How does sexual minority stigma "get under the skin"? A psychological mediation framework.
How does sexual minority stigma "get under the skin"? A psychological mediation framework.
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DOI：
10.1037/a0016441
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发表时间：
2009-09
影响因子：
22.4
通讯作者：
Hatzenbuehler, Mark L.
中科院分区：
文献类型：
--
作者：
Hatzenbuehler, Mark L.
关键词：
与异性恋者相比，性少数群体面临多种心理健康负担的风险增加。该领域已经确定了这一风险的两个不同的决定因素，包括特定群体的少数民族压力和一般的心理过程，这是常见的性取向。本文的目标是发展一个理论框架，整合这些文献的重要见解。该框架假定：（a）性少数群体面临因耻辱而增加的压力;（B）这种与耻辱有关的压力造成一般情绪失调、社会/人际问题和认知过程的加剧，从而产生精神病理学风险;（c）这些过程反过来又介导与耻辱有关的压力和精神病理学之间的关系。有人认为，这一框架可以，理论上，照亮耻辱如何对心理健康产生不利影响，并在实践中，告知临床干预措施。这个框架的预测有效性的证据进行审查，特别注意说明性的例子，从抑郁症，焦虑症和酒精使用障碍的研究。
Sexual minorities are at increased risk for multiple mental health burdens compared to heterosexuals. The field has identified two distinct determinants of this risk, including group-specific minority stressors and general psychological processes that are common across sexual orientations. The goal of the present paper is to develop a theoretical framework that integrates the important insights from these literatures. The framework postulates that (a) sexual minorities confront increased stress exposure resulting from stigma; (b) this stigma-related stress creates elevations in general emotion dysregulation, social/interpersonal problems, and cognitive processes conferring risk for psychopathology; and (c) these processes in turn mediate the relationship between stigma-related stress and psychopathology. It is argued that this framework can, theoretically, illuminate how stigma adversely affects mental health and, practically, inform clinical interventions. Evidence for the predictive validity of this framework is reviewed, with particular attention paid to illustrative examples from research on depression, anxiety, and alcohol use disorders.
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