Table 2.
Key barriers themes and CERQual assessment among qualitative (n=3) and mix-method studies (n=3).
| # | Barrier theme | References | CERQual Assessment of Confidence in the Evidence |
|---|---|---|---|
| 1 | Seeking help/care from other resources | (19, 54, 58, 59) | Moderate confidence |
| 2 | Misconceptions for mental illness | (58–60) | Moderate confidence |
| 3 | Self reliance and unwillingness to seek help | (19, 37, 54) | Moderate confidence |
| 4 | Low perceived need for mental health help | (19, 37, 54) | Moderate confidence |
| 5 | Perceived low severity of mental illness | (37, 58) | Moderate confidence |
| 6 | Fear of stigma to mental illness | (37, 59) | Moderate confidence |
| 7 | Negative experiences and attitude toward the treatment | (19, 37) | Moderate confidence |
| 8 | Lack of affordability | (19, 37) | Moderate confidence |
| 9 | Lack of accessibility | (19, 37) | Moderate confidence |
| 10 | Families’ opposition | (37, 58) | Low confidence |
| 11 | Sociodemographic barriers | (37, 58) | Low confidence |
| 12 | Unwillingness to disclose mental illness | (59) | Moderate confidence |
| 13 | Fear of burdening their families | (59) | Moderate confidence |
| 14 | Difficulties in recognizing the mental illness | (54) | Moderate confidence |