Implicit Internalized Stigma: Measuring and Examining a Determinant of Mental Health Disparities for Sexual Minorities

隐性内在耻辱：测量和检查性少数群体心理健康差异的决定因素

• 批准号: 9766396
• 负责人: William James Hall
• 金额: $ 19.2万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-01 至 2021-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9766396
• 关键词: Address; Adult; Affect; Anxiety; Anxiety Disorders; Area; Attitude; Awareness; Client; Clinical Research; Clinical Treatment; Communities; Community Health; Computers; Conscious; Data; Data Collection; Depressive disorder; Development; Dimensions; Drops; Equilibrium; Face; Funding Opportunities; Group Interviews; Guilt; Heterosexuals; Homophobia; Image; Individual; Intervention; Intervention Studies; Interview; Knowledge; LGBT Health; Lesbian Gay Bisexual; Measures; Mental Depression; Mental Health; Mental disorders; Methods; Minority Groups; Modeling; Morals; Outcome; Patients; Play; Population; Prevalence; Prevention; Preventive Intervention; Procedures; Psychometrics; Psychotherapy; Public Health; Reporting; Research; Research Personnel; Sampling; Self Perception; Severities; Sex Orientation; Sexual Health; Sexual and Gender Minorities; Shame; Son of Sevenless Proteins; Subconscious; Suicide; Sum; Symptoms; Testing; United States National Institutes of Health; Validity and Reliability; anxiety symptoms; base; clinical practice; depressive symptoms; epidemiology study; experience; health disparity; improved; innovation; instrument; minority health; negative affect; neglect; prevent; programs; queer; recruit; response; same-sex partnership; sexual minority; social; social stigma; sound; treatment planning; visual stimulus

Project Summary/Abstract Sexual minorities continue to face mental health disparities – recent national data show that 37% of sexual minority adults had a mental illness. Stigma can exist internally among sexual minorities when they internalize negative attitudes about themselves via pervasive societal homophobia. Internalized stigma is a key determinant of mental health disparities for sexual minorities; however, the implicit or subconscious dimension of internalized stigma has been almost completely overlooked in research and clinical practice, perhaps because there is not a valid and reliable instrument to measure this phenomenon. To address gaps in this area, this project has three aims: (1) Creating an implicit internalized sexual minority stigma instrument using an Affect Misattribution Procedure (AMP) approach; (2) Evaluating the reliability (internal consistency and test-retest reliability) and validity (convergent, discriminant, and predictive validity) of the implicit internalized sexual minority stigma version of the AMP; and (3) Examining concurrent and predictive relationships between implicit internalized sexual minority stigma and outcomes of depressive symptoms and anxiety symptoms. Developing the measure will involve a mixed-methods approach: generating visual stimuli for the measure (i.e., images of heterosexual and same-sex couples), evaluating couple images to balance across groups, interviewing experts to identify valence response options, programming the measure for online administration, pilot-testing the preliminary measure with a sample of 100 sexual minority adults, and dropping unreliable response dimensions based on pre-testing. Evaluating the psychometrics of the final measure will involve online data collection from 400 sexual minority adults across two waves and administration of measures of implicit and explicit internalized stigma. Examining relations between implicit internalized stigma and mental health outcomes will use the sample of 400 sexual minority adults assessed at two waves, and data collection on depressive symptoms, anxiety symptoms, and relevant covariates to isolate the effect of implicit internalized stigma on mental health. Analyses, will involve reliability analysis, pairwise correlations, and cross-lagged panel modeling. This project is innovative and significant because it has the potential to shift research and clinical practice, which has almost exclusively focused on explicit internalized stigma. The instrument could be used in epidemiological research to understand implicit internalized stigma as a determinant of mental health disparities. It could also be used in intervention research and clinical practice as a target mechanism to improve mental health among sexual minorities.

项目摘要/摘要 性少数民族继续面临心理健康差异 - 最近的国家数据表明，有37％的性行为 少数民族成年人患有精神疾病。污名可以在性少数群体内部存在时存在 负面的社会同性恋恐惧症会出现负面影响。内部化的污名是关键的确定者 性少数群体的心理健康差异；但是，隐式或潜意识的维度 在研究和临床实践中，内部化的污名几乎被完全忽略了，也许是因为 没有有效且可靠的工具来衡量这种现象。为了解决该领域的差距，这个 项目具有三个目标：（1）使用影响 错误贡献程序（AMP）方法； （2）评估可靠性（内部一致性和重测 可靠性）和有效性（收敛性，判别和预测有效性） 放大器的少数族裔污名版； （3）检查并发和预测关系 隐式内部性少数族裔污名和抑郁症状和焦虑症状的结果。 开发测量将涉及一种混合方法方法：为测量产生视觉刺激（即 异性恋和同性伴侣的图像），评估夫妇图像以平衡各组，面试 专家确定价值响应选项，编程在线管理的测量，试点测试 100个性少数成年人样本的初步度量，并放弃不可靠的反应 基于预测试的维度。评估最终测量的心理计量学将涉及在线数据 从两个波浪中的400个性少数成年人收集，并采用隐式措施和 明确的内部污名。研究隐式内在污名与心理健康之间的关系 结果将使用在两个波浪中评估的400个性少数族裔的样本，并收集数据 抑郁症状，焦虑症状和相关的协变量，以隔离隐式内在化的影响 心理健康的污名。分析将涉及可靠性分析，成对相关性和交叉滞后 面板建模。该项目具有创新性和重要意义，因为它有可能改变研究和 临床实践几乎完全集中在明确的内部污名上。仪器可能是 在流行病学研究中用于理解隐性内部污名作为精神健康的确定 差异。它也可以在干预研究和临床实践中用作改进的目标机制 性少数群体中的心理健康。

项目成果

"Here in the Bible Belt, It's Predominantly Negative": Sexual Identity Stigma in the American South, 50 Years After Stonewall.

• DOI: 10.3389/fpsyg.2021.804064
• 发表时间: 2021
• 期刊: Frontiers in psychology
• 影响因子: 3.8
• 作者: Frey JJ;Hall WJ;Goldbach JT;Lanier P
• 通讯作者: Lanier P