Perspectives of Japanese Mothers With Severe Mental Illness Regarding the Disclosure of Their Mental Health Status to Their Children

This study examined Japanese mothers with severe mental illness and their perspectives about disclosing their mental health status to their children. Seventy-four outpatients diagnosed with schizophrenia or mood disorders were recruited. We utilized a cross-sectional design and a self-report questionnaire. Approximately 72% of the participants disclosed their mental health status to their children. The reasons for disclosure and nondisclosure varied. Our findings indicate that although both the disclosing and nondisclosing groups held beliefs about disclosure, many mothers appeared to struggle with these issues. It is essential that clinicians are aware of this issue so they may appropriately help the mothers. (C) 2012 Elsevier Inc. All rights reserved.