YOUNG ADULTS’ MENTAL HEALTH DISCLOSURES: IMPACT ON META-PERCEPTIONS, FAMILY RELATIONSHIPS, AND COPING

Abstract

There is limited research about young adults' mental health disclosures to a close family member and the impact on relationship dynamics, which may affect the ability to cope with the disorder. The aim of this mixed-methods study was to examine the relationships between the family member’s reaction and treatment toward the disclosing individual and changes in the individual’s meta-perception toward their family member, relationship strength, and coping. An anonymous, online survey was distributed via University of Arizona course and program listservs, social media, and flyers. Participants (N=104), ages 18-35, who have disclosed their mental health problem to a close family member were asked about their satisfaction with their relative’s reaction and treatment toward them, changes in their meta-perception, relationship strength, symptoms, and coping. Results from a multiple regression analysis found treatment satisfaction as a statistically significant predictor for changes in meta-perception and relationship strength. Treatment and reaction satisfaction are marginally significant predictors for the ability to cope. Reaction satisfaction and meta-perception significantly predict the severity of symptoms, and relationship strength is a significant predictor for coping. Mostly positive reactions, treatments, meta-perceptions, and strengthened relationships were reported in the open-ended responses, which aligns with quantitative results. This study emphasizes the need for family members to be conscious of how their actions can directly and indirectly influence the disclosing individual’s ability to cope with their mental disorder. Disclosure conversations should provide validation and inquire about ways to support the disclosing individual.