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People With Dementia Disclosing Their Diagnosis to Social Networks: A Systematic Review and Meta-Synthesis

Kohl, Gianna; Molinari Ulate, Mauricio; Bhatt, Jem; Lynch, Jennifer; Scior, Katrina; Charlesworth, Georgina; (2025) People With Dementia Disclosing Their Diagnosis to Social Networks: A Systematic Review and Meta-Synthesis. The Gerontologist , 65 (3) , Article gnae186. 10.1093/geront/gnae186. Green open access

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Abstract

Background and Objectives: Given the stigma of dementia, individuals with the condition may be wary to disclose their diagnosis to other people, both in face-to-face and digital settings. While sharing one's dementia diagnosis with others is essential for accessing valuable support for social, cognitive, and physical well-being, this area of research has largely been neglected. In this meta-synthesis, we aimed to systematically review qualitative research on the factors associated with online and offline self-disclosure in people with dementia. Research Design and Methods: We conducted a systematic search in 6 electronic databases. Inclusion criteria comprised qualitative and mixed-methods studies describing experiences with self-disclosure in people with any type of dementia. Quality of the included studies was assessed using the Mixed Methods Appraisal Tool. The meta-synthesis was conducted in NVivo using a thematic synthesis approach. Results: 28 studies were included. 3 analytical themes were generated: "Concealment,""Stigma and fear,"and "Taking control,"the latter 2 with subthemes. Findings from this review were corroborated with people with dementia and family carers as part of Patient and Public Involvement meetings. Our findings reveal that while stigma plays a pivotal role, people with dementia can take control of the meaning of their diagnosis through self-disclosure. Discussion and Implications: Self-disclosure is complex and multifaceted. People with dementia, particularly those experiencing stigma, can benefit from post-diagnostic support that encompasses resources and interventions for self-disclosure. Further research is required to investigate people with dementia's disclosure decision-making process.

Type: Article
Title: People With Dementia Disclosing Their Diagnosis to Social Networks: A Systematic Review and Meta-Synthesis
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/geront/gnae186
Publisher version: https://doi.org/10.1093/geront/gnae186
Language: English
Additional information: © The Author(s) 2024. Published by Oxford University Press on behalf of the Gerontological Society of America. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
Keywords: Personal experiences, Qualitative methods, Self-disclosure, Stigma, Well-being
UCL classification: UCL
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
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10212841
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