How does stigma "get under the skin"?: the mediating role of emotion regulation.
How does stigma "get under the skin"?: the mediating role of emotion regulation.
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DOI：
10.1111/j.1467-9280.2009.02441.x
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发表时间：
2009-10
影响因子：
8.2
通讯作者：
Dovidio J
中科院分区：
文献类型：
--
作者：
Hatzenbuehler ML;Nolen-Hoeksema S;Dovidio J
耻辱是心理健康问题的一个危险因素，但很少有研究考虑耻辱如何导致心理困扰。目前的研究探讨了特定的情绪调节策略是否可以解释耻辱与痛苦的关联。在一项经验抽样研究中，与没有报告这些压力源的日子相比，在报告与耻辱相关的压力源的日子里，沉思和压抑发生得更多，并且沉思介导了与耻辱相关的压力和心理困扰之间的关系。社会支持对痛苦的影响因耻辱的可隐藏性而减弱：女同性恋、男同性恋和双性恋 (LGB) 受访者表示，在经历与耻辱相关的压力源后，女同性恋、男同性恋和双性恋 (LGB) 受访者比非裔美国人受访者更孤立，社会支持更少，而非裔美国人则比 LGB 受访者报告更多的社会支持。社会隔离介导了 LGB 受访者中的耻辱与痛苦关联。在第二项实验研究中，与那些分散注意力的参与者相比，在回忆自传式歧视事件后进行沉思的参与者对隐性和显性的措施表现出长期的痛苦；这一发现支持了沉思在耻辱-痛苦关系中的因果作用。
Stigma is a risk factor for mental health problems, but few studies have considered how stigma leads to psychological distress. The present research examined whether specific emotion-regulation strategies account for the stigma-distress association. In an experience-sampling study, rumination and suppression occurred more on days when stigma-related stressors were reported than on days when these stressors were not reported, and rumination mediated the relationship between stigma-related stress and psychological distress. The effect of social support on distress was moderated by the concealability of the stigma: Lesbian, gay, and bisexual (LGB) respondents reported more isolation and less social support than African American respondents subsequent to experiencing stigma-related stressors, whereas African Americans reported greater social support than LGB participants. Social isolation mediated the stigma-distress association among LGB respondents. In a second experimental study, participants who ruminated following the recall of an autobiographical discrimination event exhibited prolonged distress on both implicit and explicit measures relative to participants who distracted themselves; this finding provides support for a causal role of rumination in the stigma-distress relationship.