4.4 Article

The centrality of disclosure decisions to the illness experience for youth with chronic conditions: A qualitative study

Journal

JOURNAL OF HEALTH PSYCHOLOGY
Volume 27, Issue 3, Pages 521-533

Publisher

SAGE PUBLICATIONS LTD
DOI: 10.1177/1359105320962242

Keywords

Canada; chronic illness; disclosure; grounded theory; non-categorical approach; youth

Funding

  1. Canadian Institutes of Health Research [CIHR MOP - 89895]
  2. Tier 1 Canadian Research Chair (CRC) in Child and Family Engagement in Health Research and Healthcare, Canadian Institutes of Health Research [950-231845]

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This study explored disclosure experiences for youth living with chronic illness using a non-categorical approach, identifying three main themes related to youth's perspectives on disclosing chronic illness. The findings emphasize the importance of considering others' reactions to disclosure and the need for more attention to decisions related to disclosing illness in research and clinical care for youth with chronic conditions.
The aim of this paper is to illuminate findings of disclosure experiences for youth living with chronic illness using a non-categorical approach. The findings were derived from a larger qualitative study framed by social constructivist grounded theory that sought to understand youth's involvement in healthcare decision-making in the context of chronic illness. Fifty-four youth participated in the study, ranging from 9 to 24 years. Three main themes representing the youth's perspectives and experiences of disclosing chronic illness were identified: (1) disclosure is central to the illness experience; (2) spectrum of disclosure; and (3) navigating others' reactions to disclosure. The findings reinforce that more emphasis on decisions related to disclosing illness in research and clinical care for youth with chronic conditions is warranted.

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