Planning a Stigmatized Nonvisible Illness Disclosure: Applying the Disclosure Decision-Making Model

J Psychol. 2016 Nov 16;150(8):1004-1025. doi: 10.1080/00223980.2016.1226742. Epub 2016 Sep 23.

Abstract

This study applied the disclosure decision-making model (DD-MM) to explore how individuals plan to disclose nonvisible illness (Study 1), compared to planning to disclose personal information (Study 2). Study 1 showed that perceived stigma from the illness negatively predicted disclosure efficacy; closeness predicted anticipated response (i.e., provision of support) although it did not influence disclosure efficacy; disclosure efficacy led to reduced planning, with planning leading to scheduling. Study 2 demonstrated that when information was considered to be intimate, it negatively influenced disclosure efficacy. Unlike the model with stigma (Study 1), closeness positively predicted both anticipated response and disclosure efficacy. The rest of the hypothesized relationships showed a similar pattern to Study 1: disclosure efficacy reduced planning, which then positively influenced scheduling. Implications of understanding stages of planning for stigmatized information are discussed.

Keywords: Efficacy; nonvisible illness; self-disclosure planning; stigma.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Attitude to Health*
  • Decision Making*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Self Disclosure*
  • Social Stigma*
  • Truth Disclosure*
  • Young Adult