ArticleSocial psychiatry and psychiatric epidemiology2022
Attitudes towards disclosing a mental illness: impact on quality of life and recovery.
Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed.
- Honest, Open, Proud (HOP) for people with mental illness in Hong Kong: a randomized controlled trial.Social psychiatry and psychiatric epidemiology · 2024Trial
- Efficacy of the peer-led ''Honest, Open, Proud'' group program to improve stigma stress and quality of life in adolescents with mental illness: randomized controlled trial.European child & adolescent psychiatry · 2026Article
- The effects of data disclosure on adolescent reporting of depression: a school-hosted depression screening.Social psychiatry and psychiatric epidemiology · 2026Observational
- Qualitative accounts of community health workers providing and shaping mental health support in climate-vulnerable communities in Bangladesh.Scientific reports · 2026Article
- Real-World Effectiveness of the Peer-Led Honest, Open, Proud Programme for Self-Stigma Among Adults With Mental Illness: A Pragmatic, Multicentre, Randomised Controlled Trial.The Lancet regional health. Europe · 2026Article
- Internalized Stigma and Help-Seeking Across Problems and Targets.The journal of behavioral health services & research · 2026Article
- Beyond the emergency: Centering mental health in community disaster preparedness and recovery.PloS one · 2026Article
- Mental health challenges and HIV status disclosure among children and adolescents living with HIV in Eastern Uganda.Scientific reports · 2025Article
- Internalized Stigma Is a Predictor of Mental Health Secrecy and Loneliness in Young People With Clinical Depression Symptoms: A Longitudinal Study.Journal of clinical psychology · 2025Article
- Understanding Disclosure Decisions in Parents of Children with Attention Deficit/Hyperactivity Disorder.Child psychiatry and human development · 2025Article
- The relationship between maternal emotional self-disclosure and children's anxiety in the post-COVID-19 era.BMC psychiatry · 2025Article
- Stigma Toward Severe Mental Illness Among Healthcare Students: A Qualitative Study.International journal of environmental research and public health · 2025Article
- "You wished the ground would open and swallow you up": Expert opinions on shame, the collective, and other cultural considerations for suicide prevention among Asian American and Pacific Islander veterans.Injury epidemiology · 2025Article
- Strategies to overcome mental health stigma: Insights and recommendations from young people with major depressive disorder (MDD).Brain and behavior · 2024Article
- Epigenome-Wide Association Study of Depressive Symptoms in Black Women in the InterGEN Study.International journal of molecular sciences · 2024Article
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- Self-stigma among people with serious mental illnesses: The use of focus groups to inform the development of a brief video intervention.Psychiatric rehabilitation journal · 2023Article
- Workplace Mental Health Disclosure, Sustainable Employability and Well-Being at Work: A Cross-Sectional Study Among Military Personnel with Mental Illness.Journal of occupational rehabilitation · 2023Article
- Expectations of Mental Illness Disclosure Outcomes in the Work Context: A Cross-Sectional Study Among Dutch Workers.Journal of occupational rehabilitation · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe decision whether to disclose a mental illness has individual and social consequences. Secrecy may protect from stigma and discrimination while disclosure can increase social support and facilitate help-seeking. Therefore, disclosure decisions are a key reaction to stigma. The first aim of this study was to test a newly developed scale to measure disclosure attitudes, the Attitudes to Disclosure Questionnaire (AtDQ). The second aim was to examine the impact of attitudes towards disclosing a mental illness on quality of life and recovery.
methodsAmong 100 participants with mental illness, disclosure attitudes, quality of life, recovery, benefits of disclosure, secrecy, social withdrawal, self-stigma, and depressive symptoms were assessed at weeks 0, 3 and 6. Psychometric properties of the AtDQ were analysed. Longitudinal associations between disclosure attitudes at baseline and quality of life and recovery after 6 weeks were examined in linear regressions.
resultsThe analyses of the AtDQ indicated one-factor solutions, high acceptability, high internal consistency, and good retest reliability for the total scale and the subscales as well as high construct validity of the total scale. Results provided initial support for sensitivity to change. More positive disclosure attitudes in general and in particular regarding to family at baseline predicted better quality of life and recovery after 6 weeks.
conclusionThe current study provides initial support for the AtDQ as a useful measure of disclosure attitudes. Disclosing a mental illness, especially with respect to family, may improve quality of life and recovery of people with mental illness.
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