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

dc.creatorAhmedani, B.K.
dc.creatorKubiak, S.P.
dc.creatorKessler, R.C.
dc.creatorDe Graaf, R.
dc.creatorAlonso, J.
dc.creatorBruffaerts, R.
dc.creatorZarkov, Z.
dc.creatorViana, M.C.
dc.creatorHuang, Y.Q.
dc.creatorHu, C.
dc.creatorPosada-Villa, J.A.
dc.creatorLepine, J.P.
dc.creatorAngermeyer, M.C.
dc.creatorDe Girolamo, G.
dc.creatorKaram, A.N.
dc.creatorMedina-Mora, M.E.
dc.creatorGureje, O.
dc.creatorFerry, F.
dc.creatorSagar, R.
dc.creatorAnthony, J.C.
dc.date.accessioned2017-06-30T03:56:03Z
dc.date.available2017-06-30T03:56:03Z
dc.date.issued2013
dc.identifier2390es_ES
dc.identifier.issn0033-2917es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/7033
dc.language.isoenges_ES
dc.publisherCAMBRIDGE UNIV PRESS, 32 AVENUE OF THE AMERICAS, NEW YORK, NY 10013-2473 USAes_ES
dc.relation43 (10) 2191-2202 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subject.mesh14 European countrieses_ES
dc.subject.meshSelf-stigmaes_ES
dc.subject.meshPerceived discriminationes_ES
dc.subject.meshFamily intercentionses_ES
dc.subject.meshSocial stigmaes_ES
dc.subject.meshGamian-europees_ES
dc.subject.meshPeoplees_ES
dc.subject.meshDisorderses_ES
dc.subject.meshSchizophreniaes_ES
dc.subject.meshStigmatizationes_ES
dc.titleEmbarrassment when illness strikes a close relative: a World Mental Health Survey Consortium Multi-Site Studyes_ES
dc.typeArticlees_ES
dc.contributor.affiliationHenry Ford Hlth Syst, Ctr Hlth Policy & Hlth Serv Res, 1 Ford Pl,Suite 3A, Detroit, MI 48202 USA.es_ES
dc.contributor.emailbahmeda1@hfhs.orges_ES
dc.relation.jnabreviadoPsychol Medes_ES
dc.relation.journalPsychological medicinees_ES
dc.identifier.placeCambridgees_ES
dc.date.published2013es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México.es_ES
dc.identifier.eissn1469-8978es_ES
dc.identifier.doi10.1017/S003329171200298Xes_ES
dc.description.monthOctes_ES
dc.description.abstractotrodiomaBackground. 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.es_ES


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