The cumulative effects of stigma-related stress: Chronic stigma-related stress exposure exacerbates daily associations between enacted stigma and anxious/depressed affect.
The cumulative effects of stigma-related stress: Chronic stigma-related stress exposure exacerbates daily associations between enacted stigma and anxious/depressed affect.
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与耻辱相关的压力的累积效应：慢性与耻辱相关的压力暴露加剧了耻辱与焦虑/抑郁情绪之间的日常关联。
DOI：
10.1016/j.socscimed.2024.116604
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发表时间：
2024
期刊：
影响因子：
--
通讯作者：
Dyar,Christina
中科院分区：
文献类型：
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作者：
Dyar,Christina
与异性恋和顺性别个体相比，性取向和性别少数个体患情绪和焦虑障碍的风险更高。生态瞬时评估研究涉及制定的耻辱的经验（即，偏见的治疗），将这些经历与焦虑和抑郁情绪的升高联系起来。目前的研究利用了一个理论，从更广泛的压力和影响文学，以确定是否慢性制定的耻辱暴露放大个人的负面情感反应的经验，制定的耻辱在日常水平。MethodsWe使用的数据从30天的生态瞬时评估研究与429性少数民族妇女和性别多样化的性少数民族分配女性在出生时（SMWGD）生活在美国在2020年-21，以确定是否并发和前瞻性的事件水平之间的关联制定的耻辱，焦虑/抑郁的影响，和感知的应对效能被缓和慢性制定的耻辱exposure.ResultsResults结果表明，个人与中度到高度慢性耻辱曝光经验更大的增加焦虑/抑郁的影响和更大的下降感知的应对效能以下的日常经验制定的耻辱。此外，这些影响的日常耻辱焦虑/抑郁情绪持续时间较长的个人与高慢性耻辱曝光。有趣的是，慢性污名暴露并没有缓和日常一般压力源（即，那些无关的身份）和影响或感知的应对效能，这表明这些影响是特定的耻辱相关的stressressers.ConclusionsThese结果有助于推进我们的理解长期和日常的影响曝光制定的耻辱，突出潜在的深刻的累积效应的耻辱曝光和需要在这个周期进行干预。
PurposeSexual and gender minority individuals are at elevated risk for mood and anxiety disorders compared to heterosexual and cisgender individuals. Ecological momentary assessments studies have implicated experiences of enacted stigma (i.e., biased treatment) by linking these experiences with elevations in anxious and depressed affect. The current study utilizes a theory from the broader stress and affect literature to determine whether chronic enacted stigma exposure amplifies individuals’ negative affective reactions to experiences of enacted stigma at the daily level.MethodsWe used data from a 30-day ecological momentary assessment study with 429 sexual minority women and gender diverse sexual minorities assigned female at birth (SMWGD) living in the US in 2020–21 to determine whether concurrent and prospective event-level associations between enacted stigma, anxious/depressed affect, and perceived coping efficacy were moderated by chronic enacted stigma exposure.ResultsResults demonstrate that individuals with moderate to high chronic stigma exposure experience larger increases in anxious/depressed affect and larger decreases in perceived coping efficacy following daily experiences of enacted stigma. Further, these effects of daily stigma on anxious/depressed affect persist for longer among individuals with high chronic stigma exposure. Interestingly, chronic stigma exposure did not moderate associations between daily general stressors (i.e., those unrelated to identity) and affect or perceived coping efficacy, suggesting that these effects are specific to stigma-related stressors.ConclusionsThese results help to advance our understanding of both long-term and daily effects of exposure to enacted stigma, highlighting the potentially profound cumulative effects of stigma exposure and the need to intervene in this cycle.