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2022 | 22 | 1 | 5-22

Article title

Revisiting minority stress theory to understand psychological distress among Czech sexual minorities

Content

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Abstracts

EN
Minority stress theory explains psychological vulnerability in sexual minorities; however, data is scarce in the Central and Eastern European region. Combining the minority stress model with the Psychological Mediation Framework, we tested a theoretically developed path model. Participants were 1452 (Mage = 24.9 years) Czech sexual-minority individuals (38.7% gay, 27.1% lesbian, 18.7% bisexual women). The model explained 55.5% of the variance of psychological distress in the overall sample, representing a total effect of 9.75% (p < .001) increase in measurement units by the modeled associations. Within the subsamples, the associations were similar between harassment and rejection, stigma awareness, and rejection sensitivity, as well as emotional dysregulation, rumination, and psychological distress. However, internalized homonegativity was a stronger factor of psychological well-being in gay men and lesbian women than in bisexual women. Bisexual women may have experienced less social support and more emotional dysregulation due to more concealment and rejection sensitivity, respectively. While we confirmed that the minority stress model applies to the Czech context and explained well psychological distress in sexual minorities, our data highlights notable differences between bisexual women who reported highest rates of distress compared to gay men and lesbian women.

Year

Volume

22

Issue

1

Pages

5-22

Physical description

Dates

published
2022

Contributors

  • National Institute of Mental Health, Klecany, Czech Republic
  • Faculty of Humanities, Charles University, Prague, Czech Republic

References

  • Bandermann, K.M., & Szymanski, D.M. (2014). Exploring coping mediators between heterosexist oppression and posttraumatic stress symptoms among lesbian, gay, and bisexual persons. Psychology of Sexual Orientation and Gender Diversity, 1, 213-224.
  • Baumeister, R.F., & Leary, M.R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117, 497-529.
  • Berg, R.C., Munthe-Kaas, H.M., & Ross, M.W. (2016). Internalized homonegativity: A systematic mapping review of empirical research. Journal of Homosexuality, 63, 541-558.
  • Berg, R.C., Weatherburn, P., Ross, M.W., & Schmidt, A.J. (2015). The relationship of internalized homonegativity to sexual health and well-being among men in 38 European countries who have sex with men. Journal of Gay & Lesbian Mental Health, 19, 285-302.
  • Brooks, V.R. (1981). Minority stress and lesbian women. Lexington Books.
  • Costa, P.A., Pereira, H., & Leal, I. (2013). Internalized homonegativity, disclosure, and acceptance of sexual orientation in a sample of Portuguese gay and bisexual men, and lesbian and bisexual women. Journal of Bisexuality, 13, 229-244.
  • Downey, G., & Feldman, S.I. (1996). Implications of rejection sensitivity for intimate relationships. Journal of Personality and Social Psychology, 70, 1327-1343.
  • Dyar, C., Feinstein, B.A., Eaton, N.R., & London, B. (2016). Development and initial validation of the sexual minority women rejection sensitivity scale. Psychology of Women Quarterly, 40, 120-137.
  • Dyar, C., Feinstein, B.A., Eaton, N.R., & London, B. (2018). The mediating roles of rejection sensitivity and proximal stress in the association between discrimination and internalizing symptoms among sexual minority women. Archives of Sexual Behavior, 47, 205-218.
  • Feinstein, B.A. (2020). The rejection sensitivity model as a framework for understanding sexual minority mental health. Archives of Sexual Behavior, 49, 2247-2258.
  • Feinstein, B.A., & Dyar, C. (2017). Bisexuality, minority stress, and health. Current Sexual Health Reports, 9, 42-49.
  • Feinstein, B.A., Goldfried, M.R., & Davila, J. (2012). The relationship between experiences of discrimination and mental health among lesbians and gay men: An examination of internalized homonegativity and rejection sensitivity as potential mechanisms. Journal of Consulting and Clinical Psychology, 80, 917-927.
  • Feldman, S., & Downey, G. (1994). Rejection sensitivity as a mediator of the impact of childhood exposure to family violence on adult attachment behavior. Development and Psychopathology, 6, 231-247.
  • Frost, D.M., & Meyer, I.H. (2009). Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals. Journal of Counseling Psychology, 56, 97-109.
  • Hatzenbuehler, M.L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707-730.
  • Hatzenbuehler, M.L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does stigma “get under the skin”?: The mediating role of emotion regulation. Psychological Science, 20, 1282-1289.
  • Herek, G.M. (2004). Beyond “Homophobia”: Thinking about sexual prejudice and stigma in the twenty-first century. Sexuality Research and Social Policy, 1, 6-24.
  • Israel, T., & Mohr, J.J. (2004). Attitudes Toward Bisexual Women and Men. Journal of Bisexuality, 4, 117-134.
  • Knoble, N.B., & Linville, D. (2012). Outness and relationship satisfaction in same-gender couples. Journal of Marital and Family Therapy, 38, 330-339.
  • Meyer, I.H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin, 129, 674-697.
  • Meyer, I.H. (2015). Resilience in the study of minority stress and health of sexual and gender minorities. Psychology of Sexual Orientation and Gender Diversity, 2, 209-213.
  • Mohr, J., & Fassinger, R. (2000). Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development, 33, 66-90.
  • Mohr, J.J., & Daly, C.A. (2008). Sexual minority stress and changes in relationship quality in same-sex couples. Journal of Social and Personal Relationships, 25, 989-1007.
  • Mohr, J.J., & Kendra, M.S. (2011). Revision and extension of a multidimensional measure of sexual minority identity: The Lesbian, Gay, and Bisexual Identity Scale. Journal of Counseling Psychology, 58, 234-245.
  • Nardelli, N., Baiocco, R., Tanzilli, A., & Lingiardi, V. (2020). Not in the same mental drawer: Internalized sexual stigma, dissociation, and the role of religion in a sample of Italian gay men. Journal of Homosexuality, 67, 1386-1400.
  • Pachankis, J.E., & Bränström, R. (2018). Hidden from happiness: Structural stigma, sexual orientation concealment, and life satisfaction across 28 countries. Journal of Consulting and Clinical Psychology, 86, 403-415.
  • Pachankis, J.E., Goldfried, R., & Ramrattan, E. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76, 306-317.
  • Pachankis, J.E., Hatzenbuehler, M.L., Branstrom, R., Schmidt, A.J., Berg, R.C., Jonas, K., Pitonak, M., Baros, S., & Weatherburn, P. (2021). Structural stigma and sexual minority men’s depression and suicidality: A multilevel examination of mechanisms and mobility across 48 countries. Journal of Abnormal Psychology, 130, 713-726.
  • Pachankis, J.E., Mahon, C.P., Jackson, S.D., Fetzner, B.K., & Branstrom, R. (2020). Sexual orientation concealment and mental health: A conceptual and meta-analytic review. Psychological Bulletin, 146, 831-871.
  • Pachankis, J.E., McConocha, E.M., Clark, K.A., Wang, K., Behari, K., Fetzner, B.K., Brisbin, C.D., Scheer, J.R., & Lehavot, K. (2020). A transdiagnostic minority stress intervention for gender diverse sexual minority women’s depression, anxiety, and unhealthy alcohol use: A randomized controlled trial. Journal of Consulting Clinical Psychology, 88, 613-630.
  • Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities. A systematic review. International Review of Psychiatry, 27, 367-385.
  • Potoczniak, D., Crosbie-Burnett, M., & Saltzburg, N. (2009). Experiences regarding coming out to parents among African American, Hispanic, and White gay, lesbian, bisexual, transgender, and questioning adolescents. Journal of Gay & Lesbian Social Services, 21, 189-205.
  • Powers, A., Stevens, J., Fani, N., & Bradley, B. (2015). Construct validity of a short, self report instrument assessing emotional dysregulation. Psychiatry Research, 225, 85-92.
  • Public Defender of Rights. (2019). Being LGBT+ in the Czech Republic LGBT+ people’s experiences of prejudice, discrimination, harassment and hate violence. Retrieved from https://www.ochrance.cz/uploads-import/DISKRIMINACE/Vyzkum/LGBT_Factsheet_EN.pdf
  • Quinn, D.M., & Chaudoir, S.R. (2009). Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology, 97, 634-651.
  • Pitoňák, M., Čihák, M. (2023). Understanding broader LGB+ identity from a post-socialist perspective: Assessment of validity of the Lesbian, Gay, and Bisexual Identity Scale (LGBIS) on a Czech sample. Československá Psychologie, 67, 121-140.
  • Rendina, H.J., Gamarel, K.E., Pachankis, J.E., Ventuneac, A., Grov, C., & Parsons, J.T. (2017). Extending the minority stress model to incorporate HIV-positive gay and bisexual men’s experiences: A longitudinal examination of mental health and sexual risk behavior. Annals of Behavioral Medicine, 51, 147-158.
  • Riggs, D.W., & Treharne, G.J. (2017). Decompensation: A novel approach to accounting for stress arising from the effects of ideology and social norms. Journal of Homosexuality, 64, 592-605.
  • Ross, L.E., Salway, T., Tarasoff, L.A., MacKay, J.M., Hawkins, B.W., & Fehr, C.P. (2018). Prevalence of depression and anxiety among bisexual people compared to gay, lesbian, and heterosexual individuals: A systematic review and meta-analysis. Journal of Sex Research, 55, 435-456.
  • Ross, M.W., & Rosser, B.R.S. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 5, 15-21.
  • Sattler, F.A., & Lemke, R. (2019). Testing the cross-cultural robustness of the minority stress model in gay and bisexual men. Journal of Homosexuality, 66, 189-208.
  • Schwartz, D.R., Stratton, N., & Hart, T.A. (2016). Minority stress and mental and sexual health: Examining the psychological mediation framework among gay and bisexual men. Psychology of Sexual Orientation and Gender Diversity, 3, 313-324.
  • Szymanski, D.M. (2006). Does internalized heterosexism moderate the link between heterosexist events and lesbians’ psychological distress?. Sex Roles, 54, 227-234.
  • Szymanski, D.M., Dunn, T.L., & Ikizler, A.S. (2014). Multiple minority stressors and psychological distress among sexual minority women: The roles of rumination and maladaptive coping. Psychology of Sexual Orientation and Gender Diversity, 1, 412-421.
  • Timmins, L., Rimes, K.A., & Rahman, Q. (2020). Minority stressors, rumination, and psychological distress in lesbian, gay, and bisexual individuals. Archives of Sexual Behavior, 49, 661-680.
  • Tišanská, L., Kožený, J., & Csémy, L. (2020). Parametry krátkého symptomatického inventáře BSI-18 u českého reprezentativního souboru. Ceskoslovenska Psychologie, 64. 34-49.
  • Treynor, W., Gonzalez, R., & Nolen-Hoeksema, S. (2003). Rumination reconsidered: A psychometric analysis. Cognitive Therapy and Research, 27, 247-259.
  • Valentine, G. (1993). (Hetero) sexing space: lesbian perceptions and experiences of everyday spaces. Environment and Planning D: Society and Space, 11, 395-413.
  • Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation. Value in Health, 8, 94-104.
  • Woodford, M.R., Kulick, A., Sinco, B.R., & Hong, J.S. (2014). Contemporary heterosexism on campus and psychological distress among LGBQ students: the mediating role of self-acceptance. Amercian Journal of Orthopsychiatry, 84, 519-529.
  • Zimet, G.D., Dahlem, N.W., Zimet, S.G., & Farley, G.K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41.

Document Type

Publication order reference

Identifiers

Biblioteka Nauki
29433573

YADDA identifier

bwmeta1.element.ojs-doi-10_21697_sp_2022_22_1_01
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