Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.
Living with a concealable stigmatized identity: the impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health.
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DOI：
10.1037/a0015815
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发表时间：
2009-10
影响因子：
7.6
通讯作者：
Chaudoir SR
中科院分区：
文献类型：
--
作者：
Quinn DM;Chaudoir SR
目前的研究提供了一个框架，了解如何隐藏污名化的身份影响人们的心理福祉和健康。作者假设，增加预期的耻辱，更大的中心地位的污名化的身份，自我，身份的显着性增加，并拥有一个更强烈的文化贬值的耻辱，所有预测加剧的心理困扰。在研究1中，假设得到了300名参与者的支持，他们拥有13种不同的可隐藏的污名化身份。分析比较人与联想的耻辱与个人的耻辱表明，人们与联想的耻辱报告较少的困扰，这种差异是完全介导的预期耻辱，中心性和显着性降低。研究2试图复制研究1的结果，样本为235名具有可隐藏的污名化身份的参与者，并将模型扩展到预测健康结果。结构方程模型表明，预期的耻辱和文化耻辱直接相关的自我报告的健康结果。讨论集中在理解个人内部过程（预期的耻辱，身份中心性和身份的显着性）和外部过程（文化贬值的耻辱身份）的心理和身体健康的人生活在一个隐藏的耻辱身份的影响。
The current research provides a framework for understanding how concealable stigmatized identities impact people's psychological well-being and health. The authors hypothesize that increased anticipated stigma, greater centrality of the stigmatized identity to the self, increased salience of the identity, and possession of a stigma that is more strongly culturally devalued all predict heightened psychological distress. In Study 1, the hypotheses were supported with a sample of 300 participants who possessed 13 different concealable stigmatized identities. Analyses comparing people with an associative stigma to those with a personal stigma showed that people with an associative stigma report less distress and that this difference is fully mediated by decreased anticipated stigma, centrality, and salience. Study 2 sought to replicate the findings of Study 1 with a sample of 235 participants possessing concealable stigmatized identities and to extend the model to predicting health outcomes. Structural equation modeling showed that anticipated stigma and cultural stigma were directly related to self-reported health outcomes. Discussion centers on understanding the implications of intraindividual processes (anticipated stigma, identity centrality, and identity salience) and an external process (cultural devaluation of stigmatized identities) for mental and physical health among people living with a concealable stigmatized identity.