ArticleSocial psychiatry and psychiatric epidemiology2026
The effects of trauma non-disclosure on symptoms of posttraumatic stress, anxiety and depression: findings from a prospective, population-based study.
Article in Social psychiatry and psychiatric epidemiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundIndividuals who do not disclose a potentially traumatic event (PTE) may receive no (or less) event-related social support after victimization. However, it is less clear whether non-disclosure increases the risk of post-event psychopathology.
aimsThe present study aims to examine the effects of trauma non-disclosure or disclosure on post-event psychopathology in adult victims of PTEs in the general population of a western European country.
methodIn this prospective study, lack of emotional support along with anxiety and depression symptomatology (ADS) was assessed before participants (N = 1258) experienced a PTE (T1). Twelve months later (T2), following victimization between T1 and T2, PTSD symptoms (PTSS), ADS, and the extent of PTE-related social acknowledgment among disclosing participants were examined. Post-event psychopathology was then compared between non-disclosers (n = 98) and disclosers with high, fairly high, limited, or low levels of PTE-related social acknowledgment (n = 1160).
resultsMultivariable logistic regression analyses showed that non-disclosers had a higher prevalence of both PTSS and ADS at T2 than did disclosers with high and fairly high levels of PTE-related social acknowledgment. However, non-disclosers reported lower prevalence of PTSS than disclosers with low levels of PTE-related social acknowledgment. Among disclosers, the prevalence of PTSS and ADS at T2 increased when the level of PTE-related social acknowledgment decreased.
conclusionsNon-disclosure of trauma is not necessarily detrimental to mental health when compared to the effects of receiving low event-related social acknowledgment following disclosure. Rather than promoting disclosure in general, it would be more beneficial to recommend disclosure only when supportive relationships are present.
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