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Gepubliceerd in:

01-02-2012 | Original Article

Minority Stress and Attributions for Discriminatory Events Predict Social Anxiety in Gay Men

Auteurs: Michelle Nicole Burns, Charles Kamen, Kenneth A. Lehman, Steven R. H. Beach

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2012

Abstract

This study revealed that attributional style can identify gay men at risk for adverse mental health correlates of discrimination, as well as those resilient in the face of frequent discriminatory events. Men identifying as gay (N = 307) completed online self-reports of social anxiety, perceived frequency of discriminatory events, attributions for discriminatory events, and key minority stress constructs: internalized homonegativity and gay identity development. A new measure was constructed to assess different types of attributions regarding discrimination, with factor analyses yielding promising psychometric properties. Global attributions and the importance ascribed to discrimination were associated with increased social anxiety, above and beyond other minority stress constructs related to mental health in gay men. Attribution style also served as a moderator, as perceived discrimination was only associated with increased social anxiety in gay men who attributed high globality/importance to discriminatory events. Attributions may serve as risk or protective factors in the context of discrimination.

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Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.PubMedCrossRef

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications.

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: American Psychiatric Association.

Bentler, P. M. (1989). EQS structural equations program manual. Los Angeles: BMDP Statistical Software.

Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.CrossRef

Bradbury, T., & Fincham, F. (1992). Attributions and behavior in marital interaction. Journal of Personality and Social Psychology, 63, 613–628.PubMedCrossRef

Brady, S., & Busse, W. (1994). The Gay Identity Questionnaire: A brief measure of homosexual identity formation. Journal of Homosexuality, 26, 1–22.PubMedCrossRef

Branscombe, N. R., Wohl, M. J. A., Owen, S., Allison, J. A., & N’Gbala, A. (2003). Counterfactual thinking, blame assignment, and well–being in rape victims. Basic and Applied Social Psychology, 25, 265–273.CrossRef

Brooks, V. R. (1981). Minority stress and Lesbian women. Lexington, MA: Lexington Books, D. C. Health and Co.

Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.

Bruch, M. A., & Belkin, D. K. (2001). Attributional style in shyness and depression: Shared and specific maladaptive patterns. Cognitive Therapy and Research, 25, 247–259.CrossRef

Bruch, M., Fallon, M., & Heimberg, R. (2003). Social phobia and difficulties in occupational adjustment. Journal of Counseling Psychology, 50, 109–117.CrossRef

Bruch, M. A., & Pearl, L. (1995). Attributional style and symptoms of shyness in a heterosocial interaction. Cognitive Therapy and Research, 19, 91–107.CrossRef

Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219–235.PubMedCrossRef

Clark, D., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100.PubMedCrossRef

Cochran, S. D., & Mays, V. E. (2006). Estimating prevalence of mental and substance-using disorders among lesbians and gay men from existing national health data. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people. Washington, DC: American Psychological Association.

Crocker, J., Voelkl, K., Testa, M., & Major, B. (1991). Social stigma: The affective consequences of attributional ambiguity. Journal of Personality and Social Psychology, 60, 218–228.CrossRef

Currie, M., Cunningham, E., & Findlay, B. (2004). The short internalized homonegativity scale: Examination of the factorial structure of a new measure of internalized homophobia. Educational and Psychological Measurement, 64, 1053–1067.CrossRef

Division 44/Committee on Lesbian, Gay, and Bisexual Concerns Joint Task Force. (2000). Guidelines for psychotherapy with lesbian, gay, and bisexual clients. American Psychologist, 55, 1440–1451.CrossRef

Eccleston, C. P., & Major, B. N. (2006). Attributions to discrimination and self-esteem: The role of group identification and appraisals. Group Processes & Intergroup Relations, 9, 147–162.CrossRef

Foa, E. B., Franklin, M. E., Perry, K. J., & Herbert, J. D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 105, 433–439.PubMedCrossRef

Foster, M. D. (2001). The motivational quality of global attributions in hypothetical and experienced situations of gender discrimination. Psychology of Women Quarterly, 25, 242–253.CrossRef

Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., et al. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025–1035.PubMedCrossRef

Gibb, B., Beevers, C., Andover, M., & Holleran, K. (2006). The hopelessness theory of depression: A prospective multi-wave test of the vulnerability-stress hypothesis. Cognitive Therapy and Research, 30, 763–772.CrossRef

Guidry, L. (1999). Clinical intervention with bisexuals: A contextualized understanding. Professional Psychology: Research and Practice, 30(1), 22–26.CrossRef

Halpin, S., & Allen, M. (2004). Changes in psychosocial well-being during stages of gay identity development. Journal of Homosexuality, 47, 109–126.PubMedCrossRef

Hart, T., & Heimberg, R. (2005). Social anxiety as a risk factor for unprotected intercourse among gay and bisexual male youth. AIDS and Behavior, 9, 505–512.PubMedCrossRef

Hatzenbuehler, M. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730.PubMedCrossRef

Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., et al. (1998). Cognitive behavioral group therapy vs. Phenelzine therapy for social phobia. Archives of General Psychiatry, 55, 1133–1141.PubMedCrossRef

Jose, P. E. (2008). ModGraph-I: A programme to compute cell means for the graphical display of moderational analyses: The internet version, Version 2.0. Victoria University of Wellington, Wellington, New Zealand. Retrieved April 2, 2010 from http://www.victoria.ac.nz/psyc/staff/paul-jose-files/modgraph/modgraph.php.

Katzelnick, D., Kobak, K., DeLeire, T., Henk, H., Greist, J., Davidson, J., et al. (2001). Impact of generalized social anxiety disorder in managed care. American Journal of Psychiatry, 158, 1999–2007.PubMedCrossRef

Kessler, R. (2003). The impairments caused by social phobia in the general population: Implications for intervention. Acta Psychiatrica Scandinavica, 108, 19–27.CrossRef

Kessler, R., Berglund, P., Demler, O., Jin, R., & Walters, E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 593–602.PubMedCrossRef

Kessler, R., Mickelson, K., & Williams, D. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40, 208–230.PubMedCrossRef

Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Oxford, England: Saunders.

Lam, A. G., & Sue, S. (2001). Client diversity. Psychotherapy: Theory, Research, and Practice, 38, 479–486.CrossRef

Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141–173.PubMed

Liebowitz, M. R. (2003). Guidelines for using the Liebowitz Social Anxiety Scale (LSAS). Unpublished manual.

Mays, V., & Cochran, S. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.PubMedCrossRef

Metalsky, G. I., Abramson, L. Y., Seligman, M. E. P., Semmel, A., & Peterson, C. (1982). Attributional styles and life events in the classroom: Vulnerability and invulnerability to depressive mood reactions. Journal of Personality and Social Psychology, 43, 612–617.PubMedCrossRef

Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.PubMedCrossRef

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.PubMedCrossRef

Pachankis, J. E., & Goldfried, M. R. (2006). Social anxiety in young gay men. Anxiety Disorders, 20, 996–1015.CrossRef

Pachankis, J., Goldfried, M., & Ramrattan, M. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76, 306–317.PubMedCrossRef

Patel, A., Knapp, M., Henderson, J., & Baldwin, D. (2002). The economic consequences of social phobia. Journal of Affective Disorders, 68, 221–233.PubMedCrossRef

Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6, 287–300.CrossRef

Ross, M. W. (1985). Actual and anticipated societal reaction to homosexuality and adjustment in two societies. Journal of Sex Research, 21, 40–55.CrossRef

Ross, M. W., & Rosser, S. B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.PubMedCrossRef

Rust, P. (2002). Bisexuality: The state of the union. Annual Review of Sex Research, 13, 180–240.PubMed

Rytwinski, N., Fresco, D., Heimberg, R., Coles, M., Liebowitz, M., Cissell, S., et al. (2009). Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Depression and Anxiety, 26, 34–38.PubMedCrossRef

Safren, S. A., & Heimberg, R. G. (1999). Depression, hopelessness, suicidality and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67, 859–886.PubMedCrossRef

Safren, S. A., & Pantalone, D. W. (2006). Social anxiety and barriers to resilience among lesbian, gay, and bisexual adolescents. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people. Washington, DC: American Psychological Association.

Sandfort, T. G., de Graaf, R., Bijl, R. V., & Schnabel, P. (2001). Same-sex sexual behavior and psychiatric disorders: Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Archives of General Psychiatry, 58, 85–91.PubMedCrossRef

Sechrist, G., & Swim, J. (2008). Psychological consequences of failing to attribute negative outcomes to discrimination. Sex Roles, 59, 21–38.CrossRef

Shaver, K., & Drown, D. (1986). On causality, responsibility, and self-blame: A theoretical note. Journal of Personality and Social Psychology, 50, 697–702.PubMedCrossRef

Steiger, J. H., & Lind, J. C. (1980). Statistically based tests for the number of factors. Paper presented at the annual spring meeting of the Psychometric Society, Iowa City, IA.

Szymanski, D. M. (2006). Does internalized heterosexism moderate the link between heterosexist events and lesbians’ psychological distress? Sex Roles, 54, 227–234.CrossRef

Szymanski, D. M. (2009). Examining potential moderators of the link between heterosexist events and gay and bisexual men’s psychological distress. Journal of Counseling Psychology, 56, 142–151.CrossRef

Taylor, S., & Wald, J. (2003). Expectations and attributions in social anxiety disorder: Diagnostic distinctions and relationship to general anxiety and depression. Cognitive Behavior Therapy, 32, 166–178.CrossRef

Torres, L. (2009). Attributions to discrimination and depression among Latino/as: The mediating role of competence. American Journal of Orthopsychiatry, 79, 118–124.PubMedCrossRef

Vassilopoulos, S. (2005). Anticipatory processing plays a role in maintaining social anxiety. Anxiety, Stress & Coping: An International Journal, 18, 321–332.CrossRef

Vassilopoulos, S. (2006). Interpretation and judgmental biases in socially anxious and nonanxious individuals. Behavioural and Cognitive Psychotherapy, 34, 243–254.CrossRef

Weiner, B. (1986). An attribution theory of motivation and emotion. New York: Springer.CrossRef

Wilson, J. K., & Rapee, R. M. (2005). The interpretation of negative social events in social phobia: Changes during treatment and relationship to outcome. Behaviour Research and Therapy, 43, 373–389.PubMedCrossRef

Wittchen, H., & Fehm, L. (2003). Epidemiology and natural course of social fears and social phobia. Acta Psychiatrica Scandinavica, 108, 4–18.CrossRef

Titel: Minority Stress and Attributions for Discriminatory Events Predict Social Anxiety in Gay Men
Auteurs: Michelle Nicole Burns
Charles Kamen
Kenneth A. Lehman
Steven R. H. Beach
Publicatiedatum: 01-02-2012
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 1/2012
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-010-9302-6

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