Grice, TS; (2016) Factors Affecting Disclosure of Mental Health Problems. Doctoral thesis , UCL (University College London).

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Abstract

Introduction: People with mental health problems sometimes have the choice whether or not to disclose this to others. The decision to disclose or conceal is likely to have a number of consequences, both positive and negative, and is likely to depend on a variety of factors, which may differ between individuals. We aimed to review the literature relating to these factors. Method: A systematic review of three databases (PsycINFO, Scopus and Web of Science) was carried out to identify articles looking at factors affecting disclosure of a mental health problem outside the workplace, published between January 2005 and August 2015. Results: 19 articles, including qualitative and quantitative methodologies, were identified. Common factors affecting the decision to disclose or conceal included 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 sense of identity. Discussion: Limitations of the current literature, and implications for future research and policy are discussed.

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