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. 2022 Jun 19;31(6):1360–1372. doi: 10.1111/inm.13034

Table 2.

Antecedents and consequences of diagnostic overshadowing

Antecedents Consequences
Provider bias (Jones et al. 2008; Joy et al. 2016; Molloy et al. 2021a,b; Nash 2013; Shefer et al. 2014, 2015; Thornicroft et al. 2007) Worsening condition, decreased likelihood to seek treatment, death (Jones et al. 2008; Joy et al. 2016; Molloy et al. 2021a,b; Nash 2013; Shefer et al. 2014, 2015; Thornicroft et al. 2007)
Patient self‐doubt (Happell et al. 2016; Holm et al. 2014) Increased distress, worsening condition, decreased desire to seek treatment, death (Disability Rights Commission 2006; Giddings 2013; Happell et al. 2016; Ho et al. 2021; Holm et al. 2014; Thornicroft et al. 2007)
Labelling (Almeida et al. 2022; Clarke et al. 2007; Disability Rights Commission 2006; Happell et al. 2016; Joy et al. 2016) Worsening condition, increased pre‐judgement, death (Almeida et al. 2022; Disability Rights Commission 2006; Happell et al. 2016; Joy et al. 2016)