ABSTRACT

This study modeled associations between depressive symptoms, information and relationship assessments, and efficacy as predictors of topic avoidance about mental health. We proposed a model, drawing on previous research and the disclosure decision-making model (DD-MM). A sample of 304 individuals with a self-reported mental illness completed an online survey about their diagnosis and their intentions to share information about their mental health. Results of a structural equation model found: (a) depressive symptoms were positively associated with stigma and anticipated outcome, (b) anticipated response was negatively associated with disclosure efficacy, (c) disclosure efficacy was negatively associated with topic avoidance, and (d) stigma was positively associated with topic avoidance about mental health. Theoretical and practical implications are discussed.

摘要

本研究模拟了抑郁症状、信息和关系评估之间的关联，以及作为心理健康话题回避预测因子的功效。我们提出了一个模型，借鉴了以前的研究和披露决策模型 (DD-MM)。以 304 名自我报告患有精神疾病的人为样本，完成了一项关于他们的诊断以及他们分享心理健康信息的意图的在线调查。结构方程模型的结果发现：(a) 抑郁症状与耻辱感和预期结果呈正相关，(b) 预期反应与披露效能呈负相关，(c) 披露效能与话题回避呈负相关，以及 (d)耻辱感与回避有关心理健康的话题呈正相关。