Filial piety, internalized homonegativity, and depressive symptoms among Taiwanese gay and bisexual men: A mediation analysis.

Huang, Yu‐Te; Chan, Randolph C. H.; Cui, Lixian

doi:10.1037/ort0000439

Cited by 36 publications

(30 citation statements)

References 66 publications

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“…The findings are significant and bear important implications for mental health support and service provision. Organizations that work with LGB people need to understand more about issues of family, space, and privacy concerns in order to better support LGB people during the COVID-19 ( Huang et al., 2020 ). It can be a very challenging issue to deal with as staying at home may be the only option for many LGB people and there may not be a way out.…”

Section: Discussionmentioning

confidence: 99%

Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay, and bisexual people in Hong Kong

Suen

Chan

Wong

2020

Psychiatry Research

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Highlights LGB people experienced general and sexual minority-specific stressors during COVID-19. Depressive and anxiety symptoms during COVID-19 were higher than those in normal times. Health problems and reduced social contact were related to poorer mental health. Sexual minority-specific stressors explained mental health beyond general stressors. Timely, accessible mental health care is needed to address COVID-19-related stressors.

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Section: Discussionmentioning

confidence: 99%

Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay, and bisexual people in Hong Kong

Suen

Chan

Wong

2020

Psychiatry Research

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“…Generally speaking, the Taiwanese and Italian cultures are significantly differentiated according to their respective collective versus individualistic attitudes. Although both cultures tend to stigmatize LGB+ people (Hu et al, 2019;Huang, Chan, & Cui, 2020a;Huang, Luo, et al, 2020b;Picariello et al, 2019;Scandurra et al, 2020), their attitudinal differences may influence how the MS experienced by LGB+ people affects their health. Indeed, individualistic and collective cultures predict different individual efforts to achieve societal approval: Individualistic cultures emphasize individual achievement and uniqueness while collective cultures emphasize social connectedness and harmony (Sattler & Lemke, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…However, in the past two decades, social tolerance has become widespread in Taiwan with an improvement in education and liberal values related to homosexuality and gender roles. Studies of the LGB+ population in Taiwan are scarce; however, similar to studies in the Italian context, recent Taiwanese studies have not depicted a favorable situation for LGB+ individuals (Hu, Chang, Lin, & Yen, 2019;Huang, Chan, & Cui, 2020a;Huang, Luo, Ko, & Yen, 2020b), even though Taiwan was the first Asian country to introduce samesex marriage through voter-initiated referendums, and allowed for same-sex second-parent adoption (2019).…”

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confidence: 99%

Minority stress, resilience, and health in Italian and Taiwanese LGB+ people: A cross-cultural comparison

et al. 2021

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The present study, using a moderated mediational model, explored levels of distal/proximal stressors, rumination, resilience, and health in a group of Italian and Taiwanese LGB+ people. The study also examined the role of internalized sexual stigma (ISS) and rumination as mediators between discrimination and health, and resilience as a moderator of the relationship between discrimination and ISS, rumination, and health, respectively. An online survey was administered to 508 LGB+ participants (270 Italian and 238 Taiwanese) whose age ranged from 18 to 70 years (M = 37.93, SD = 13.53). The moderated mediation model was tested through a series of path analyses stratified by group nationality. Italian participants reported higher discrimination and resilience, but lower ISS, rumination, and health problems compared to their Taiwanese counterparts. The only common path between groups was the direct effect of discrimination on health problems. The mediating role of ISS and rumination in the relationship between discrimination and health, as well as the moderating role of resilience, were partly significant only for the Italian group. Conclusions: The findings suggest that mediators and moderators used to evaluate the effects of minority stress on health may differ between groups; further culturally sensitive research in the field of LGB+ health is needed.

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“…Sexual identity stress may adversely affect the well-being of LGB individuals, but limited research has examined the potential protective factors, such as psychological flexibility, in this context. Indeed, such research may be particularly imperative and urgently needed in the Chinese communities, given that sexual identity stress may be more prevalent and pervasive in the Chinese collectivistic culture (Chong et al, 2015): As Chinese culture emphasizes family lineage, many Chinese LGB individuals may be blamed for not fulfilling the social expectation of procreation and continuing the family bloodline (Huang et al, 2020). Also, as Chinese culture places great importance on social acceptance, many Chinese LGB individuals may have a high sensitivity to societal stigma against themselves (Chan & Fung, in press).…”

Section: Background and Objectives Of The Present Studymentioning

confidence: 99%

The impact of psychological flexibility on sexual identity stress and well-being among lesbian, gay, and bisexual individuals.

Chan¹,

Yip²

2021

American Journal of Orthopsychiatry

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Sexual identity stress may damage the well-being of lesbian, gay, and bisexual (LGB) individuals, but limited research has examined the potential protective factors in this context. The present study addressed this research gap by testing a psychological flexibility model of sexual identity development and positive mental health among LGB individuals. We hypothesized that psychological flexibility would be associated with greater engaged living (i.e., valued living and life fulfillment), which would, in turn, be linked to lower sexual identity stress (i.e., identity uncertainty, acceptance concern, internalized homonegativity, sexuality concealment, and difficult process of identity development) and then better well-being (i.e., emotional, psychological, and social well-being). A total of 401 LGB individuals completed questionnaire measures of psychological flexibility, engaged living, sexual identity stress, and well-being. Structural equation modeling showed that psychological flexibility was related to greater engaged living, which was, in turn, related to lower sexual identity stress and then better wellbeing. Bootstrap analyses further revealed that psychological flexibility had significant indirect effects on sexual identity stress via engaged living and on well-being via engaged living and sexual identity stress. In addition, multigroup analyses demonstrated that the mediation model held across women and men and across lesbian/gay and bisexual individuals. Theoretically, this study elucidated how psychological flexibility could enable LGB individuals to reduce sexual identity stress and improve well-being through living a valuable and fulfilling life. Practically, this study pointed to the utility of psychological flexibility training in facilitating LGB individuals to develop a positive sexual identity and enhance positive mental health. Public Policy Relevance StatementThis study revealed the adverse effects of sexual identity stressors on emotional, psychological, and social well-being among lesbian, gay, and bisexual (LGB) individuals and demonstrated how the stressors and associated adverse outcomes could be mitigated through the means of psychological flexibility. Given the salutary effects of psychological flexibility against sexual identity stressors, the provision of psychological flexibility training, such as acceptance and commitment therapy, may represent one important way to help LGB individuals develop a positive sexual identity and enhance positive mental health. aaa D espite global efforts to improve societal acceptance of homosexuality and bisexuality, the public stigma against lesbian, gay, and bisexual (LGB) individuals continues to prevail (Chan et al., 2020;Meyer, 2003). Research shows that societal negative attitudes toward LGB individuals are prevalent and pervasive in different cultures (Chan & Fung, in press; This document is copyrighted by the American Psychological Association or one of its allied publishers.This article is intended solely for the personal use of the individua...

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Filial piety, internalized homonegativity, and depressive symptoms among Taiwanese gay and bisexual men: A mediation analysis.

Cited by 36 publications

References 66 publications

Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay, and bisexual people in Hong Kong

Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay, and bisexual people in Hong Kong

Minority stress, resilience, and health in Italian and Taiwanese LGB+ people: A cross-cultural comparison

The impact of psychological flexibility on sexual identity stress and well-being among lesbian, gay, and bisexual individuals.

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