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Factors Associated With Mental Health Disclosure Outside of the Workplace: A Systematic Literature Review

Grice, T; Alcock, K; Scior, K; (2018) Factors Associated With Mental Health Disclosure Outside of the Workplace: A Systematic Literature Review. Stigma and Health , 3 (2) pp. 116-130. 10.1037/sah0000079. Green open access

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Abstract

People with mental health problems sometimes have the choice of whether or not to disclose this information to others. The decision to disclose or conceal is likely to depend on various factors. In this systematic review, we examined the findings of studies looking at factors affecting adults’ decisions to disclose or conceal a mental health problem outside of the workplace. Key databases (PsycINFO, Scopus, and Web of Science) revealed 19 relevant articles published between January 2005 and August 2015. Common factors affecting disclosure or concealment included anticipated stigma, characteristics of the target, relationship with the target, mental health of the discloser, rules and beliefs about mental health problems, and fears about control and identity. Demographic factors were not strongly associated with disclosure decisions. We also found that measures used to understand mental health disclosure may fail to capture the complexity of the process. Implications for future research and policy are discussed, including the need for palpable public support for people with mental health problems, the need for health care professionals to establish better relationships with service users, and the value of respecting nondisclosure.

Type: Article
Title: Factors Associated With Mental Health Disclosure Outside of the Workplace: A Systematic Literature Review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1037/sah0000079
Publisher version: http://doi.org/10.1037/sah0000079
Language: English
Additional information: © 2017 APA, all rights reserved. This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10045045
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