Pub Date : 2021-11-01Epub Date: 2020-11-27DOI: 10.1177/2156869320973446
Jessica Goodkind, Julieta Ferrera, David Lardier, Julia Meredith Hess, R Neil Greene
After years of emphasis on pre-migration trauma as the major determinant of refugee mental health, researchers have begun to explore the effects of post-migration stressors on refugees' distress. However, few studies have brought together refugees' emic understandings of the effects of economic stressors on their mental health with quantitative datasets to further explore the salience of stress processes as an explanatory mechanism. In qualitative interviews, 40% of 290 recently resettled adult refugees noted that economic stressors were a major source of distress and described pathways through which these stressors negatively influenced their mental health by limiting their ability to learn English, obtain meaningful employment, access healthcare, maintain contact with their families, and integrate in their communities. In structural equation modeling of quantitative data, we tested several possible hypotheses that emerged from the qualitative findings. We find that post-migration economic stressors mediated the relationship between migration-related trauma and post-migration emotional distress and PTSD symptoms. These findings provide empirical support for stress proliferation as a mechanism through which trauma exposure contributes to distress.
{"title":"A Mixed Method Study of the Effects of Post-Migration Economic Stressors on the Mental Health of Recently Resettled Refugees.","authors":"Jessica Goodkind, Julieta Ferrera, David Lardier, Julia Meredith Hess, R Neil Greene","doi":"10.1177/2156869320973446","DOIUrl":"https://doi.org/10.1177/2156869320973446","url":null,"abstract":"<p><p>After years of emphasis on pre-migration trauma as the major determinant of refugee mental health, researchers have begun to explore the effects of post-migration stressors on refugees' distress. However, few studies have brought together refugees' emic understandings of the effects of economic stressors on their mental health with quantitative datasets to further explore the salience of stress processes as an explanatory mechanism. In qualitative interviews, 40% of 290 recently resettled adult refugees noted that economic stressors were a major source of distress and described pathways through which these stressors negatively influenced their mental health by limiting their ability to learn English, obtain meaningful employment, access healthcare, maintain contact with their families, and integrate in their communities. In structural equation modeling of quantitative data, we tested several possible hypotheses that emerged from the qualitative findings. We find that post-migration economic stressors mediated the relationship between migration-related trauma and post-migration emotional distress and PTSD symptoms. These findings provide empirical support for stress proliferation as a mechanism through which trauma exposure contributes to distress.</p>","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"11 3","pages":"217-235"},"PeriodicalIF":5.1,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869320973446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39914191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-11DOI: 10.1177/21568693211043156
Elizabeth R. Felix, Freda B. Lynn
Researchers and policymakers are increasingly interested in the extent to which mental health stigma can be mitigated through social contact with people who disclose mental health issues. Empirical research on contact and stigma, however, largely focuses on the presence of contact without fully examining the nature of relationships. Interpersonal ties, for example, can be enduring and supportive, enduring and stressful, or weak yet cooperative. Using a novel egocentric network survey, this study contributes by measuring contact with respect to both the presence of alters with perceived mental health issues and the nature of those connections. Results show that, compared to respondents without any contact, naming more mental health contacts is associated with a reduction in stigma only when those relations are characterized by closeness and a lack of negativity. Among individuals with contact, a higher proportion of relationships perceived as negative or “difficult”exacerbates stigma. Implications of these findings for stigma reduction are discussed.
{"title":"Mental Health Stigma and Social Contact Revisited: The Role of Network Closeness and Negativity","authors":"Elizabeth R. Felix, Freda B. Lynn","doi":"10.1177/21568693211043156","DOIUrl":"https://doi.org/10.1177/21568693211043156","url":null,"abstract":"Researchers and policymakers are increasingly interested in the extent to which mental health stigma can be mitigated through social contact with people who disclose mental health issues. Empirical research on contact and stigma, however, largely focuses on the presence of contact without fully examining the nature of relationships. Interpersonal ties, for example, can be enduring and supportive, enduring and stressful, or weak yet cooperative. Using a novel egocentric network survey, this study contributes by measuring contact with respect to both the presence of alters with perceived mental health issues and the nature of those connections. Results show that, compared to respondents without any contact, naming more mental health contacts is associated with a reduction in stigma only when those relations are characterized by closeness and a lack of negativity. Among individuals with contact, a higher proportion of relationships perceived as negative or “difficult”exacerbates stigma. Implications of these findings for stigma reduction are discussed.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"12 1","pages":"49 - 63"},"PeriodicalIF":5.1,"publicationDate":"2021-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46285626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-08-18DOI: 10.1177/21568693211037383
E. Stasiulis, B. Gibson, Fiona Webster, K. Boydell
To examine how recovery principles are enacted in an early psychosis intervention (EPI) clinic, we used an institutional ethnographic approach focused on how the ideology of medication adherence organizes young people’s experiences of EPI services. Methods included ethnographic observation, in-depth interviews with 27 participants (18 clinic staff, four young people, and five family members), and textual analysis of clinic documents (e.g., case files, administrative forms, policy reports). The disjuncture between service providers’ intent to provide recovery-principled care and the actual experiences of young people is actualized in institutionalized practices of informal coercion around medication adherence, which we identify as “enticing,”“negotiating,” and “taking responsibility.” We link these practices to institutional accountability, risk, and efficiencies, and discuss the need for a shift in medication management approaches in EPI settings.
{"title":"The Disjuncture between Medication Adherence and Recovery-centered Principles in Early Psychosis Intervention: An Institutional Ethnography","authors":"E. Stasiulis, B. Gibson, Fiona Webster, K. Boydell","doi":"10.1177/21568693211037383","DOIUrl":"https://doi.org/10.1177/21568693211037383","url":null,"abstract":"To examine how recovery principles are enacted in an early psychosis intervention (EPI) clinic, we used an institutional ethnographic approach focused on how the ideology of medication adherence organizes young people’s experiences of EPI services. Methods included ethnographic observation, in-depth interviews with 27 participants (18 clinic staff, four young people, and five family members), and textual analysis of clinic documents (e.g., case files, administrative forms, policy reports). The disjuncture between service providers’ intent to provide recovery-principled care and the actual experiences of young people is actualized in institutionalized practices of informal coercion around medication adherence, which we identify as “enticing,”“negotiating,” and “taking responsibility.” We link these practices to institutional accountability, risk, and efficiencies, and discuss the need for a shift in medication management approaches in EPI settings.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"12 1","pages":"32 - 48"},"PeriodicalIF":5.1,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48345243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-28DOI: 10.1177/21568693211008505
Laura Upenieks
Beliefs about the probability of educational success tend to be very optimistic in the United States. However, scholars are beginning to uncover mental health consequences associated with quixotic hope—the unrealistic outstripping of expectation by aspiration. Using longitudinal data from Waves 1 and 3 of the National Study of Youth and Religion, this study asks, (1) does religiosity promote or diminish the likelihood of quixotic hope? and (2) does religious attendance and closeness to God mitigate long-term mental health consequences of quixotic hope? Results show that weekly religious attendance had a modest negative relationship with the likelihood of experiencing quixotic hope, while increasing religious attendance over time attenuated the negative mental health consequences of quixotic hope on increases in depression. Closeness to God neither predicted quixotic hope nor played a moderating role for depression. As educational expectations rise, regular religious practice may help protect the emotional well-being of youth.
{"title":"Aspiring to Do All Things Through Him Who Strengthens? Quixotic Hope, Religiosity, and Mental Health in Emerging Adulthood","authors":"Laura Upenieks","doi":"10.1177/21568693211008505","DOIUrl":"https://doi.org/10.1177/21568693211008505","url":null,"abstract":"Beliefs about the probability of educational success tend to be very optimistic in the United States. However, scholars are beginning to uncover mental health consequences associated with quixotic hope—the unrealistic outstripping of expectation by aspiration. Using longitudinal data from Waves 1 and 3 of the National Study of Youth and Religion, this study asks, (1) does religiosity promote or diminish the likelihood of quixotic hope? and (2) does religious attendance and closeness to God mitigate long-term mental health consequences of quixotic hope? Results show that weekly religious attendance had a modest negative relationship with the likelihood of experiencing quixotic hope, while increasing religious attendance over time attenuated the negative mental health consequences of quixotic hope on increases in depression. Closeness to God neither predicted quixotic hope nor played a moderating role for depression. As educational expectations rise, regular religious practice may help protect the emotional well-being of youth.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"12 1","pages":"64 - 83"},"PeriodicalIF":5.1,"publicationDate":"2021-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/21568693211008505","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49304387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-21DOI: 10.1177/2156869321991892
Elizabeth Culatta, Jody Clay-Warner
How do perceived expectations of what it means to be an adult affect mental health? We draw from life course and social psychological literature to argue that falling behind perceived expectations for reaching markers of adulthood is associated with depression and anxiety. We test predictions with data from an original sample of more than five hundred 18- to 29-year-olds in the United States. Consistent with predictions, we find a positive relationship between falling behind expectations and both anxiety and depression even while controlling for own expectations about the accomplishment of markers of adulthood. In particular, we find that falling behind perceived expectations of peers regarding markers of adulthood is associated with anxiety and that falling behind perceived expectations of parents and society regarding markers of adulthood is associated with depressive symptoms.
{"title":"Falling Behind and Feeling Bad: Unmet Expectations and Mental Health during the Transition to Adulthood","authors":"Elizabeth Culatta, Jody Clay-Warner","doi":"10.1177/2156869321991892","DOIUrl":"https://doi.org/10.1177/2156869321991892","url":null,"abstract":"How do perceived expectations of what it means to be an adult affect mental health? We draw from life course and social psychological literature to argue that falling behind perceived expectations for reaching markers of adulthood is associated with depression and anxiety. We test predictions with data from an original sample of more than five hundred 18- to 29-year-olds in the United States. Consistent with predictions, we find a positive relationship between falling behind expectations and both anxiety and depression even while controlling for own expectations about the accomplishment of markers of adulthood. In particular, we find that falling behind perceived expectations of peers regarding markers of adulthood is associated with anxiety and that falling behind perceived expectations of parents and society regarding markers of adulthood is associated with depressive symptoms.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"11 1","pages":"251 - 265"},"PeriodicalIF":5.1,"publicationDate":"2021-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869321991892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47324309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-09DOI: 10.1177/21568693211001432
G. Usmanov, E. Wright, Raeda K Anderson
The climate and culture of treatment for clients with serious mental illness (SMI) are complex. In this study, we aim to cultivate a deeper understanding of the treatment environment using a network typological approach to measure the local treatment context and assess its implications on the perceived quality of clients’ relationships with their care providers. We use in-depth egocentric network data from clients with SMI in community mental health centers and state psychiatric hospitals from the Indiana Mental Health Services and HIV Risk Study (N = 417). Clustering analysis identifies five unique and distinct network types: supportive, sparse, diverse, clinical, and treatment-focused. Weighted least squares regressions reveal clients in networks with high amounts of support predict a more trusting working alliance, whereas care-oriented networks predict a less trusting alliance. Our findings underscore the need to consider the local network context in studies of the quality of care provided to people with SMI.
{"title":"Treatment Network Typologies and the Working Alliance of Clients with Serious Mental Illness","authors":"G. Usmanov, E. Wright, Raeda K Anderson","doi":"10.1177/21568693211001432","DOIUrl":"https://doi.org/10.1177/21568693211001432","url":null,"abstract":"The climate and culture of treatment for clients with serious mental illness (SMI) are complex. In this study, we aim to cultivate a deeper understanding of the treatment environment using a network typological approach to measure the local treatment context and assess its implications on the perceived quality of clients’ relationships with their care providers. We use in-depth egocentric network data from clients with SMI in community mental health centers and state psychiatric hospitals from the Indiana Mental Health Services and HIV Risk Study (N = 417). Clustering analysis identifies five unique and distinct network types: supportive, sparse, diverse, clinical, and treatment-focused. Weighted least squares regressions reveal clients in networks with high amounts of support predict a more trusting working alliance, whereas care-oriented networks predict a less trusting alliance. Our findings underscore the need to consider the local network context in studies of the quality of care provided to people with SMI.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"12 1","pages":"17 - 31"},"PeriodicalIF":5.1,"publicationDate":"2021-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/21568693211001432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43559753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01Epub Date: 2020-03-20DOI: 10.1177/2156869320912520
Christina Kamis
Using six waves of data from the Panel Study of Income Dynamics (2007-2017) and the Childhood Retrospective Circumstances Study (2014) (n=3,240), this paper estimates how childhood experiences with parental mental health problems shape trajectories of children's own distress in adulthood. Findings indicate that those who experience poor parental mental health have consistently greater distress than their non-exposed counterparts throughout adulthood. More severe and longer exposures to parental mental health problems corresponds to even greater distress in adulthood. The gender of the parent afflicted does not predict differences in adult mental health, but those individuals exposed to both maternal and paternal poor mental health have the greatest distress in adulthood. Together, results suggest that parental mental health during children's formative years is a significant predictor of life course distress and that heterogeneity in this experience corresponds to unique mental health trajectories.
{"title":"The Long-Term Impact of Parental Mental Health on Children's Distress Trajectories in Adulthood.","authors":"Christina Kamis","doi":"10.1177/2156869320912520","DOIUrl":"https://doi.org/10.1177/2156869320912520","url":null,"abstract":"<p><p>Using six waves of data from the Panel Study of Income Dynamics (2007-2017) and the Childhood Retrospective Circumstances Study (2014) (n=3,240), this paper estimates how childhood experiences with parental mental health problems shape trajectories of children's own distress in adulthood. Findings indicate that those who experience poor parental mental health have consistently greater distress than their non-exposed counterparts throughout adulthood. More severe and longer exposures to parental mental health problems corresponds to even greater distress in adulthood. The gender of the parent afflicted does not predict differences in adult mental health, but those individuals exposed to both maternal and paternal poor mental health have the greatest distress in adulthood. Together, results suggest that parental mental health during children's formative years is a significant predictor of life course distress and that heterogeneity in this experience corresponds to unique mental health trajectories.</p>","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"11 1","pages":"54-68"},"PeriodicalIF":5.1,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869320912520","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38999796","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-03-01DOI: 10.1177/2156869320912456
M. Halpin
Within the field of neuroscience, a new illness stage called the “prodrome” is being characterized. The prodrome is a symptomatic period that precedes an official diagnosis. Huntington Disease (HD) is a neuropsychiatric disorder that has an extensively researched prodrome marked by psychiatric and cognitive symptoms. This paper provides a sociological investigation of the prodrome by analyzing 24 interviews with individuals with HD and 14 interviews with informal caregivers. I find that substantial disadvantages accompany the prodromal phase of HD, with the prodrome connected to: (1) inability to access healthcare, (2) inability to access health resources, (3) the depletion of personal resources, and (4) caregiver burden. Documentation of such disadvantages is important as prodromal phases are connected to a growing number of conditions. Study findings are discussed in relation to medicalization, as well as the tension between medical ambiguity and the organization of health institutions.
{"title":"Into the Prodrome: Diagnosis, Disadvantage, and Biomedical Ambiguity","authors":"M. Halpin","doi":"10.1177/2156869320912456","DOIUrl":"https://doi.org/10.1177/2156869320912456","url":null,"abstract":"Within the field of neuroscience, a new illness stage called the “prodrome” is being characterized. The prodrome is a symptomatic period that precedes an official diagnosis. Huntington Disease (HD) is a neuropsychiatric disorder that has an extensively researched prodrome marked by psychiatric and cognitive symptoms. This paper provides a sociological investigation of the prodrome by analyzing 24 interviews with individuals with HD and 14 interviews with informal caregivers. I find that substantial disadvantages accompany the prodromal phase of HD, with the prodrome connected to: (1) inability to access healthcare, (2) inability to access health resources, (3) the depletion of personal resources, and (4) caregiver burden. Documentation of such disadvantages is important as prodromal phases are connected to a growing number of conditions. Study findings are discussed in relation to medicalization, as well as the tension between medical ambiguity and the organization of health institutions.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"11 1","pages":"38 - 53"},"PeriodicalIF":5.1,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869320912456","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47540346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-19DOI: 10.1177/2156869320978793
J. Jung
Prior research has established that perceived distributive unfairness is associated with poor mental health. The purpose of this study is to examine whether religion moderates this association and whether gender conditions the moderating effects of religion. Using data from the 2012 Korean General Social Survey (N = 1,375), the current analyses show that perceived distributive unfairness is positively associated with depression. However, each of the two indicators of religion—religious attendance and salience—weakens the positive association between perceived distributive unfairness and depression among women, but not men. These observations suggest that religion provides a stress-buffering effect against perceived distributive unfairness only for women. Thus, the findings of this study highlight the gendered ways that religion shapes the association between perceived distributive unfairness and mental health. I discuss the theoretical implications of these findings for views about the complex interrelationships among stress, coping resources, gender, and mental health.
{"title":"Perceived Distributive Unfairness and Mental Health: The Gender-contingent Buffering Effects of Religion","authors":"J. Jung","doi":"10.1177/2156869320978793","DOIUrl":"https://doi.org/10.1177/2156869320978793","url":null,"abstract":"Prior research has established that perceived distributive unfairness is associated with poor mental health. The purpose of this study is to examine whether religion moderates this association and whether gender conditions the moderating effects of religion. Using data from the 2012 Korean General Social Survey (N = 1,375), the current analyses show that perceived distributive unfairness is positively associated with depression. However, each of the two indicators of religion—religious attendance and salience—weakens the positive association between perceived distributive unfairness and depression among women, but not men. These observations suggest that religion provides a stress-buffering effect against perceived distributive unfairness only for women. Thus, the findings of this study highlight the gendered ways that religion shapes the association between perceived distributive unfairness and mental health. I discuss the theoretical implications of these findings for views about the complex interrelationships among stress, coping resources, gender, and mental health.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"11 1","pages":"236 - 250"},"PeriodicalIF":5.1,"publicationDate":"2021-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869320978793","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47520012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-11-01DOI: 10.1177/2156869319884724
A. LeBlanc, D. Frost
We simultaneously examined the effects of individual- and couple-level minority stressors on mental health among people in same-sex relationships. Individual-level minority stressors emerge from the stigmatization of sexual minority individuals; couple-level minority stressors emerge from the stigmatization of same-sex relationships. Dyadic data from 100 same-sex couples from across the United States were analyzed with actor–partner interdependence models. Couple-level stigma was uniquely associated with nonspecific psychological distress, depressive symptomatology, and problematic drinking, net the effects of individual-level stigma and relevant sociodemographic controls. Analyses also show that couple-level minority stress played unique roles in critical stress processes of minority stress proliferation: minority stress expansion and minority stress contagion. The inclusion of couple-level stress constructs represents a useful extension of minority stress theory, enriching our capacity to deepen understandings of minority stress experience and its application in the study of well-being and health inequalities faced by vulnerable populations.
{"title":"Couple-Level Minority Stress and Mental Health among People in Same-Sex Relationships: Extending Minority Stress Theory","authors":"A. LeBlanc, D. Frost","doi":"10.1177/2156869319884724","DOIUrl":"https://doi.org/10.1177/2156869319884724","url":null,"abstract":"We simultaneously examined the effects of individual- and couple-level minority stressors on mental health among people in same-sex relationships. Individual-level minority stressors emerge from the stigmatization of sexual minority individuals; couple-level minority stressors emerge from the stigmatization of same-sex relationships. Dyadic data from 100 same-sex couples from across the United States were analyzed with actor–partner interdependence models. Couple-level stigma was uniquely associated with nonspecific psychological distress, depressive symptomatology, and problematic drinking, net the effects of individual-level stigma and relevant sociodemographic controls. Analyses also show that couple-level minority stress played unique roles in critical stress processes of minority stress proliferation: minority stress expansion and minority stress contagion. The inclusion of couple-level stress constructs represents a useful extension of minority stress theory, enriching our capacity to deepen understandings of minority stress experience and its application in the study of well-being and health inequalities faced by vulnerable populations.","PeriodicalId":46146,"journal":{"name":"Society and Mental Health","volume":"10 1","pages":"276 - 290"},"PeriodicalIF":5.1,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/2156869319884724","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42651687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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