Format

Send to:

Choose Destination
See comment in PubMed Commons below
Psychol Med. 2013 Oct;43(10):2191-202. doi: 10.1017/S003329171200298X. Epub 2013 Jan 9.

Embarrassment when illness strikes a close relative: a World Mental Health Survey Consortium Multi-Site Study.

Author information

  • 1Center for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI 48202, USA. bahmeda1@hfhs.org

Abstract

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.

PMID:
23298443
[PubMed - indexed for MEDLINE]
PMCID:
PMC4013530
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Icon for Cambridge University Press Icon for PubMed Central
    Loading ...
    Write to the Help Desk