Reliability and Validity of Scores on a Measure of Stigma of Loneliness

The purpose of this study was to validate the use and interpretation of scores derived from the Stigma of Loneliness Scale (SLS) with a sample of college students from a large, Midwestern university. A two-factor oblique solution with 10 items was selected through exploratory factor analysis and cross-validated through confirmatory factor analysis. Correlational evidence was demonstrated through positive correlations with loneliness and shame scores, and a negative correlation with social connectedness scores. Construct evidence was demonstrated through positive correlations with self-concealment and depression scores, and a negative association with distress disclosure scores. For incremental validity, items on the SLS accounted for additional variance in predicting contingent self-worth based on approval from others, shame, self-esteem, and social self-efficacy above and beyond scores on a measure of loneliness. The internal structure of the SLS was invariant across gender groups and across Time 1 and Time 2 assessments.

The contribution of self-disclosure to the prediction of mood symptoms in patients with multiple sclerosis

Background: Depression and anxiety are the most prevalent psychological symptoms in patients with multiple sclerosis (MS) and have a significant impact on quality of life (QOL) and disability progression in the patients. Therefore, it is very important to find ways to reduce the impact of these disorders on patients with MS. The data suggest that self-disclosure may be beneficial in improving symptoms of depression and anxiety in many chronic diseases. Due to the scarcity of related studies, this cross-sectional research aimed to evaluate the relations between self-disclosure, anxiety, and depression in patients with MS. Methods: 112 patients with MS from several referral outpatient MS clinics participated in the study. Data were extracted using socio-demographic questionnaire to determine clinical variables and patient characteristics, Distress Disclosure Index (DDI) to assess self-disclosure, Hospital Anxiety and Depression Scale (HADS) to evaluate mood states, and Kurtzke Expanded Disability Status Scale (EDSS) recorded by an experienced neurologist. Results: Multiple linear regression analysis with controlling disease variables demonstrated distress disclosure as an independent factor to predict anxiety and depression in the patients (P < 0.05). Results also presented a significant, positive relationship between hospitalization history and disability levels with anxiety and depression. These findings clearly state that these two variables can accurately predict a heightened state of anxiety and depression in patients with MS. Conclusion: This study provides empirical support for the positive role of disclosure in decreasing the negative emotions in MS. Further studies are needed to clarify the effects of disclosing MS in different cultural and situational contexts.

Distress disclosure and psychological Distress among men: the role of feeling understood and loneliness

We examined whether men’s distress disclosure would be indirectly associated with psychological distress through feeling understood by others and loneliness as serial or parallel mediators. We conducted path analyses (N = 1827 adult men; mean 37.53 years, SD = 14.14) to test the mediators while controlling for race/ethnicity. Post-hoc multi-group analysis was conducted to examine differences across White and Asian men. The serial mediation model fit the data better than the parallel mediation model. Controlling for race/ethnicity, a significant partial indirect association was found between greater distress disclosure and lower psychological distress through greater feelings of being understood and lower feelings of loneliness. Post-hoc multi-group analysis suggested that the hypothesized paths fit equivalently across White and Asian men, and the direct effect was not significant for Asian men. Our hypothesized serial model also fit the data significantly better than alternative models with distress and the mediators predicting disclosure. Distress disclosure may be a socially conducive strategy for men to feel understood and socially connected, a process that may be associated with lower psychological distress.

Mutual support between patients and family caregivers in palliative care: A systematic review and narrative synthesis

Background: Patients in palliative care are usually conceptualised as recipients of support from family caregivers. Family caregivers in palliative care are typically defined as providers of support to patients. Little is known about reciprocal dimensions of support provision between patients and family caregivers in palliative care. Aim: To identify processes of mutual support between patients and family caregivers in palliative care and factors that contribute to or obstruct mutual support between patients and family caregivers in palliative care. Design: Systematic review and narrative synthesis of original peer-reviewed research published between January 2000 and March 2020. Data sources: Medline, CINAHL, Embase, AMED, PsycINFO and PsycARTICLES. Results: After full-text screening, 10 studies were included. We identified that patients and family caregivers in palliative care can support one another by mutually acknowledging the challenges they face, by remaining positive for one another and by jointly adapting to their changing roles. However, patients and family caregivers may not routinely communicate their distress to each other or reciprocate in distress disclosure. A lack of mutual disclosure pertaining to distress can result in conflict between patients and family caregivers. Conclusions: Few studies have focused in whole or in part, on reciprocal dimensions of support provision between patients with advancing non-curable conditions, and their family caregivers in palliative care. Further research is required to identify key domains of mutual support between patients and family caregivers in palliative care.

Help-Seeking Attitudes and Distress Disclosure Among Syrian Refugees in Germany

Many refugees experience a wide range of mental health problems, but typically use mental health services less often than settled residents. Practical constraints like limited access to mental health care and language barriers largely account for this discrepancy. However, little is known about the psychological aspects explaining this difference in mental health service usage, like attitudes toward psychological help-seeking and the disclosure of distress. The present study compares German residents’ and Syrian refugees’ attitudes toward seeking professional psychological help ( N = 384). Refugees reported more depressive symptoms and functional impairment than residents. Crucially, refugees also held more negative attitudes toward professional psychological help-seeking than residents. These group differences in attitudes were to a large part mediated by distress disclosure. We conclude that it is important to achieve a thorough understanding of how to address help-seeking attitudes and to encourage distress disclosure to promote treatment of mental health issues among many refugees.

Disclosure to God as a Mediator Between Private Prayer and Psychological Well-Being in a Christian Sample

Although a number of studies have reported the psychological and physical benefits of prayer, only a few have examined the means by which prayer affects health. Winkeljohn Black et al. (J Relig Health 54(2):540–553, 2015. 10.1007/s10943-014-9840-4) found disclosure to God as a mediator in the relationship between prayer and mental health. In their study, the authors used Poloma and Pendleton’s (Rev Relig Res 31(1):46–53, 1989. https://doi.org/10.2307/3511023, ) model of prayer. This study examined whether disclosure to God as a mediator can be upheld with Laird et al.’s (Int J Psychol Relig 14(4):251–272, 2004) prayer model. The study included 285 Polish adults (50.2% of women), aged between 18 and 60 years. The Multidimensional Prayer Inventory, the Revised Distress Disclosure Index, and the Psychological Well-Being Scale were applied to the research. The results showed that the prayer of thanksgiving correlated positively and the prayer of supplication negatively with well-being. Two indirect effects were significant, indicating disclosure to God as a mediator of the confession—well-being link and the supplication—well-being link.