Title: Embarrassment when illness strikes a close relative: a World Mental Health Survey Consortium Multi-Site Study
Authors: Ahmedani, B K ×
Kubiak, S P
Kessler, R C
de Graaf, R
Alonso, J
Bruffaerts, Ronny
Zarkov, Z
Viana, M C
Huang, Y Q
Hu, C
Posada-Villa, J A
Lepine, J-P
Angermeyer, M C
de Girolamo, G
Karam, A N
Medina-Mora, M E
Gureje, O
Ferry, F
Sagar, R
Anthony, J C #
Issue Date: Oct-2013
Publisher: Cambridge University Press
Series Title: Psychological medicine vol:43 issue:10 pages:2191-202
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.
ISSN: 0033-2917
Publication status: published
KU Leuven publication type: IT
Appears in Collections:Research Group Psychiatry
× corresponding author
# (joint) last author

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