College Students’ Reasons for Depression Nondisclosure in Primary Care

Meyer, William J.; Morrison, Patrick J.; Lombardero, Anayansi; Swingle, Kelsey; Campbell, Duncan G.

doi:10.1080/87568225.2016.1177435

Cited by 7 publications

(7 citation statements)

References 22 publications

(22 reference statements)

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“…Another explanation may be differential rates in disclosure of STB. While this remains to be investigated, several findings point towards that direction: the high rates of college students that would not disclose depression to primary care providers (Meyer et al 2016), the preference of college students to seek help from friends or family, as opposed to professionals (Arria et al 2011), mandatory referrals when disclosing STB in some surveys (Wilcox et al 2010), and campus policies in which students with STB are barred from campus (Appelbaum, 2006).…”

Section: Discussionmentioning

confidence: 99%

The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis

et al. 2017

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Section: Discussionmentioning

confidence: 99%

The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis

et al. 2017

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“…Prior research in this area has primarily been conducted outside of the United States and has a number of limitations: the study samples were constrained to a specific age range, sex, or geographic area; only 1 imminent threat was examined; and/or the scenarios were hypothetical. [3][4][5][6][7][8][9] In this study, we examined the prevalence of US patients' self-reported nondisclosure of information to their clinician about 4 imminent threats and their reasons for nondisclosure.…”

Section: Introductionmentioning

confidence: 99%

Assessment of Patient Nondisclosures to Clinicians of Experiencing Imminent Threats

et al. 2019

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Key Points Question How common is it for patients to withhold information from clinicians about imminent threats that they face (depression, suicidality, abuse, or sexual assault), and what are common reasons for nondisclosure? Findings This survey study, incorporating 2 national, nonprobability, online surveys of a total of 4510 US adults, found that at least one-quarter of participants who experienced each imminent threat reported withholding this information from their clinician. The most commonly endorsed reasons for nondisclosure included potential embarrassment, being judged, or difficult follow-up behavior. Meaning These findings suggest that concerns about potential negative repercussions may lead many patients who experience imminent threats to avoid disclosing this information to their clinician.

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“…The initial draft was created after an extensive review of the literature on nondisclosure of information by patients. [9][10][11] The questionnaire assessed several common contexts in which a patient might fail to disclose relevant information to a doctor. It was reviewed by three family consultants who were expert researchers.…”

Section: Survey Instrumentmentioning

confidence: 99%

Prevalence, Reasons and Determinants of Patients’ Nondisclosure to Their Doctors in Saudi Arabia: A Community-Based Study

Alrasheed¹,

Alharbi²,

Alqarni³

et al. 2022

PPA

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Patient-doctor communication is a fundamental component of patients' care. Withholding important information to the doctor can negatively affect the patients' health and patient-doctor communication.Aim: This study aimed to explore the fundamental types of information that patients hide from doctors, eg, the use of medication, health-related lifestyle, or disagreement with the doctor's plan. In addition, this study examines the prevalence and reasons for this nondisclosure and factors associated with it. Methodology: An online survey was conducted using a self-designed questionnaire, which was distributed to social media, targeting the residents of Saudi Arabia from February 1, 2021 to February 28, 2021. Respondents under 18 years of age and those who provided incomplete/incorrect data were excluded from the study. Types of nondisclosed information and their reasons were evaluated. Results: A total of 2725 participants completed the questionnaire, and 1392 (51.1%) were males. About 43.2% of the participants were 18-29 years. Most (82%) responded "yes" to the question "Have you ever withheld any information from your doctor?" Nondisclosed information commonly involved disagreements with the recommendation (44.7%), not taking prescription medication as instructed (40.6%), and not understanding the instructions (37.4%). The most frequent reasons (68.7%) for nondisclosure were that the participants wanted to undergo further tests, did not like the doctor's attitude (48.7%) and felt it did not matter to the doctor (43.2%). Those under 40 were more apt to withhold information (70.4%) than older participants (29.6%) p value = 0.0034. Other factors like gender, education level, and marital status were not associated with nondisclosure. Conclusion:The prevalence of nondisclosure to doctors is high. Effective communication skills and sound doctor-patient relationships may reduce this risk and improve the care delivered to the patients.

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College Students’ Reasons for Depression Nondisclosure in Primary Care

Cited by 7 publications

References 22 publications

The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis

The prevalence of suicidal thoughts and behaviours among college students: a meta-analysis

Assessment of Patient Nondisclosures to Clinicians of Experiencing Imminent Threats

Prevalence, Reasons and Determinants of Patients’ Nondisclosure to Their Doctors in Saudi Arabia: A Community-Based Study

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