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:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
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
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2013-01-09
Journal Detail:
Title:  Psychological medicine     Volume:  43     ISSN:  1469-8978     ISO Abbreviation:  Psychol Med     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-08-30     Completed Date:  2014-04-22     Revised Date:  2014-05-09    
Medline Journal Info:
Nlm Unique ID:  1254142     Medline TA:  Psychol Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  2191-202     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Africa
Aged
Aged, 80 and over
Americas
Asia
Europe
Family Relations*
Female
Health Status*
Health Surveys
Humans
Male
Mental Disorders / psychology
Mental Health / statistics & numerical data*
Middle Aged
New Zealand
Social Stigma*
World Health / statistics & numerical data*
Young Adult
Grant Support
ID/Acronym/Agency:
K05 DA015799/DA/NIDA NIH HHS; K05DA015799/DA/NIDA NIH HHS; R01 DA016558/DA/NIDA NIH HHS; R01-TW006481/TW/FIC NIH HHS; R01DA016558/DA/NIDA NIH HHS; R01MH059575/MH/NIMH NIH HHS; R01MH069864/MH/NIMH NIH HHS; R01MH070884/MH/NIMH NIH HHS; R01MH61905/MH/NIMH NIH HHS; R13MH066849/MH/NIMH NIH HHS; T32 DA021129/DA/NIDA NIH HHS; T32DA021129/DA/NIDA NIH HHS; U01MH60220/MH/NIMH NIH HHS

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


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