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Disease information disclosure among patients with mental illness and their family members in China

OBJECTIVE: The disclosure of mental illness is a first and crucial step in alleviating stigma and promoting mental recovery. However, at present, there is a lack of research on this subject in the Chinese context. Therefore, we conducted this survey among patients with mental illness and their famil...

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Autores principales: Wang, Yi, An, Siyao, Yang, Xun, Zhang, Zhuoqiu, Li, Shuiying, Yao, Jing, Chen, Ying, Deng, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846142/
https://www.ncbi.nlm.nih.gov/pubmed/36683996
http://dx.doi.org/10.3389/fpsyt.2022.1036568
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author Wang, Yi
An, Siyao
Yang, Xun
Zhang, Zhuoqiu
Li, Shuiying
Yao, Jing
Chen, Ying
Deng, Hong
author_facet Wang, Yi
An, Siyao
Yang, Xun
Zhang, Zhuoqiu
Li, Shuiying
Yao, Jing
Chen, Ying
Deng, Hong
author_sort Wang, Yi
collection PubMed
description OBJECTIVE: The disclosure of mental illness is a first and crucial step in alleviating stigma and promoting mental recovery. However, at present, there is a lack of research on this subject in the Chinese context. Therefore, we conducted this survey among patients with mental illness and their family members and analyzed the influencing factors. METHODS: Questionnaires were distributed to qualified patients with mental illness and their family members, who were enrolled from the inpatient departments of two major mental health centers in China. Hierarchical linear regression analysis was used to evaluate the factors affecting the disclosure of disease information by patients with mental illness and their family members. RESULTS: A total of 153 patients and 159 family members were included. The percentages of patients and family members who intended to disclose disease information were 34.6 and 18.2%, respectively. Regarding the benefits of being out (BBO), marital status and the number of hospitalizations explained 13.1% of the variance, and stigma explained 4.3% of the variance. Regarding the reasons for staying in (RSI), marital status and family history of mental illness explained 14.4% of the variance, and stigma explained 14.8% of the variance. In the model predicting the influencing factors of family member disclosure, stigma was a predictor of both BBO and RSI, explaining 8.1 and 8.7% of the variance, respectively. CONCLUSION: Both patients and their families were more reluctant than willing to disclose. Marital status, number of hospitalizations and family history of mental illness were all influencing factors of patients’ intentions to disclose disease information. Stigma is closely related to disclosure intention and plays an important role in the disclosure intentions of patients and their families. This suggests that the disclosure of disease information is complex, and many factors need to be considered. Disclosure guidelines should be tailored to individuals.
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spelling pubmed-98461422023-01-19 Disease information disclosure among patients with mental illness and their family members in China Wang, Yi An, Siyao Yang, Xun Zhang, Zhuoqiu Li, Shuiying Yao, Jing Chen, Ying Deng, Hong Front Psychiatry Psychiatry OBJECTIVE: The disclosure of mental illness is a first and crucial step in alleviating stigma and promoting mental recovery. However, at present, there is a lack of research on this subject in the Chinese context. Therefore, we conducted this survey among patients with mental illness and their family members and analyzed the influencing factors. METHODS: Questionnaires were distributed to qualified patients with mental illness and their family members, who were enrolled from the inpatient departments of two major mental health centers in China. Hierarchical linear regression analysis was used to evaluate the factors affecting the disclosure of disease information by patients with mental illness and their family members. RESULTS: A total of 153 patients and 159 family members were included. The percentages of patients and family members who intended to disclose disease information were 34.6 and 18.2%, respectively. Regarding the benefits of being out (BBO), marital status and the number of hospitalizations explained 13.1% of the variance, and stigma explained 4.3% of the variance. Regarding the reasons for staying in (RSI), marital status and family history of mental illness explained 14.4% of the variance, and stigma explained 14.8% of the variance. In the model predicting the influencing factors of family member disclosure, stigma was a predictor of both BBO and RSI, explaining 8.1 and 8.7% of the variance, respectively. CONCLUSION: Both patients and their families were more reluctant than willing to disclose. Marital status, number of hospitalizations and family history of mental illness were all influencing factors of patients’ intentions to disclose disease information. Stigma is closely related to disclosure intention and plays an important role in the disclosure intentions of patients and their families. This suggests that the disclosure of disease information is complex, and many factors need to be considered. Disclosure guidelines should be tailored to individuals. Frontiers Media S.A. 2023-01-04 /pmc/articles/PMC9846142/ /pubmed/36683996 http://dx.doi.org/10.3389/fpsyt.2022.1036568 Text en Copyright © 2023 Wang, An, Yang, Zhang, Li, Yao, Chen and Deng. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Wang, Yi
An, Siyao
Yang, Xun
Zhang, Zhuoqiu
Li, Shuiying
Yao, Jing
Chen, Ying
Deng, Hong
Disease information disclosure among patients with mental illness and their family members in China
title Disease information disclosure among patients with mental illness and their family members in China
title_full Disease information disclosure among patients with mental illness and their family members in China
title_fullStr Disease information disclosure among patients with mental illness and their family members in China
title_full_unstemmed Disease information disclosure among patients with mental illness and their family members in China
title_short Disease information disclosure among patients with mental illness and their family members in China
title_sort disease information disclosure among patients with mental illness and their family members in china
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9846142/
https://www.ncbi.nlm.nih.gov/pubmed/36683996
http://dx.doi.org/10.3389/fpsyt.2022.1036568
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