounds. Both groups endorsed environmental and biological attributions for mental illness; however, supernatural explanations and both traditional/cultural treatments and Qur’anic recitation as effective psychological treatment methods were more strongly endorsed by CALD ethnocultural groups. Moreover, CALD Muslim-Australian respondents less strongly endorsed psychological counselling as effective. Findings also revealed differences in belief endorsement between ethnocultural groups. These findings provide insight into the intersection of culture with mental illness attributions and treatment-seeking behaviour. KEY POINTS Muslim-Australians appear to endorse biological and environmental explanations of mental illness to a similar extent, despite their ethnocultural identity; Muslim-Australians often employ cultural, religious, spiritual, and traditional attributions to explain mental illness aetiology; however, the extent to which Muslim-Australians use such attributions appears to differ depending on their ethnocultural background; Muslim-Australians from culturally and linguistically diverse (CALD) backgrounds appear to more strongly adhere to cultural and religious-based explanations of mental illness (including supernatural phenomena) and more strongly endorse the effectiveness of traditional/religious treatment methods for mental ill-health than Muslim-Australians with non-CALD, Anglo-Caucasian ethnocultural backgrounds. Therefore, clinicians should be aware of such beliefs and should provide culturally appropriate and safe treatment interventions when working with Muslim-Australians from CALD backgrounds.