Disclosure Experiences Research Articles

Gender Nonconformity, Minority Stress, and Psychological Distress Among Sexual Minority Adolescents.

Purpose: Sexual minority adolescents (SMAs) have disproportionate experiences of mental health symptoms during adolescence, and minority stress contributes to mental health inequities among SMAs. Gender nonconformity (GNC) could place SMAs at higher risk for minority stress and subsequent mental health symptoms. The current study was designed to examine associations between GNC, minority stress, and psychological distress among SMAs. Method: SMAs ages 12-17 years (n = 455; mean age = 15.52 years) in the United States completed a cross-sectional online survey from February to July 2022, including measures of GNC, peer victimization, family rejection, negative expectations, negative disclosure experiences, internalized homonegativity, and psychological distress. We conducted path analysis to examine associations between GNC, minority stressors, and psychological distress, including indirect effects of GNC on psychological distress via minority stress. Results: In multivariable path analysis adjusted for demographic characteristics, GNC was associated with higher levels of peer victimization and negative expectations and lower internalized homonegativity among SMAs. Higher levels of peer victimization and negative expectations were associated with higher psychological distress. GNC was indirectly related to higher levels of psychological distress via higher peer victimization. Conclusions: The current study is the first to document associations between GNC and multiple minority stress experiences among SMAs, and GNC was indirectly related to psychological distress among SMAs via peer victimization. Although all SMAs would benefit from interventions designed to reduce peer victimization and increase their capacity to cope with minority stress, such interventions may be particularly beneficial for SMAs who are gender nonconforming.

Predictors of Trauma-Related Self-Blame in Male Survivors of Sexual Violence

ABSTRACT Survivors of adult sexual assault and child sexual abuse – together encompassing sexual violence (SV) – experience a number of adverse consequences. High rates of self-blame can lead to increased symptomatology and treatment resistance. There has been a paucity of studies of men who have experienced SV, particularly about self-blame. For this study, 179 cisgender male survivors of SV completed an online survey to explore the relationships among 10 variables, including trauma-related self-blame, rape myth acceptance, tonic immobility, disclosure experiences, sexual arousal, and substance use. Multiple regression analyses and t-tests were used to test the study hypotheses. Results indicate that 93% of the sample reported some level of self-blame. However, only rape myth acceptance was strongly associated with self-blame. Additionally, participants who used substances within 12 hours prior to their SV had higher rates of self-blame, as did participants who had not previously disclosed their abuse. Exploratory analyses also found a significant difference in self-blame between those who experienced SV in childhood and adulthood versus those who only experienced SV in either childhood or adulthood. The findings of this research highlight the high rates of self-blame and how imperative it is to provide psychoeducation about the variables discussed in this study and to normalize these experiences, especially for less well-known phenomena such as physiological sexual arousal and TI.

Disclosure of medical errors to patients by medical professionals: a protocol for a qualitative systematic review

IntroductionAlthough the disclosure of medical errors is an integral component of medical ethics, it remains inconsistent in practice worldwide. Despite various explanations of why healthcare professionals reveal their mistakes to...

Experiences of Online Disclosure of Depression among University Students

Experiences of Online Disclosure of Depression among University Students

Crowdsourced Feedback to Improve Resident Physician Error Disclosure Skills

Residents must prepare for effective communication with patients after medical errors. The video-based communication assessment (VCA) is software that plays video of a patient scenario, asks the physician to record what they would say, engages crowdsourced laypeople to rate audio recordings of physician responses, and presents feedback to physicians. To evaluate the effectiveness of VCA feedback in resident error disclosure skill training. This single-blinded, randomized clinical trial was conducted from July 2022 to May 2023 at 7 US internal medicine and family medicine residencies (10 total sites). Participants were second-year residents attending required teaching conferences. Data analysis was performed from July to December 2023. Residents completed 2 VCA cases at time 1 and were randomized to the intervention, an individual feedback report provided in the VCA application after 2 weeks, or to control, in which feedback was not provided until after time 2. Residents completed 2 additional VCA cases after 4 weeks (time 2). Panels of crowdsourced laypeople rated recordings of residents disclosing simulated medical errors to create scores on a 5-point scale. Reports included learning points derived from layperson comments. Mean time 2 ratings were compared to test the hypothesis that residents who had access to feedback on their time 1 performance would score higher at time 2 than those without feedback access. Residents were surveyed about demographic characteristics, disclosure experience, and feedback use. The intervention's effect was examined using analysis of covariance. A total of 146 residents (87 [60.0%] aged 25-29 years; 60 female [41.0%]) completed the time 1 VCA, and 103 (70.5%) completed the time 2 VCA (53 randomized to intervention and 50 randomized to control); of those, 28 (54.9%) reported reviewing their feedback. Analysis of covariance found a significant main effect of feedback between intervention and control groups at time 2 (mean [SD] score, 3.26 [0.45] vs 3.14 [0.39]; difference, 0.12; 95% CI, 0.08-0.48; P = .01). In post hoc comparisons restricted to residents without prior disclosure experience, intervention residents scored higher than those in the control group at time 2 (mean [SD] score, 3.33 [0.43] vs 3.09 [0.44]; difference, 0.24; 95% CI, 0.01-0.48; P = .007). Worse performance at time 1 was associated with increased likelihood of dropping out before time 2 (odds ratio, 2.89; 95% CI, 1.06-7.84; P = .04). In this randomized clinical trial, self-directed review of crowdsourced feedback was associated with higher ratings of internal medicine and family medicine residents' error disclosure skill, particularly for those without real-life error disclosure experience, suggesting that such feedback may be an effective way for residency programs to address their requirement to prepare trainees for communicating with patients after medical harm. ClinicalTrials.gov Identifier: NCT06234085.

A Realist Evaluation of a "Whole Health" Response to Domestic Violence and Abuse in the UK.

Health Pathfinder is a multilevel system change intervention initiated to transform the health response to domestic violence and abuse in eight sites in England. The current study drew upon interviews with health professionals (n = 27) and victim-survivors (n = 20) to provide a realist account of how this intervention achieved its goals. Findings show that five change mechanisms explain why Health Pathfinder was effective as an ecological intervention: awareness, expertise, relationships, empowerment, and evidence. Positive progress in respect of each mechanism had meaningful impacts on victim-survivor experiences of enquiry, disclosure, and uptake of services and had the potential to meaningfully impact health inequities.

The co-evolution of sustainable finance stakeholders under the EU taxonomy for sustainable activities: an exploratory study of Irish disclosure experiences

Purpose In pursuit of objectives, under the European Green Deal, to channel capital flows to sustainable activities, the EU Taxonomy offers clarity, labelling real economic activities as “sustainable”, based on technical screening criteria. This study of disclosure experiences aims to explore the role of co-evolutionary relationships in the Taxonomy’s effectiveness. Design/methodology/approach Co-evolution theory implies a dynamic interplay among sustainable finance stakeholders (SFSs), through adjustment to, impact on and operationalisation of the Taxonomy. Corporate disclosure experiences, including those of financial institutions and related SFS experiences, may reveal co-evolutionary processes. With significant Undertakings for Collective Investment in Transferable Securities (UCITS) and Alternative Investment Funds (AIFs), Irish SFSs provide contextual insight. Semi-structured interviews with a purposive sample of Irish SFSs capture inaugural corporate Taxonomy disclosure experiences. Findings A thematic analysis reveals six co-evolutionary processes that facilitate Taxonomy implementation in pursuit of policy objectives: [1] cross-functional reporting; [2] iterative pre-empting and addressing compliance issues; [3] regulation as a catalyst for co-evolution; [4] advanced capacity building; [5] stakeholder adaptation and [6] graduated use of ESG data. Implications for sustainability policy development and management are significant. Practical implications Whilst limited to just one EU jurisdiction, given limited prior empirical evidence for sustainable finance regulations from co-evolutionary perspectives, this study highlights a catalytic, yet precautionary role for co-evolution in their transformation effectiveness. As such, they must take account of their potential to stimulate co-evolution and to nurture it in pursuit of their policy objectives. Social implications The findings of this study add to a small, but growing body of academic literature on the Taxonomy Regulation, which suggests that a co-evolutionary lens is important for gaining a comprehensive understanding of its early-stage dynamics. From an implementation perspective, the qualitative data reveals actionable implications for regulators and policymakers, such as building capacity, better anticipation of outcomes and investment in data infrastructure. Originality/value Unlike existing analyses of disclosures, this study offers a co-evolutionary lens on Taxonomy contributions to sustainable development through qualitative accounts.

Identifying as lesbian, gay, and bisexual at work: atemporal associations between sexual identity disclosure and work team experiences

PurposeAlthough sexual identity disclosure in the workplace can be related to heightened adversity for lesbian, gay or bisexual (LGB) employees, disclosure can also serve as an avenue for LGB employees to attain additional resources. Much of the work done in today’s organizations is done in team-based structures, making it likely that LGB individuals disclose to members of their work teams. However, very limited prior research has examined the associations of sexual identity disclosure within work team experiences. This paper aims to take a first step in addressing this gap in research on the experiences of LGB employees in the workplace.Design/methodology/approachThis study takes a first step toward addressing this gap by examining the associations between LGB identity disclosure and critical team-specific attitudes and behaviors (i.e., trust in team, commitment to team, conflict with team, withdrawal from team) and the atemporal indirect role of perceived LGB identity support from the team through a cross-sectional survey of 159 employees.FindingsResults demonstrated that perceptions of a supportive LGB team climate atemporally mediated the association between disclosure and relevant workplace variables. Specifically, disclosure of sexual identity to one’s work team is directly and indirectly, through perceived identity support, positively associated with trust and commitment toward the team. Furthermore, disclosure was indirectly, through perceived identity support, negatively associated with conflict and withdrawal from the team. Theoretical and practical implications of these findings are discussed.Originality/valueThe results of this study highlight the importance of perceived identity support when individuals disclosure their sexual orientation in a team context.

Exploring the experiences of school-going children with HIV in Eswatini: A qualitative inquiry.

Infection by human immunodeficiency virus (HIV) is a major disease in children, affecting an estimated 1.8 million children and adolescents worldwide. Eswatini has the highest prevalence of HIV in the world. Only 76% of children in Eswatini are on anti-retroviral treatment. This study aimed to gain an in-depth understanding of the lived experience of school-going children with HIV in Eswatini. Being aware of these children's experiences can assist schools in supporting them. The study was conducted in four primary health care facilities in Eswatini. Employing a qualitative, exploratory, descriptive research design, 12 school-going children with HIV were interviewed through semi-structured face-to-face interviews. The data were coded, categorised and clustered into themes and sub-themes using Georgi's data analysis. Ethical considerations and measures to ensure trustworthiness were adhered to throughout the study. The findings revealed three themes: Experiences after HIV disclosure, experience of disclosure and discrimination, and experience of desire to fulfil educational needs. Six sub-themes were identified: A feeling of sadness and worry relating to knowledge of HIV diagnosis, a desire to disclose their status to their teachers but not to their peers, a need for protection against discrimination, a desire to learn, illness affecting their learning and expectation for teachers to be supportive in their educational needs.Conclusion and contribution:The findings of the study guided recommendations that may assist, the Eswatini Ministry of Health, schools, parents and caregivers, and siblings to support school-going children with HIV.

Disclosure Experiences of College Students With Chronic Medical Conditions

Emerging adults with chronic medical conditions must navigate repeated decisions about disclosure as they begin to manage their condition more independently. In this mixed-methods study, college students with chronic medical conditions ( N = 25) provided a narrative of a disclosure decision-making experience and completed measures of life satisfaction, subjective well-being, and illness acceptance. Qualitative analysis investigated contexts for disclosure decisions and overall attitudes toward disclosure expressed. Decisions regarding disclosure occurred with university personnel, friends and peers, and at work. Three disclosure attitudes were identified: proactive, open, and reactive. Exploratory quantitative analysis revealed that college students with reactive attitudes toward disclosure reported lower life satisfaction, well-being, and illness acceptance than peers with open or proactive attitudes. Results demonstrate the unique contexts of disclosure faced by emerging adults with chronic conditions and suggest distinct approaches to disclosure are associated with well-being in different ways. Implications for research and practice are discussed.

Materiality analysis in sustainability reporting: Insights from large Spanish companies

AbstractDespite the significance of materiality, its implementation has been perceived as ambiguous, opaque, and heterogeneous. This study focuses on analyzing materiality reporting among companies that utilize GRI and are listed on the Spanish stock exchange between 2018 and 2021. First, it examines the disclosure of materiality analysis by introducing a materiality disclosure assessment index (MDA) and exploring its determinants. Additionally, it investigates the alignment of material topics with GRI Topic Standards, analyzing the cross‐cutting nature of material topics. Our results indicate that MDA reached slightly over half of its maximum value. We found evidence that MDA is positively associated with membership in the IBEX 35, as well as with five out of the seven industries comprising the stock index. Furthermore, the years of disclosure experience in two industries significantly influenced MDA. Companies considered 20% of material topics as cross‐cutting, while another 20% had no direct correspondence with GRI standards. This study builds upon previous empirical findings on GRI materiality disclosure and provides valuable insights for research, practice, and standard setting.

Do institutional environment and corporate governance structures determine Islamic Banks’ sustainability performance? Evidence across key jurisdictions in Islamic finance industry

This study examines the impact of the institutional environment and corporate governance structures on Islamic banks' sustainability performance (SP). It applies a two-step System Generalized Method of Moments (GMM) estimator to analyze data gathered on a panel of 32 Islamic banks drawn from nine key Islamic finance jurisdictions from 2016 to 2021. To consistently code and quantify the Islamic banks' SP, we use the Specific Standard Disclosures for the Financial Services Sector introduced by the GRI as a framework of reference. Then, we employ the weighted content analysis method on the sustainability and annual reports of the subjected sample. Our findings indicate that the institutional factors specifically, regulatory guidelines (regulatory isomorphism) and the adherence of Islamic banks to the sustainable finance networks' specifications (normative isomorphism) are not currently determinants of their SP. Contrarily, we observe that the establishment of a sustainability committee and a better experience of sustainability disclosure improve Islamic banks' SP. In contrast to agency theory, board activity is identified to have a significantly negative relationship with SP. An important policy implication of our results is that policymakers should closely monitor Islamic banks' regulatory dependency and enhance their SF ecosystem to positively influence their SP. Finally, future research may leverage on more conducive regulatory frameworks to sustainability transition in these key jurisdictions, more effective normative structures, further disclosure of sustainability committee characteristics, the development of appropriate measures of Islamic banks' digitalization levels, and the availability of more material sustainability data to provide further insights and better understand the determinants of Islamic banks’ SP.

La révélation d’un inceste entre frère et sœur dans le cadre d’une prise en charge pédopsychiatrique : étude qualitative auprès d’adolescentes et leurs parents

ObjectiveIncest among siblings is a topic that is not often discussed despite its frequency. The objective of this study is to explore the subjective experience of the disclosure of brother/sister incest by the adolescent victim and their parents in the context of child psychiatric care. MethodThis is a qualitative study based on semi-structured interviews with three adolescent victims who were under child psychiatric care and who had revealed the brother/sister incest to their caregivers for the first time, as well as with two mothers of adolescent victims. The analysis of the data was conducted using the interpretative phenomenological analysis method. ResultsThe results include eleven themes grouped into three meta-themes: (1) pre-disclosure: a state of unease that leads to the initiation of care; (2) the experience of disclosure to a health professional; (3) post-disclosure and its consequences. The different themes highlight the specificities of the experience of the disclosure of incest during the teenage years and the consequences for the parent–child relationship and also for the victim's relationship to the family depending on the adolescent's perspective, parental support, and the medical and legal support. ConclusionThe vulnerability of the adolescent population in a context of disclosure of intrafamilial sexual abuse between brothers and sisters makes it essential that we conceive of care in a specific way and take into account family and transcultural approaches. This study allows us to identify research perspectives in the field of child psychiatry as well as to formulate concrete clinical proposals, in particular a multidisciplinary support protocol on three different levels: individual, parental and familial.

Exploring healthcare workers’ experience and barriers in disclosing patient safety-related incidents: A qualitative study in Indonesian hospitals

ABSTRACT Background Open disclosure of patient safety incidents is a strategy to enhance patient safety by preventing future occurrences. This study aimed to identify factors that facilitate or hinder the implementation of open disclosure in Indonesian hospitals. Methods Using a qualitative descriptive research method, 12 healthcare professionals with at least one year of experience and prior incident disclosure experience participated in online interviews. Thematic analysis revealed that open disclosure practices are uncommon in Indonesian hospitals. Results The findings suggest that open disclosure practices are not common practice in Indonesian hospitals. Key issues include unclear responsibility for disclosure, determining which incidents should be disclosed, understanding patient and family responses, implementing follow-up procedures and addressing barriers such as cultural factors, fear of disclosure, lack of protection and insufficient awareness and training among healthcare professionals. Conclusion Promoting open disclosure can improve patient-provider relationships and patient safety. Therefore, healthcare organizations, policymakers and educational institutions should collaborate to foster open disclosure, safeguard patients and educate healthcare professionals, leading to a more secure, transparent and patient-centric healthcare system.

The influence of managerial ability on corporate financialization

This study investigates the influence of managerial ability on corporate financialization level. We find that stronger managerial ability leads to more financial asset holdings owing to fewer financing constraints realized through highly capable managers' higher revenue-generating capacity and lower risks in financial asset investments resulting from their higher ability to recognize quality financial products. We further explore the influence of managerial ability on corporate financialization level in the presence of high-quality information disclosure, managers' financial institution work experience, high economic policy uncertainty, and employee stock ownership. We find that high-quality information disclosure and managers' financial institution work experience strengthen the positive correlation between corporate financialization level and managerial ability. However, high economic policy uncertainty and employee stock ownership weaken the positive correlation between corporate financialization level and managerial ability. Our findings suggest that managers who are more capable of generating revenue during operating activities tend to hold more financial assets, whereas adding constraints to corporate financing activities may hinder managers’ ability to address financial asset investment risks, thus reducing corporate financialization level.

‘Then I Met This Lovely Police Woman’ Young People's Experiences of Engagement with the Criminal Justice System

AbstractYoung people's voices detailing how they experienced engagement with the criminal justice system following child sexual abuse, what was helpful or unhelpful and how services can be improved to minimise secondary victimisation and maximise the potential for healing are largely absent from the research literature. This paper draws on semi‐structured interviews with a culturally diverse sample (n = 47) of young people aged 14 to 25 across Ireland and Canada about their experiences of disclosure and engagement with systems. Data were collected pertaining to experiences engaging with law enforcement personnel using thematic analysis with a trauma‐informed lens. The research identified three key themes: the importance of feeling safe through kindness, transparency and being believed; the importance of having a say; and the importance of timely court processes. The study builds on the small body of qualitative research illustrating young people's lived experiences of engaging with the criminal justice system and provides empirical support for promoting a trauma‐informed approach in how police engage with young people. Guidance is offered for police professionals on how to engage with adolescents following sexual abuse.

A Preliminary Study on Disclosure Experience of Taiwanese Asexual

<p>本研究旨在探究臺灣無性戀現身經驗，邀請6位無性戀者進行訪談，不聚焦單一現身對象，以開放地態度蒐集與探究資料，以「敘事研究取向」視框進行資料分析，試圖理解無性戀之現身經驗為何？研究結果有三：（一）無性戀能見度低影響現身經驗，包含需要解釋「什麼是無性戀」、現身是多次反覆全面性的行動、難以被理解；（二）臺灣同性婚姻對於無性戀現身經驗獨具意義，包含評估欲現身對象的酷兒知能與開放度、實踐社會正義、大幅降低被病理化的思維；（三）向伴侶現身尤為挑戰，包含避免錯誤期待、考量現身風險。最後，依據研究結果與文獻對話給予未來研究與實務建議，包含（一）研究建議：聚焦於無性戀像伴侶現身議題；（二）實務建議：在教育或教學現場，提供教師與學生「無性戀」概念，以提升無性戀的能見度；在諮商實務的現場，實務工作者要積極反思自身的「性價值觀」，以及擴展「性相關議題」之視框，除了增加對各個性傾向關注度之外，必須胸懷性少數的多樣性，避免先入為主的刻板印象，才不致在助人工作的成效上陷入盲點與困境，對性少數與臺灣整體社會有所貢獻。</p> <p> </p><p>The purpose of this study is to explore the disclosure experience of Taiwan asexual by interviewing six Taiwanese asexual individuals. Using a narrative research approach, we analyzed the data through the "category-content" method. There are three parts in the results. Firstly, considerations to disclosure their asexuality is influenced by the people they are interacting with. For instance, disclosure to their family is based on the quality of daily relationships, how accepting and open-minded to queer knowledge they are; disclosure to friends and communities is part of the process of identity recognition, increasing common sense of queer individuals, practicing social justice, and challenging old frameworks; disclosure to partners put them into the risks of not being understood and forming false expectations. Secondly, disclosure strategies include starting the discussion with the concept they already known, sharing views and feelings in daily life, and avoiding being put themselves into a difficult situation where everyone knows nothing about asexuality; Thirdly, the challenges include being misunderstood, easy to be pathological, further exploration of related knowledge, and closer to ideal relationships. The most challenging thing to asexual people is disclosure to their partner. Asexual people consider whether the disclosure is good for relationship or not, and the purpose of disclosure is hoping their partner hold no incorrect expectations.</p> <p>This study discusses as follows. (1) the low visibility of asexuality affects the experience of disclosure, and it is a repeated and comprehensive action. To a certain extent, "asexuality comes out" equals "needs to explain what asexuality is". Some Asexual individuals choose not to come out temporarily because of "to avoid trouble". This is not "in the closet" or "go invisible", but a purely interpersonal consideration. (2) Disclosure is related to the contemporary script and telling to their partners is particularly challenging. Asexual men influenced by "masculinity" and asexual women feeling challenged to appear as contemporary women are all making attempt to break away from the traditional sexual scripts (3) Taiwan same-sex marriage plays an unique and meaningful role for asexuality and this facilitates consideration of disclosure and practices social justice. In terms of strategies of disclosure, discussing "same-sex marriage" as a starting point as nowadays people have had a more friendly attitude towards same-sex marriage. In the end of the study, some suggestions are made based on the results and discussions.</p> <p> </p>

Is the Invisibility of Dementia a Super-Power or a Curse? A Reflection on the SUNshiners' Questionnaire into the Public Understanding of Dementia as an Invisible Disability: A User-Led Research Project.

The SUNshiners group includes people in the early stages of dementia with an interest in dementia activism and research. The group found that despite the growing awareness of invisible disabilities, there is very limited research into the pros and cons of the invisibility of dementia. Our paper explores the SUNshiners research which stemmed from varied individual experiences of disclosing diagnoses. The group designed and developed a short survey to explore what the public knew about dementia and what they thought about the invisibility of dementia. A mixture of open- and closed-ended questions were used to gain meaningful data. A total of 347 people completed the survey (315 online and 32 paper-based), which was then co-analysed. The findings suggest that the majority of the public felt that the invisibility of dementia was negative; that knowing someone had dementia when first meeting them would be beneficial; that people living with dementia should maintain the right to vote; and that people living with dementia do not automatically require a consistent, regular carer. Common themes from the open-ended answers included capacity, severity of dementia, and access to support. The findings support the disclosure of dementia diagnosis; however, more action is needed to tackle stigmatised views, particularly as the SUNshiners felt that people do not have enough dementia education to support a positive disclosure experience. They shared their experiences of the group and the project's benefits, but also the losses they have faced. Our paper aims to be as accessible as possible.

Disclosure Decisions and Help-Seeking Experiences Amongst Victim-Survivors of Non-Consensual Intimate Image Distribution

ABSTRACT The non-consensual dissemination of intimate images (NCII) is a form of technology-facilitated, image-based sexual abuse. Despite causing significant harm, research indicates a reluctance to seek support. Thus, this study aimed to develop practitioner recommendations for improving support accessibility by exploring NCII victim-survivors’ disclosure decisions and experiences of accessing support. Thematic Analysis of 31 UK adult victim-survivor interviews revealed informal support was favored, although some did not disclose to anyone. Disclosure responses ranged from supportive to judgmental. Barriers to help-seeking included stigma and perceiving formal support services as inaccessible. Recommendations for improving formal support accessibility such as service visibility, education and inclusive practices are discussed.

Disclosing non-visible disabilities in educational workplaces: a scoping review.

a sizable proportion of the working population has a disability that is not visible. Many choose not to disclose this at work, particularly in educational workplaces where disability is underrepresented. A better understanding of the barriers and facilitators to disclosure is needed. this scoping review is based on studies published in scientific journals. the reasons underpinning disclosure are complex and emotive-in-nature. Both individual and socio-environmental factors influence this decision and process. Stigma and perceived discrimination are key barriers to disclosure and, conversely, personal agency a key enabler. there is a growing trend of non-visible disabilities within the workplace, largely because of the increasing prevalence of mental ill health. Understanding the barriers and facilitators to disability disclosure is key to the provision of appropriate workplace support. our review shows that both individual and socio-environmental factors influence choice and experience of disclosure of non-visible disabilities in educational workplaces. Ongoing stigma and ableism in the workplace, in particular, strongly influence disabled employees' decision to disclose (or not), to whom, how and when. developing workplace interventions that can support employees with non-visible disabilities and key stakeholders during and beyond reasonable adjustments is imperative.