Stigma and disclosing one's mental illness to family and friends.
OBJECTIVE
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.
Department of Psychiatry II, University of Ulm, Parkstrasse 11, 89073, Ulm, Germany, nicolas.ruesch@uni-ulm.de.
Nicolas
N
Rüsch
Elaine
E
Brohan
Jheanell
J
Gabbidon
Graham
G
Thornicroft
Sarah
S
Clement
D000328:Adult; D059031:Anticipation, Psychological; D030881:Disclosure; D005190:Family / Q000523:psychology*; D005260:Female; D033062:Friends / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology*; D008603:Mental Health; D008875:Middle Aged; D057545:Social Stigma; D013315:Stress, Psychological