Unraveling Trust Issues Towards Mental Health Professionals Among Bedouin-Arab Minority in Israel.

Trust in mental health professionals and services profoundly impacts health outcomes. However, understanding trust in mental health professionals, especially in ethnic minority contexts, is lacking. To explore this within the Bedouin-Arab minority, a qualitative study conducted semi-structured interviews with 25 Bedouins in southern Israel. Participants were primarily female (60%) married (60%), averaging 34.08 years old. Employing grounded theory, three themes emerged. Firstly, concerns about confidentiality were central, eroding trust due to societal repercussions. Secondly, factors influencing confidentiality concerns and distrust were tied to Bedouin-Arab social structures and cultural values rather than professional attributes. Lastly, the consequences of distrust included reduced help-seeking. This study enriches the understanding of trust in mental health professionals among non-Western ethnic minorities, highlighting how cultural factors shape perceptions of mental health services and distrust. Addressing confidentiality worries demands Bedouin mental health professionals to acknowledge hurdles, build community ties, and demonstrate expertise through personal connections and events.

Job satisfaction and well-being among college-educated Bedouin Arab and ultra-Orthodox women in the Israeli workforce: the roles of individual, familial, communal, and organizational resources.

Over the past two decades, increasing numbers of Bedouin Arab and ultra-Orthodox women have been integrated into the Israeli labor market. The integration of these women from traditional and minority communities into the general workforce involves significant coping on the practical, social, and emotional levels. This study examined factors that may facilitate the integration of college-educated Bedouin Arab and ultra-Orthodox women in the Israeli labor market. The sample included 304 ultra-Orthodox women and 105 Bedouin Arab women, who were employed in a variety of fields. Participants completed questionnaires designed to collect data on demographics, sense of personal coherence (SOC), family quality of life, sense of community coherence (SOCC), diversity climate, inclusive management, job satisfaction, and well-being. The ultra-Orthodox women reported higher levels of most of the resources; whereas the Bedouin Arab women reported higher levels only of inclusive management. Hierarchical regressions showed that income, SOC, and inclusive management each contributed significantly to job satisfaction. Levels of well-being were explained by SOC, family quality of life, and inclusive management. This study highlights the importance of individual, familial, and organizational resources for the integration into the workforce of female members of minority groups.

Community coherence and acculturation strategies among refugee adolescents: How do they explain mental-health symptoms?

BACKGROUND: Against the backdrop of 10 years of civil war in Syria, with millions of refugees, this study aimed to explore sense of community coherence and the acculturation strategies of separation and competition as factors that might explain mental-health problems among adolescent Syrian refugees in Greece. METHODS: Data were gathered from 173 adolescents aged 13-18 (M = 15.85; SD = 1.49); female adolescents accounted for 60.7% of the sample. Participants filled out a self-reported questionnaire regarding internalizing and externalizing problems, as well as posttraumatic stress disorder (PTSD). They were also asked about their sense of community coherence, their use of different acculturation strategies, and sociodemographic factors (i.e., gender, age, amount of time spent in the camp, and parents' education), as well as contextual factors such as exposure to war events, appraisal of danger, and whether they had received aid from various organizations. RESULTS: The female adolescents reported a stronger sense of community coherence and that they had received more aid from organizations than the male adolescents reported receiving. The male adolescents reported more externalizing problems. Exposure and appraisal of danger, as well as sense of community coherence and the use of the acculturation strategies of separation and competition all significantly explained the various mental-health problems. CONCLUSIONS: This article underscores the significance of gender, community coherence, and acculturation strategies in the prediction of mental health. It presents the results of this research in the context of the salutogenic and acculturation models.

Do professional communities enhance the personal and professional well-being of minority women? The case of Ultra-Orthodox women in Israel.

The labour market in industrialised countries around the world today faces various challenges associated with the 4th Industrial Revolution, specifically three major developments: innovations in technology and science, demographic changes, and social change. Policymakers and employers are required to examine the economy in light of these changes, which are expected to affect the labour market and the level of employment. In this study, we chose to focus on one of the most prominent areas leading to change in the employment market: the social changes and the adoption of new social platform in the employment market. Israeli society is undergoing a significant change with the increasing entrance of members of Ultra-Orthodox society, specifically Ultra-Orthodox women, into the advanced employment market. The purpose of this qualitative study is to examine whether and how state-funded professional communities help Ultra-Orthodox women to progress at work and enhance their personal and social well-being. The main themes are based on content analysis of two focus groups that included members of a variety of professional communities, content analysis of correspondence on social networks, and five in-depth interviews with the managers of these groups. The findings are analysed through the lens of positive psychology theory and show that professional communities contribute significantly to five personality strengths of the employed women: positivity, engagement and connectedness, positive relationships, meaning, and success. Additionally, these communities help to cultivate the women's professional talents, contribute to strengthening the relationship between general Israeli society and the Ultra-Orthodox community, and, ultimately, all of these help produce satisfaction at work.

Between the Inside and the Outside World: Coping of Ultra-Orthodox Individuals with Their Work Environment After Academic Studies.

This study has explored how ultra-Orthodox individuals cope when facing secular norms and values in their work environment. The study was conducted in Israel, where 614 ultra-Orthodox adults answered questions regarding demographic characteristics, identities, openness to the workplace, social environment, Brief Cope, community sense of coherence (CSOC) and Employee Satisfaction Inventory. Individuals in the main sectors of the ultra-Orthodox society reported higher CSOC and stronger religiosity while individuals from the minor sectors reported greater openness to the job's social environment. Demographics, coping strategies and CSOC were significant in explaining job satisfaction. The results will be discussed based on stress and coping theories and on the salutogenic theory.

Using arts-based research to access sense of coherence in marginalised indigenous Bedouin youth.

The literature describes a mismatch between the core concepts of salutogenesis, or sense of coherence (SOC), meaning manageability and comprehensibility, as these concepts are manifested in research with Western populations, as compared to non-Western populations. The overall objective of this study is to explore this mismatch and to understand how the core concept of salutogenesis is manifested in youth ages 14-16 from the indigenous Bedouin ethnic minority culture of the Negev, Israel, in their own terms through arts-based qualitative methods. The research methods revolved 80 drawings and texts by youth who drew "a good day that went bad - and how [I] fixed it" as well as focus groups. All data, both verbal and visual, were analysed by dividing into themes and then socially contextualising the themes with a peer group. The findings reveal and concretize a mismatch in SOC between these youth and the predominant Western understandings of coping in terms of meanings, manageability and comprehensibility of coping methods. This study's theoretical recommendations are the need to take steps in the direction of closing the gap or mismatch between a universal versus culturally specific body of literature about culture and SOC. Its practical recommendations are to suggest such a methodology.

Youth from Fundamentalist Societies: What are Their Attitudes Toward War and Peace and Their Relations with Anxiety Reactions?

The present study was conducted during "Protective Edge," a long-lasting military operation between the State of Israel and Hamas in Gaza, during which hundreds of rockets were fired from Gaza into various regions across the country. At the same time, Israeli forces bombed Gaza and sent in ground forces. The military operation ended after 50 days of fighting, with a cease-fire between the warring sides. The aim of this study was to compare attitudes and perceptions of youth from different religious fundamentalist societies, toward the war and their readiness for peace during this specific violent struggle, and attitudes toward the Israeli-Palestinian (I-P) conflict in general. Furthermore, we wanted to examine the links between these attitudes, personal sense of coherence and state anxiety. We compared two groups of adolescents who belong to religious minorities in Israel: ultra-Orthodox and national religious. The sample included a total of 107 subjects from both groups. The young people responded to a questionnaire, distributed during the military operation, while they were still under rocket fire from the Gaza Strip. The questionnaire included: socio-demographic characteristics; attitudes toward the military operation; ways to resolve the Israeli-Palestinian conflict; sense of coherence and state anxiety. Results indicate that both groups thought that the I-P conflict would not be resolved peacefully and that there were more wars to come. Furthermore, both national religious and ultra-Orthodox adolescents thought that this operation would have limited success for only a limited time. Regarding the differences between the groups, sense of coherence was higher among the ultra-Orthodox and this group also believed more than their counterparts that everything was in God's hands. Interesting results emerged with peaceful resolution being linked to more anxiety among the national religious group, while among the ultra-Orthodox group no relationships were indicated on these two variables. The results of the study underscore the implications of ongoing political conflicts, alongside the growing global power of religion, which minimizes opportunities for world peace.

Positive weighing of the other's collective narrative among Jewish and Bedouin-Palestinian teachers in Israel and its correlates.

Teachers play a pivotal role in the educational discourse around collective narratives, and especially the other's narrative. The study assumed that members of groups entangled in a conflict approach the different modules of the other's narrative distinctively. Jewish and Palestinian teachers, Israeli citizens, answered questionnaires dealing with the narrative of the other, readiness for interethnic contact, negative between-group emotions and preferences for resolutions of the Israeli-Palestinian (I-P) conflict. Positive weighing of the other's narrative among Jewish teachers correlated with high levels of readiness for interethnic contact and low levels of negative between-group emotions, across the various modules of the Palestinian narrative. Preferences for a peaceful resolution of the I-P conflict and rejection of a violent one were noted in two of the modules. Among Palestinian teachers, positive weighing of the other's collective narrative was exclusively noted for the Israeli narrative of the Holocaust, and this stance negatively related to negative between-group emotions and preference for a violent solution of the I-P conflict, and positively related to readiness for interethnic contact and preference of a peaceful resolution of the conflict. Practical implications of these findings for peace education are discussed.

The 'Parent Circle' Peace Education Program: Does it Make Any Change?

This study evaluated a peace education program facilitated by the 'parents circle family forum.' The program aims to expose Jewish and Palestinian-Arab adolescents to personal stories of bereavement as a result of the Israeli-Palestinian conflict. One hundred and sixty-four Jewish twelfth-grade adolescents from schools throughout Israel filled out questionnaires before the start of the educational program, and 135 Jewish adolescents filled out the same questionnaire up to a week after it ended. Questionnaires included empathy, anger, and legitimacy toward 'self' and 'others' narratives. Results indicate that, overall, there were not any significant differences before and after the educational program with regard to adolescents' attitudes toward 'self' and 'others' narratives. However, when examining differences between subgroups in Israeli society, significant differences between 'secular' and 'traditional' adolescents emerged. The attitudes of secular adolescents favored narratives of the 'others,' while the attitudes of the traditional adolescents favored the 'self' narratives. After the program, these differences diminished, meaning that the program had a different impact on each subgroup. The traditional adolescents became more favorable to the 'others' narratives, while the secular adolescents became more favorable to their own narratives. Results are discussed on the basis of the theoretical foundation of psychological impacts of intractable conflicts.

Coping and Social Support in Children Exposed to Mass Trauma.

The goal of this paper was to critically evaluate the literature on children coping with mass trauma published between the years 2011 and 2014 and to emphasize interesting and important findings with the aim of proposing a new comprehensive model for better understanding the process of coping with these events in this unique developmental stage. Using a variety of databases, 26 research papers were selected. The papers were divided into two main categories, natural and manmade disasters. The findings suggest that several areas in this context still lack foundational knowledge and should be further investigated. Thus, it has been suggested that future research should emphasize the developmental stage of the children, the cultural context and atmosphere in which the investigated children grow up and live, and the type of event (acute vs. chronic; natural vs. manmade). A more comprehensive coping model which addresses these omissions and combines main theories is suggested for use in future research as well.

Does home attachment contribute to strengthen sense of coherence in times of war? Perspectives of Jewish Israeli mothers.

The perceptions of home, the significance attached to the home, and the reasons for the decision to continue living at home despite past and potentially future threats were investigated among Jewish Israeli mothers whose homes were exposed to long-term rocket attacks. Findings showed that the mothers expressed a firm attachment to their homes and to their physical and social surroundings and indicated that home attachment, in terms of thoughts, feelings, and behaviors connected to home, contributed to the strengthening of their sense of coherence due to the comprehension, management, and the meaning that they accorded the situation. These components of sense of coherence served as assets and coping resources that helped the women handle their stressful situations.

Coping resources and extra-curricular activity as explanatory factors of exposure to violence: comparing Jewish and Arab youth in Israel.

Violent behavior is a well-known social phenomenon among youth around the world including Israel. Adolescence is a crucial developmental period in which youth experience various developmental tasks while being exposed to many risks. Previous studies have shown that community involvement could be an asset for reduced violence among youth. Thus, the aim of this study was to explore the level of participation in extra-curricular activities as well as individual and community coherence and exposure to or victimization by violence among Jewish and Arab youth living in southern Israel. The links between these variable were explored as well. Six-hundred-and-twenty-two adolescents (265-Jews; 357-Arabs) completed self-reported questionnaires which investigated demographics, sense of coherence, sense of community coherence, participation in extra-curricular activities, and exposure to violence. Results show that Jewish adolescents report a significantly stronger sense of coherence and sense of community coherence, they participate more in extra-curricular activities and they are more exposed to and victimized by violence. Moreover, while sense of coherence is reported to be an asset in both groups, participating in extra-curricular activities is an asset only for the Arab youth. Results will be discussed with regard to the salutogenic theoretical foundation as well as the different cultural backgrounds of the groups.

Community resilience and sense of coherence as protective factors in explaining stress reactions: comparing cities and rural communities during missiles attacks.

Based on the salutogenic theory, the aim of this study was to examine sense of coherence and communal resiliency as related to stress reactions during missile attacks. Data were gathered in August 2011 while missiles were being shot from Gaza to the Negev communities in Israel from approximately 150 participants, aged 15-85. Participants lived in cities and different types of small rural villages. Self reported questionnaires were administered via the internet and included demographic data, coping resource of sense of coherence and community resiliency as coping resources, as well as state anxiety, state anger and psychological distress as stress reaction outcomes. Overall, the participants in our study reported strong personal and communal resources and relatively low levels of stress reactions. Personal and communal resources were linked negatively to the different stress reactions. However, some differences emerged when we compared participants from different types of communities. The most resilient group was composed of people who lived in the rural and communal communities. Differences also emerged on patterns of relationships between the community resource and state anxiety. While among the rural citizens, community resilience was strongly linked to anxiety, no relationships were revealed in the urban citizens group.

Sense of coherence and depressive symptoms among low-income Bedouin women in the Negev Israel.

BACKGROUND: Higher sense of coherence (SOC) has been associated with lower depression in Western societies; however, it is not clear whether this association manifests similarly in non-Western cultural contexts. AIMS: To examine the associations between different levels of SOC and depressive symptoms (DS) among indigenous-minority Arab Bedouin women in Israel and explore possible explanatory variables for this association. METHODS: We conducted face-to-face interviews with 464 women (aged 18-49 years). DS was measured based on the Center for Epidemiologic Studies Depression Scale. We used the SOC-13 questionnaire and conducted path analysis using Structural Equation Modeling to examine the contribution of two levels of SOC (low/high) to predict DS beyond psychological resources and socioeconomic position. RESULTS: The mean score of SOC was 3.42, standard deviation (SD) = 1.15. While high SOC (mean = 4.38, SD = 0.66, range = 3.5-6.38) was positively and significantly associated with DS (r = 0.46), SOC was not associated (r = 0.02) with DS in the low SOC group (mean = 2.4, SD = 0.56, range = 1-3.42). CONCLUSIONS: Relationships between high versus low SOC and DS among Bedouin women differ from those found in Western societies. This raises questions about the use of SOC as a universal tool in different cultural contexts.

Mental health literacy as a barrier and facilitator for service use: Qualitative inquiry among Palestinian Bedouins in Israel.

BACKGROUND: Mental health literacy (MHL) has been related to health behaviors and outcomes. However, studies examining MHL as a barrier and facilitator to service use are limited, especially among minority groups. AIMS: This study examined MHL as a barrier and facilitator to mental health service use among the Palestinian Bedouin minority in Israel. METHODS: Twenty-five Bedouins (15 women) from southern Israel participated in semi-structured, in-depth interviews. The participants were recruited by publishing an ad on social media about the study, then through a snowball technique. The data were analyzed thematically using ATLAS.ti.9, and the intercoder reliability was 92%. RESULTS: We identified four major themes in the interviews: (1) MHL as a barrier to service use, due to lack of knowledge about professionals in the field, mental health services, or reasons and risk factors for mental health problems; (2) traditional attitudes that acted as barriers to service use, including a preference for informal treatment, a lack of faith in mental health treatment, aversion to discussing private feelings, and the perception that mental health is a luxury; (3) MHL as a facilitator to service use by enabling accurate identification of mental distress and suggesting practical avenues for seeking help; and (4) ways to improve MHL that should be culturally sensitive and under the government agencies' responsibility. CONCLUSIONS: Interventions aimed at increasing the use of mental health services among Bedouins and reducing racial/ethnic disparities should increase knowledge in culturally adapted ways, especially regarding professionals and services, and change negative attitudes such as mental health treatment as ineffective or bonus.

Neighbourhood perceptions and sense of coherence in adolescence.

The neighbourhood has traditionally been neglected in studies about adolescents' sense of coherence (SOC). The current study represents the first attempt to analyse the associations between neighbourhood assets, neighbourhood risks, and SOC during adolescence. The sample consisted of 7,580 Spanish adolescents aged 13-18 who were selected for the 2009/10 edition of the Health Behaviour in School-aged Children (HBSC) survey in Spain. The adolescents completed self-report questionnaires that included the SOC-29 scale and separate HBSC scales measuring neighbourhood risks and assets. The results showed that neighbourhood risks were negatively associated with the adolescents' SOC. In contrast, neighbourhood assets, especially relationships with significant adults, were positively associated with the adolescents' SOC. Assets explained 6.5% of the variability in SOC scores after controlling for risks, suggesting that assets may play a significant role, even in neighbourhoods where risks are present. We discuss implications and future research directions.

Challenges, Opportunities, and Coping in the Wake of the COVID-19 Pandemic: The Case of Jewish Communities around the World.

Against the backdrop of the COVID-19 pandemic, which lasted more than two years and included several waves, the present study focused on Jewish communities around the world, in order to understand the role of community during the pandemic. This study focused on the community mechanisms that helped community members to cope with the pandemic. To that end, between October 2021 and July 2022, in-person interviews were conducted with leaders and members of the following communities: Budapest, Hungary; Subotica, Serbia; Vienna, Austria; Bratislava, Slovakia; Vilna, Lithuania; Buenos Aires, Rosario, Salta, and Ushuaia in Argentina; and Mexico City and Cancun in Mexico. Each interview lasted between 45 min and 1.5 h. All of the interviews were audio-recorded and transcripts of those recordings were prepared. Three major themes emerged from the interviews: challenges, coping, and opportunities. Most of these themes were common to the different communities around the world. The findings of this work are discussed in terms of the concept of sense of community and resiliency theories.

Mental Health Underutilization by Palestinian-Arabs in Israel: Stigma-Related, Attitudinal, and Instrumental Barriers.

BACKGROUND: Many studies show that members of minority groups underutilize mental health services and report more barriers to such utilization than majority groups. However, very little is known about these barriers and their relation to mental health service use among the Palestinian-Arab minority in Israel. AIMS: This study examined barriers to mental health service use in this population based on the stigma-related, attitudinal, and instrumental barriers dimensions of the Barriers to Care Evaluation scale (BACE v3) and its correlates to mental health service use. METHODS: The participants were a convenience sample of 231 Palestinian Arabs. They completed measures of BACE v3, mental health service use, and sociodemographic characteristics. RESULTS: The findings showed that participants who reported using mental health services had lower levels of barriers in all dimensions compared to those who did not use such services. Attitudinal barriers were found to be the main determinants of mental health service use. CONCLUSIONS: This study underscored the role of attitudinal barriers to the utilization of mental health services. The findings indicated that interventions addressing such barriers might be helpful in increasing mental health service use among the Palestinian-Arab minority in Israel as well as other minorities in Israel and elsewhere, who might share similar backgrounds and perceptions.

Ultra-Orthodox Women in the Job Market: What Helps Them to Become Healthy and Satisfied?

This study explored the mental health and job satisfaction of Ultra-Orthodox women who work in different cultural environments. Data were gathered from 304 Ultra-Orthodox women who belong to various streams in this society and who were recruited by the Midgam research panel. The participants filled out self-reported questionnaires that assessed their family quality of life, community sense of coherence, diversity climate, inclusive leadership, job satisfaction, and mental health. The participants ranged in age between 19 and 64 years (M = 30.86, SD = 8.71); 43.1% worked within the Ultra-Orthodox enclave, while 22.4% worked with both Ultra-Orthodox and secular individuals and 34.5% worked in mainly secular environments. We observed differences and similarities among the three groups of women. Community sense of coherence was weakest among those who worked outside the enclave, while diversity perception and inclusive leadership were highest among that group. In all three groups, family and community were the most important resources for mental health. Both traditional resources (i.e., family and community) and other resources (i.e., perception of diversity climate and inclusive leadership) were important for job satisfaction.

Diversity Climate, Salutogenic Theory, and the Occupational Health of College-Educated Women from Conservative Communities.

Over the past four decades, there have been significant changes in workplaces around the world, including a workforce that has become more diverse as the relative proportion of women in the workforce has increased. This trend has included the increased workforce participation of women from conservative minority groups. This article discusses the significance of the integration of college-educated women from conservative minority groups into the workforce in terms of their own personal health and well-being. This work focuses on two groups of college-educated women from conservative minority groups that have joined the Israeli workforce: Ultra-Orthodox women and Bedouin Arab women. This qualitative study was based on five focus groups, which included 16 women from the two examined groups. The main themes raised in those focus groups were categorized and analyzed. The data analysis was guided by the diversity-climate approach and salutogenic theory. The research findings indicate that a diversity climate that included most of the different aspects of this approach was present in the participants' statements regarding their workplaces. In practice, diversity climate supported sense of coherence, such that both diversity climate and a sense of coherence led directly to the occupational health of these college-educated, minority women.