systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace系统综述的信念、行为和影响因素与信息披露相关的心理健康问题在工作场所.pdf

Brohan et al. BMC Psychiatry 2012, 12:11 /1471-244X/12/11 RESEARCH ARTICLE Open Access Systematic review of beliefs, behaviours and influencing factors associated with disclosure of a mental health problem in the workplace 1* 1 2 1 1 1 Elaine Brohan , Claire Henderson , Kay Wheat , Estelle Malcolm , Sarah Clement , Elizabeth A Barley , Mike Slade1† and Graham Thornicroft1† Abstract Background: Stigma and discrimination present an important barrier to finding and keeping work for individuals with a mental health problem. This paper reviews evidence on: 1) employment-related disclosure beliefs and behaviours of people with a mental health problem; 2) factors associated with the disclosure of a mental health problem in the employment setting; 3) whether employers are less likely to hire applicants who disclose a mental health problem; and 4) factors influencing employers’ hiring beliefs and behaviours towards job applicants with a mental health problem. Methods: A systematic review was conducted for the period 1990-2010, using eight bibliographic databases. Meta- ethnography was used to provide a thematic understanding of the disclosure beliefs and behaviours of individuals with mental health problem. Results: The searches yielded 8,971 items which was systematically reduced to 48 included studies. Sixteen qualitative, one mixed methods and seven quantitative studies were located containing evidence on the disclosure beliefs and behaviours of people with a mental health problem, and the factors associated with these beliefs and behaviours. In the meta-ethnography four super-ordinate themes were generated: 1) expectations and experiences of discrimination; 2) other reasons for non-disclosure; 3) reaso