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. 2014 Jul;49(7):1157-60.
doi: 10.1007/s00127-014-0871-7. Epub 2014 Apr 6.

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

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

Nicolas Rüsch et al. Soc Psychiatry Psychiatr Epidemiol. 2014 Jul.

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.

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