Disease disclosure in adolescents and young adults with cystic fibrosis: Impact on psychosocial outcomes.

Background
This study aimed to quantify cystic fibrosis (CF) disclosure and examine associations between disclosure and psychosocial and health outcomes.
Methods
Participants completed measures assessing disease disclosure and psychosocial outcomes. Data from chart reviews and pharmacy records were obtained.
Results
Participants (N = 128; ages 16–63) were more likely to disclose to romantic partners (97%) and close friends (94%) than to casual friends (79%), bosses (71%), or co-workers (53%). Participants reported more comfort discussing CF with and doing treatments in front of romantic partners and close friends than other groups. Disclosure was associated with higher social support, social functioning, and medication adherence self-efficacy. Lower lung-function was associated with disclosure to bosses and co-workers.
Conclusions
Clinicians should consider discussing disclosure with patients, as limited disclosure may have a negative impact on psychosocial outcomes.