A systematic review and research agenda of internalized sexual stigma in sexual minority individuals: Evidence from longitudinal and intervention studies

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2023-12-27 DOI:10.1016/j.cpr.2023.102376

Josh Nguyen , Joel Anderson , Christopher A. Pepping

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Abstract

Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices.

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关于性少数群体内化性污名的系统回顾和研究议程：纵向研究和干预研究的证据

内化的性污名是性少数群体心理健康不良的一个公认的风险因素。然而，关于影响内化性污名随时间发展的风险和保护因素，目前还没有相关的文献综述。本系统性综述介绍了 31 项研究（n = 6263）针对这一问题的研究结果；其中 23 项研究检测了性少数群体中内化性鄙视的社会心理和社会人口预测因素，8 项研究检测了心理干预对内化性鄙视的影响。纵向研究强调了内化性污名随着时间推移的稳定性，以及污名和歧视、少数群体近端压力因素（如出柜、隐瞒）和心理因素（如抑郁和焦虑症状、应对方式和士气低落）在预测后续内化性污名中的作用。人口学因素似乎在预测随后的内化性污名方面只发挥了有限的作用。最后，大多数干预研究发现，在减少内化性污名方面没有显著效果，只有三项例外研究发现，在年轻的性少数群体中，干预效果显著。最后，我们概述了内化性污名的理论驱动模型和研究议程，以测试包含多因素风险指数的更细致的内化性污名模型。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.