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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 7/2014

01.07.2014 | Brief Report

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

verfasst von: Nicolas Rüsch, Elaine Brohan, Jheanell Gabbidon, Graham Thornicroft, Sarah Clement

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 7/2014

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Abstract

Purpose

People with mental illness face the dilemma whether or not to disclose their condition. We examined stigma variables and their relationship with comfort disclosing.

Methods

Comfort with disclosure, well-being, symptoms and aspects of experiencing and reacting to stigma were assessed among 202 individuals with mental illness.

Results

Controlling for symptoms, greater comfort disclosing one’s mental illness was associated with lower anticipated discrimination and lower stigma stress; more comfort disclosing was related to greater well-being.

Conclusions

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.
Literatur
1.
Zurück zum Zitat Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, Angermeyer MC (2012) Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 125:440–452PubMedCrossRef Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, Angermeyer MC (2012) Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 125:440–452PubMedCrossRef
2.
Zurück zum Zitat Link BG, Mirotznik J, Cullen FT (1991) The effectiveness of stigma coping orientations: Can negative consequences of mental illness labeling be avoided? J Health Soc Behav 32:302–320PubMedCrossRef Link BG, Mirotznik J, Cullen FT (1991) The effectiveness of stigma coping orientations: Can negative consequences of mental illness labeling be avoided? J Health Soc Behav 32:302–320PubMedCrossRef
3.
Zurück zum Zitat Brohan E, Henderson C, Wheat K, Malcolm E, Clement S, Barley EA, Slade M, Thornicroft G (2012) Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace. BMC Psychiatry 12:11PubMedCentralPubMedCrossRef Brohan E, Henderson C, Wheat K, Malcolm E, Clement S, Barley EA, Slade M, Thornicroft G (2012) Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace. BMC Psychiatry 12:11PubMedCentralPubMedCrossRef
4.
Zurück zum Zitat Brohan E, Evans-Lacko S, Henderson C, Murray J, Slade M, Thornicroft G (2014) Disclosure of a mental health problem in the employment context: qualitative study of beliefs and experiences. Epidemiol Psychiatry Sci. doi:10.1017/S2045796013000310 (published online) Brohan E, Evans-Lacko S, Henderson C, Murray J, Slade M, Thornicroft G (2014) Disclosure of a mental health problem in the employment context: qualitative study of beliefs and experiences. Epidemiol Psychiatry Sci. doi:10.​1017/​S204579601300031​0 (published online)
5.
Zurück zum Zitat Henderson C, Brohan E, Clement S, Williams P, Lassman F, Schauman O, Dockery L, Farrelly S, Murray J, Murphy C, Slade M, Thornicroft G (2013) Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial. Br J Psychiatry 203:350–357PubMedCrossRef Henderson C, Brohan E, Clement S, Williams P, Lassman F, Schauman O, Dockery L, Farrelly S, Murray J, Murphy C, Slade M, Thornicroft G (2013) Decision aid on disclosure of mental health status to an employer: feasibility and outcomes of a randomised controlled trial. Br J Psychiatry 203:350–357PubMedCrossRef
6.
Zurück zum Zitat Rüsch N, Abbruzzese E, Hagedorn E, Hartenhauer D, Kaufmann I, Curschellas J, Ventling S, Zuaboni G, Bridler R, Olschewski M, Kawohl W, Rössler W, Kleim B, Corrigan PW (2014) The efficacy of coming out proud to reduce stigma’s impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry. doi:10.1192/bjp.bp.113.135772 (published online) Rüsch N, Abbruzzese E, Hagedorn E, Hartenhauer D, Kaufmann I, Curschellas J, Ventling S, Zuaboni G, Bridler R, Olschewski M, Kawohl W, Rössler W, Kleim B, Corrigan PW (2014) The efficacy of coming out proud to reduce stigma’s impact among people with mental illness: pilot randomised controlled trial. Br J Psychiatry. doi:10.​1192/​bjp.​bp.​113.​135772 (published online)
7.
Zurück zum Zitat Corrigan PW, Kosyluk KA, Rüsch N (2013) Reducing self-stigma by coming out proud. Am J Public Health 103:794–800PubMedCrossRef Corrigan PW, Kosyluk KA, Rüsch N (2013) Reducing self-stigma by coming out proud. Am J Public Health 103:794–800PubMedCrossRef
8.
Zurück zum Zitat Lasalvia A, Zoppei S, van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Bacle SV, van Audenhove C, van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381:55–62PubMedCrossRef Lasalvia A, Zoppei S, van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Bacle SV, van Audenhove C, van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G (2013) Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 381:55–62PubMedCrossRef
9.
Zurück zum Zitat Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373:408–415PubMedCrossRef Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M (2009) Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional survey. Lancet 373:408–415PubMedCrossRef
10.
Zurück zum Zitat Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralPubMedCrossRef Rüsch N, Corrigan PW, Wassel A, Michaels P, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: I. Predictors of cognitive stress appraisal. Schizophr Res 110:59–64PubMedCentralPubMedCrossRef
11.
Zurück zum Zitat Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 110:65–71PubMedCentralPubMedCrossRef Rüsch N, Corrigan PW, Powell K, Rajah A, Olschewski M, Wilkniss S, Batia K (2009) A stress-coping model of mental illness stigma: II. Emotional stress responses, coping behavior and outcome. Schizophr Res 110:65–71PubMedCentralPubMedCrossRef
12.
Zurück zum Zitat Corrigan PW, Watson AC (2002) The paradox of self-stigma and mental illness. Clin Psychol Sci Pract 9:35–53CrossRef Corrigan PW, Watson AC (2002) The paradox of self-stigma and mental illness. Clin Psychol Sci Pract 9:35–53CrossRef
13.
Zurück zum Zitat Rüsch N, Hölzer A, Hermann C, Schramm E, Jacob GA, Bohus M, Lieb K, Corrigan PW (2006) Self-stigma in women with borderline personality disorder and women with social phobia. J Nerv Mental Dis 194:766–773CrossRef Rüsch N, Hölzer A, Hermann C, Schramm E, Jacob GA, Bohus M, Lieb K, Corrigan PW (2006) Self-stigma in women with borderline personality disorder and women with social phobia. J Nerv Mental Dis 194:766–773CrossRef
14.
Zurück zum Zitat Henderson C, Williams P, Gabbidon J, Farrelly S, Schauman O, Hatch S, Thornicroft G, Clement S (2014) Mistrust of mental health services: ethnicity, hospital admission and unfair treatment. Epidemiol Psychiatr Sci. doi:10.1017/S2045796014000158 Henderson C, Williams P, Gabbidon J, Farrelly S, Schauman O, Hatch S, Thornicroft G, Clement S (2014) Mistrust of mental health services: ethnicity, hospital admission and unfair treatment. Epidemiol Psychiatr Sci. doi:10.​1017/​S204579601400015​8
15.
Zurück zum Zitat Rüsch N, Evans-Lacko S, Henderson C, Flach C, Thornicroft G (2011) Knowledge and attitudes as predictors of intentions to seek help and disclose a mental illness. Psychiatric Serv 62:675–678CrossRef Rüsch N, Evans-Lacko S, Henderson C, Flach C, Thornicroft G (2011) Knowledge and attitudes as predictors of intentions to seek help and disclose a mental illness. Psychiatric Serv 62:675–678CrossRef
16.
Zurück zum Zitat Rüsch N, Evans-Lacko S, Thornicroft G (2012) What is a mental illness? Public views and their effects on attitudes and disclosure. Aust NZ J Psychiatry 46:641–650CrossRef Rüsch N, Evans-Lacko S, Thornicroft G (2012) What is a mental illness? Public views and their effects on attitudes and disclosure. Aust NZ J Psychiatry 46:641–650CrossRef
17.
Zurück zum Zitat Gabbidon J, Brohan E, Clement S, Henderson C, Thornicroft G (2013) The development and validation of the questionnaire on anticipated discrimination. BMC Psychiatry 13:297PubMedCrossRef Gabbidon J, Brohan E, Clement S, Henderson C, Thornicroft G (2013) The development and validation of the questionnaire on anticipated discrimination. BMC Psychiatry 13:297PubMedCrossRef
18.
Zurück zum Zitat Rüsch N, Corrigan PW, Heekeren K, Theodoridou A, Dvorsky D, Metzler S, Müller M, Walitza S, Rössler W (2014) Well-being among persons at risk for psychosis: the role of self-labeling, shame and stigma stress. Psychiatric Serv. doi:10.1176/appi.ps.201300169 (published online) Rüsch N, Corrigan PW, Heekeren K, Theodoridou A, Dvorsky D, Metzler S, Müller M, Walitza S, Rössler W (2014) Well-being among persons at risk for psychosis: the role of self-labeling, shame and stigma stress. Psychiatric Serv. doi:10.​1176/​appi.​ps.​201300169 (published online)
19.
Zurück zum Zitat Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, Bleiker M, Lengler S, Blank C, Rössler W (2014) Emotional reactions to involuntary psychiatric hospitalization and stigma as a stressor among people with mental illness. Eur Arch Psychiatry Clin Neurosci 264:35–43PubMedCrossRef Rüsch N, Müller M, Lay B, Corrigan PW, Zahn R, Schönenberger T, Bleiker M, Lengler S, Blank C, Rössler W (2014) Emotional reactions to involuntary psychiatric hospitalization and stigma as a stressor among people with mental illness. Eur Arch Psychiatry Clin Neurosci 264:35–43PubMedCrossRef
20.
Zurück zum Zitat Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the discrimination and stigma scale. Psychiatry Res 208:33–40PubMedCrossRef Brohan E, Clement S, Rose D, Sartorius N, Slade M, Thornicroft G (2013) Development and psychometric evaluation of the discrimination and stigma scale. Psychiatry Res 208:33–40PubMedCrossRef
21.
Zurück zum Zitat Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121:31–49PubMedCrossRef Ritsher JB, Otilingam PG, Grajales M (2003) Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Res 121:31–49PubMedCrossRef
22.
Zurück zum Zitat Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, Parkinson J, Secker J, Stewart-Brown S (2007) The Warwick-Edinburgh Mental Well-being scale: development and UK validation. Health Qual Life Outcomes 5:63PubMedCentralPubMedCrossRef Tennant R, Hiller L, Fishwick R, Platt S, Joseph S, Weich S, Parkinson J, Secker J, Stewart-Brown S (2007) The Warwick-Edinburgh Mental Well-being scale: development and UK validation. Health Qual Life Outcomes 5:63PubMedCentralPubMedCrossRef
23.
Zurück zum Zitat Lukoff D, Liberman RP, Nuechterlein KH (1986) Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophr Bull 12:578–602PubMedCrossRef Lukoff D, Liberman RP, Nuechterlein KH (1986) Symptom monitoring in the rehabilitation of schizophrenic patients. Schizophr Bull 12:578–602PubMedCrossRef
24.
Zurück zum Zitat Edwards JR, Cooper CL (1990) The person-environment fit approach to stress: recurring problems and some suggested solutions. J Org Behav 11:293–307CrossRef Edwards JR, Cooper CL (1990) The person-environment fit approach to stress: recurring problems and some suggested solutions. J Org Behav 11:293–307CrossRef
25.
Zurück zum Zitat Rindskopf D (1984) Linear equality restrictions in regression and loglinear models. Psychol Bull 96:597–603CrossRef Rindskopf D (1984) Linear equality restrictions in regression and loglinear models. Psychol Bull 96:597–603CrossRef
26.
Zurück zum Zitat Corrigan PW, Morris S, Larson JE, Rafacz J, Wassel A, Michaels P, Wilkniss S, Batia K, Rüsch N (2010) Self-stigma and coming out about one’s mental illness. J Community Psychol 38:1–17CrossRef Corrigan PW, Morris S, Larson JE, Rafacz J, Wassel A, Michaels P, Wilkniss S, Batia K, Rüsch N (2010) Self-stigma and coming out about one’s mental illness. J Community Psychol 38:1–17CrossRef
27.
Zurück zum Zitat Chaudoir SR, Fisher JD (2010) The disclosure processes model: understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychol Bull 136:236–256PubMedCentralPubMedCrossRef Chaudoir SR, Fisher JD (2010) The disclosure processes model: understanding disclosure decision making and postdisclosure outcomes among people living with a concealable stigmatized identity. Psychol Bull 136:236–256PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat Corrigan PW (2011) Strategic stigma change : five principles for social marketing campaigns meant to erase the prejudice and discrimination of mental illness. Psychiatric Serv 62:824–826 Corrigan PW (2011) Strategic stigma change : five principles for social marketing campaigns meant to erase the prejudice and discrimination of mental illness. Psychiatric Serv 62:824–826
29.
Zurück zum Zitat Henderson C, Thornicroft G (2013) Evaluation of the Time to Change programme in England 2008–2011. Br J Psychiatry Suppl 55:s45–s48PubMedCrossRef Henderson C, Thornicroft G (2013) Evaluation of the Time to Change programme in England 2008–2011. Br J Psychiatry Suppl 55:s45–s48PubMedCrossRef
Metadaten
Titel
Stigma and disclosing one’s mental illness to family and friends
verfasst von
Nicolas Rüsch
Elaine Brohan
Jheanell Gabbidon
Graham Thornicroft
Sarah Clement
Publikationsdatum
01.07.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 7/2014
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-014-0871-7

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