Evidence map›Paper›PMID 42753050›Full record

ArticleJournal of occupational rehabilitation2026

Mental Healthcare Professionals' Own Mental Health Disclosure to their Supervisor: Investigating Barriers and Facilitators, Experiences, and Needs.

Naomi de Leng, Margot Joosen, Dorien Kooij, Marjan Bakker, Anneloes van den Broek, Arno van Dam, Ilja Bongers, Koen Grootens, Laurian Hafkemeijer, Evelien Brouwers

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Article in Journal of occupational rehabilitation, 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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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Naomi de LengTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands. n.l.deleng@tilburguniversity.edu.ORCID https://orcid.org/0009-0004-6812-1789
Margot JoosenTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.
Dorien KooijTilburg School of Social and Behavioral Sciences, Tilburg University, Human Resource Studies, Tilburg, The Netherlands.
Marjan BakkerTilburg School of Social and Behavioral Sciences, Methods and Statistics, Tilburg University, Tilburg, The Netherlands.
Anneloes van den BroekTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.
Arno van DamTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.
Ilja BongersTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.
Koen GrootensTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.
Laurian HafkemeijerGGz Delfland, Delft, The Netherlands.
Evelien BrouwersTilburg School of Social and Behavioral Sciences, Tilburg University, Tranzo, Tilburg, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFor mental healthcare professionals (MHPs) with mental health issues and illness (MHI), disclosure to a supervisor at work can be a dilemma: it may facilitate support but also involves risks of stigma and discrimination. This study examined barriers and facilitators, experiences, and needs regarding disclosure of MHI to supervisors among MHPs, and compared disclosers and non-disclosers.

methodsA cross-sectional online questionnaire was completed by 298 MHPs with MHI working in five Dutch community mental healthcare centers. Descriptive analyses summarized disclosure decisions, barriers and facilitators, experiences, and needs. Differences between disclosers and non-disclosers were examined using chi-square tests with Monte Carlo significance testing and one-way ANOVAs.

resultsTwo-thirds of participants disclosed their MHI to their supervisor. There were no differences in demographics, work position, or perceived experience (positive/negative) between disclosers and non-disclosers. Both disclosers and non-disclosers reported fears of stigmatization and discrimination, a preference for self-reliance, and difficulties discussing MHI. 70% of disclosers reported that they had no other choice but to disclose. Most disclosers also reported that their MHI affected occupational functioning, they needed workplace accommodations and that their supervisor took MHI seriously. The most frequently reported need for future disclosure was a supervisor with an understanding for MHI.

conclusionThe decision to (non-)disclose was strongly shaped by fears of stigma, discrimination, preferences for self-reliance, but also the perceived necessity to disclose. Supervisors play a key role in creating an environment where MHPs feel safe to disclose, which can contribute to MHPs' sustainable employability and well-being at work.

Indexed as

Disclosure dilemmaMental healthcare professionalsMental health disclosureStigmaSupervisor support

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.