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Victims of the Terrorist Attacks in Belgium and Professional Mental Health Aid Barriers

A Qualitative Study

Bibliographic Data

ID15516330
AuthorsRoel Van Overmeire (0000-0003-3127-5683, Vrije Universiteit Brussel, corresponding author), Emilie Muysewinkel (Vrije Universiteit Brussel), Rose-Lima Van Keer (0000-0003-3656-2681, Vrije Universiteit Brussel), Lara Vesentini (0000-0002-4707-9380, Vrije Universiteit Brussel), Johan Bilsen (0000-0001-8371-4612, Vrije Universiteit Brussel)
Year2021
Volume12
Pages638272-638272
Publication date2021-07-02
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.638272
PMID34276430
OpenAlexW3178108706
LanguageEN
Citations received3
References cited27

Introduction: Terrorist attacks can cause short and long-term stress-reactions, anxiety, and depression among those exposed. Sometimes, professional mental health aid, meaning all types of professional psychotherapy, would be appropriate, but victims often delay or never access mental health aid, even up to a decade after the initial event. Little is known about the barriers terrorist-victims encounter when they try to access professional mental health aid. Method: Using a qualitative design, 27 people exposed to the 22/03/2016 terrorist attack in Belgium were interviewed using half-structured, in-depth interviews, on their experiences with professional mental health aid. A reflexive thematic analysis was employed. Results: Five main barriers for professional mental health aid seeking by victims were found. First, their perception of a lack of expertise of mental health aid professionals. Second, the lack of incentives to overcome their uncertainty to contact a professional. Third, social barriers: people did not feel supported by their social network, feared stigma, or trusted that the support of their social network would be enough to get them through any difficulties. Fourth, a lack of mental health literacy, which seems to be needed to recognize the mental health issues they are facing. Finally, there are financial barriers. The cost of therapy is often too high to begin or continue therapy. Conclusions: This study showed that the barriers for seeking professional mental health aid are diverse and not easily overcome. More mental health promotion is needed, so that there is a societal awareness of possible consequences of being exposed to terrorist attacks, which might result in less stigma, and a quicker realization of possible harmful stress reactions due to a disaster

Mental health · Mental health literacy · Mental illness · Political science · Psychiatry · Qualitative research · Sociology · Terrorism · Thematic analysis · Medicine · Migration, Health and Trauma · Nursing · Posttraumatic Stress Disorder Research · Psychology · Suicide and Self-Harm Studies

  • The psychosocial aid response after the 22/03/2016 attacks in Belgium

    Open Access•Emilie Muysewinkel, Lara Vesentini et al.•Frontiers in Public Health•2024

  • Trauma Exposure, Social Support and Mental Health in the General Population in Belgium

    Open Access•Emilie Muysewinkel, Lara Vesentini et al.•European Journal of Investigation…•2024

  • A day in the life

    Open Access•Emilie Muysewinkel, Lara Vesentini et al.•Frontiers in Psychiatry•2024

  • Psychological Sequelae of the September 11 Terrorist Attacks in New York City

    Sandro Galea, John Ahern et al.•New England Journal of Medicine•2002

  • Loss, Trauma, and Human Resilience

    George A Bonanno•American Psychologist•2004

  • Reflecting on reflexive thematic analysis

    Braun, Virginia Braun et al.•Qualitative Research in Sport and…•2019

  • From Posttrauma Intervention to Immunization of the Social Body

    Open Access•Keren Friedman-Peleg, Yehuda C Goodman•Culture Medicine and Psychiatry•2010

  • Characterizing Mental Health Treatment Utilization among Individuals Exposed to the 2001 World Trade Center Terrorist Attacks 14–15 Years Post-Disaster

    Open Access•Melanie H Jacobson, Christina Norman et al.•International Journal of…•2019

  • Unmet mental health care need 10–11 years after the 9/11 terrorist attacks

    Open Access•Sharon Ghuman, Sharon J Ghuman et al.•BMC Public Health•2014

  • Social influences on mental health help-seeking after interpersonal traumatization

    Open Access•Viola Schreiber, Andreas Maercker et al.•BMC Public Health•2010

Citations per year1.5
Citation span2024 - 2024 (1)
Highly citedNo

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