Stigma and disclosing one’s mental illness to family and friends

Rüsch, Nicolas; Brohan, Elaine; Gabbidon, Jheanell; Thornicroft, Graham; Clément, Sarah

doi:10.1007/s00127-014-0871-7

Cited by 40 publications

(46 citation statements)

References 26 publications

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“…Conversely, it has been reported that greater comfort in disclosing one's mental illness was associated with lower anticipated discrimination [23].…”

Section: Discussionmentioning

confidence: 96%

Stigma and Non-Disclosure in Psychiatric Patients from a Southeast Asian Hospital

Lim¹,

Goh²,

Chan³

2018

OJPsych

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Objective: We compared stigma experienced by psychiatric patients and controls in various social domains and hypothesized higher levels of stigma and higher rates of non-disclosure by psychiatric patients. Methods: Psychiatric outpatients and a control group of medical outpatients were assessed for experienced discrimination through a structured questionnaire that included adapted items from the Discrimination and Stigma Scale (DISC-12). Controls were assessed on discrimination related to physical, rather than mental health issues. Statistical analyses were conducted with Pearson's chi-squared tests and one-way Analyses of Variance (ANOVA). Results: In total, 202 patients comprising 99 psychiatric patients and 103 controls gave consent to the study. Psychiatric patients experienced higher levels of discrimination (F (1, 196) = 24.4, p < 0.001), and in more areas of life (F (1, 196) = 22.5, p < 0.001) than controls. Compared to controls, a higher proportion of psychiatric patients practised non-disclosure of their illness. Conclusion: Our study confirmed that psychiatric patients experienced considerable stigma and coped by non-disclosure of their condition.

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“…Conversely, it has been reported that greater comfort in disclosing one's mental illness was associated with lower anticipated discrimination [23].…”

Section: Discussionmentioning

confidence: 96%

Stigma and Non-Disclosure in Psychiatric Patients from a Southeast Asian Hospital

Lim¹,

Goh²,

Chan³

2018

OJPsych

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“…Perceived stigma was negatively correlated with disclosure in one study (Bos et al, 2009) and positively correlated with secrecy in four studies (Chronister et al, 2013;Kleim et al, 2008;O'Mahen et al, 2011;Yow & Mehta, 2010). Anticipated discrimination was negatively correlated with comfort about disclosing in one study (Rüsch et al, 2014).…”

Section: Factors Associated With Disclosure and Concealment In Quantimentioning

confidence: 93%

Factors associated with mental health disclosure outside of the workplace: A systematic literature review.

2018

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People with mental health problems sometimes have the choice whether or not to disclose these to others. The decision to disclose or conceal is likely to depend on various factors. In this systematic review, we examined the findings of studies looking at factors affecting adults' decisions to disclose or conceal a mental health problem outside of the workplace. Key databases (PsycINFO, Scopus and Web of Science) revealed 19 relevant articles published between January 2005 and August 2015. Common factors affecting disclosure or concealment included anticipated stigma, characteristics of the target, relationship with the target, mental health of the discloser, rules and beliefs about mental health problems, and fears about control and identity. Demographic factors were not strongly associated with disclosure decisions. We also found that measures used to understand mental health disclosure may fail to capture the complexity of the process. Implications for future research and policy are discussed, including the need for palpable public support for people with mental health problems, the need for healthcare professionals to establish better relationships with service users, and the value of respecting non-disclosure.

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“…In line with previous research (Corrigan, 2004;Sartorius, 2007;Schomerus & Angermeyer, 2008), self-stigma was associated with reluctance to disclose and seek help. Some studies have concluded that, in the general population, individuals are less likely to disclose more heavily stigmatized mental health problems (psychosis, bipolar disorder, addiction) compared with less stigmatized ones (depression, anxiety, eating disorders), owing to higher levels of anticipated discrimination (Rüsch, Brohan, Gabbidon, Thornicroft, & Clement, 2014). In contrast, a review on workplace disclosure concluded that lower levels of disability resulting from the respective mental health problem together with higher concealability are negatively associated with workplace disclosure (Brohan et al, 2012).…”

Section: Stigma Disclosure and Help-seekingmentioning

confidence: 99%

Mental health problems among clinical psychologists: Stigma and its impact on disclosure and help‐seeking

2018

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Stigma and disclosing one’s mental illness to family and friends

Abstract: Anticipated discrimination as an external threat and stigma-related stress as an internal process may reduce comfort with disclosure and could be targeted in interventions.

Cited by 40 publications

References 26 publications

Stigma and Non-Disclosure in Psychiatric Patients from a Southeast Asian Hospital

Stigma and Non-Disclosure in Psychiatric Patients from a Southeast Asian Hospital

Factors associated with mental health disclosure outside of the workplace: A systematic literature review.

Mental health problems among clinical psychologists: Stigma and its impact on disclosure and help‐seeking

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