Document Detail

Embarrassment when illness strikes a close relative: a World Mental Health Survey Consortium Multi-Site Study.
MedLine Citation:
PMID:  23298443     Owner:  NLM     Status:  Publisher    
BACKGROUND: In this global study we sought to estimate the degree to which a family member might feel embarrassed when a close relative is suffering from an alcohol, drug, or mental health condition (ADMC) versus a general medical condition (GMC). To date, most studies have considered embarrassment and stigma in society and internalized by the afflicted individual but have not assessed family embarrassment in a large-scale study. Method In 16 sites of the World Mental Health Surveys (WMHS), standardized assessments were completed including items on family embarrassment. Site matching was used to constrain local socially shared determinants of stigma-related feelings, enabling a conditional logistic regression model that estimates the embarrassment close relatives may hold in relation to family members affected by an ADMC, a GMC, or both conditions. RESULTS: There was a statistically robust association such that subgroups with an ADMC-affected relative were more likely to feel embarrassed compared to subgroups with a relative affected by a GMC (p < 0.001), even with covariate adjustments for age and sex. CONCLUSIONS: The pattern of evidence from this research is consistent with conceptual models for interventions that target individual- and family-level stigma-related feelings of embarrassment as possible obstacles to effective early intervention and treatment for an ADMC. Macro-level interventions are under way but micro-level interventions may also be required among family members, along with care for each person with an ADMC.
B K Ahmedani; S P Kubiak; R C Kessler; R de Graaf; J Alonso; R Bruffaerts; Z Zarkov; M C Viana; Y Q Huang; C Hu; J A Posada-Villa; J-P Lepine; M C Angermeyer; G de Girolamo; A N Karam; M E Medina-Mora; O Gureje; F Ferry; R Sagar; J C Anthony
Related Documents :
22995203 - User involvement in service delivery predicts outcomes of assistive technology use: a c...
24322373 - In retrospect--a reflection on a 50-year research journey.
16280343 - Do guidelines for severe mental illness promote physical health and well-being?
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-9
Journal Detail:
Title:  Psychological medicine     Volume:  -     ISSN:  1469-8978     ISO Abbreviation:  Psychol Med     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254142     Medline TA:  Psychol Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  1-12     Citation Subset:  -    
Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The Multilingual Naming Test in Alzheimer's Disease: Clues to the Origin of Naming Impairments.
Next Document:  Role of ultrasonography in diagnosing early rheumatoid arthritis and remission of rheumatoid arthrit...