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Mental illness disclosure decision making.

Rohini Pahwa1, Anthony Fulginiti2, John S Brekke3

  • 1Silver School of Social Work, New York University.

The American Journal of Orthopsychiatry
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PubMed
Summary
This summary is machine-generated.

Individuals with serious mental illness (SMI) often selectively disclose their condition. Factors like social support and relationship availability influence disclosure preferences, highlighting the need for network-focused interventions.

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Area of Science:

  • Psychology
  • Social Science
  • Mental Health Research

Background:

  • Mental illness disclosure is linked to improved mental health.
  • Individuals with serious mental illness (SMI) often do not disclose their condition.
  • Previous research overlooked disclosure preferences and influencing factors.

Purpose of the Study:

  • To understand mental illness disclosure preference and selective disclosure in individuals with SMI.
  • To examine individual and relational factors influencing disclosure decisions using the Disclosure Decision-Making Model (DD-MM).

Main Methods:

  • Employed multivariate random intercept logistic regression with a sample of 60 individuals with SMI.
  • Analyzed disclosure preferences based on social network analysis and the DD-MM.

Main Results:

  • The majority (68%) practiced selective disclosure, primarily involving family and friends.
  • Women showed higher odds of disclosure preference compared to men.
  • Lower perceived social support, greater relationship availability, and lower dyadic tangible social support were associated with lower disclosure preference.

Conclusions:

  • Selective disclosure is common among individuals with SMI.
  • Social network analysis offers insights into disclosure dynamics.
  • Findings inform interventions for stigma reduction and support for individuals with SMI.