Sexual Minority Status and Psychological Risk for Suicide Attempt: A Serial Multiple Mediation Model of Social Support and Emotion Regulation

Chang, Cindy J.; Fehling, Kara B.; Selby, Edward A.

doi:10.3389/fpsyt.2020.00385

Cited by 31 publications

(21 citation statements)

References 45 publications

(53 reference statements)

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“…Existing literature has not addressed regarding the unidimensionality (the prerequisite for parcelling) of SK and SJ, thus the original items of SK and SJ were retained in the SEM model. Despite little theoretical or empirical evidence supporting the possibility of a reverse mediation, we tested the reverse model (ACEs → PTSD/DSO → SK/ SJ) statistically (Chang, Fehling, & Selby, 2020) because of a cross-sectional study. Of note, given that ACEs were retrospective events before 18 years old and current PTSD/DSO and self-kindness/self-judgement status might not have an influence on, models with ACEs as a dependent variable were not tested.…”

Section: Discussionmentioning

confidence: 99%

The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model

Guo

Huang

Hall

et al. 2021

European Journal of Psychotraumatology

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Background: There is a growing research literature on complex posttraumatic stress disorder (CPTSD), yet studies that focused on Chinese populations are still limited. Accumulating evidence showed that adverse childhood experiences (ACEs) are associated with a higher likelihood of CPTSD symptoms, but potential mediating roles of self-kindness and selfjudgement on the ACEs-CPTSD relationship remain understudied. Objective: The purpose of this study was to first examine the relationship between ACEs and CPTSD among Chinese college students, and then to test the mediating role of self-kindness and self-judgement on the ACEs-CPTSD relationship. Method: The study included 1361 college students for an online survey in May 2020. Demographic variables (e.g. age, gender, having sibling[s] or not, residence, family structure, and subjective socioeconomic status), ACEs, self-compassion (self-kindness and self-judgement subscales), and CPTSD symptoms were assessed. After controlling for demographic variables, a series of structural equation models tested the mediation hypothesis: indirect effects of selfkindness and self-judgement on the relationship between ACEs and CPTSD symptom. Results: ACEs of College students were positively associated with more severe CPTSD symptoms (posttraumatic stress disorder and disturbances in self-organization symptoms). Furthermore, these direct pathways were mediated by decreased self-kindness and increased self-judgement. Conclusions: Findings have substantial theoretical and treatment implications, including the two critical targets (i.e. lowering self-judgement and raising self-kindness) when treating complex PTSD. La relación entre las adversidades en la infancia y los síntomas de estrés postraumático complejo: un modelo de mediación múltipleAntecedentes: existe una creciente literatura de investigación sobre el trastorno de estrés postraumático complejo (TEPT-C), sin embargo, los estudios centrados en la población China aún son limitados. La evidencia acumulada mostró que las experiencias adversas de la infancia (ACEs en sus siglas en inglés) están asociadas con una mayor probabilidad de síntomas de TEPT-C, pero los posibles roles mediadores de la bondad hacia uno mismo y auto-juicio propio en la relación ACE-TEPT-C siguen siendo poco estudiados. Objetivo: El propósito de este estudio fue examinar primero la relación entre ACE y TEPT-C entre estudiantes universitarios chinos, y luego probar el papel mediador de la bondad y el auto-juicio en la relación ACE-TEPT-C. Método: El estudio incluyó a 1361 estudiantes universitarios para una encuesta en línea en mayo del 2020. Variables demográficas (por ejemplo, edad, sexo, tener hermanos o no, residencia, estructura familiar y estatus socioeconómico subjetivo), ACE, autocompasión (subescalas de auto-bondad y auto-juicio), y se evaluaron los síntomas de TEPT-C. Después de controlar las variables demográficas, una serie de modelos de ecuaciones estructurales probaron la hipótesis de la mediación: los efectos indirectos de la bondad personal y el ...

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Section: Discussionmentioning

confidence: 99%

The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model

Guo

Huang

Hall

et al. 2021

European Journal of Psychotraumatology

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“…This finding provided a novel insight regarding COVID-19 stress management at HIV clinics, particularly on the importance of institutional support. Previous studies showed that healthcare providers in supportive working environments were inclined to exhibit greater resilience-related abilities, including emotional regulation [47], self-efficacy [48], and adaptive coping strategies [49]. In facing a public health emergency, sufficient institutional support might enable HIV healthcare providers to use their internal coping recourses (i.e., resilience) and facilitate providers' adaptive coping instead of being overwhelmed to deal with COVID-19 stressors, resulting in reduced levels of distress.…”

Section: Discussionmentioning

confidence: 99%

Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

et al. 2020

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Psychological distress among healthcare providers is concerning during COVID-19 pandemic due to extreme stress at healthcare facilities, including HIV clinics in China. The socioecological model suggests that psychological distress could be influenced by multi-level factors. However, limited COVID-19 research examined the mechanisms of psychological distress among HIV healthcare providers. This study examined organizational and intrapersonal factors contributing to psychological health during COVID-19 pandemic. Data were collected via online anonymous surveys from 1029 HIV healthcare providers in Guangxi, China during April–May 2020. Path analysis was utilized to test a mediation model among COVID-19 stressors, institutional support, resilience, and psychological distress (PHQ-4). Thirty-eight percent of the providers experienced psychological distress (PHQ-4 score > 3). Institutional support and resilience mediated the relationship between COVID-19 stressors and psychological distress. Psychological distress was common among Chinese HIV healthcare providers during COVID-19 pandemic. Psychological health intervention should attend to institutional support and resilience.

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“…While many studies have examined the extent to which rejecting and accepting interpersonal experiences are associated with depression among LGBTQ youth, relatively few studies have examined the mechanisms underlying these associations. Consistent with the psychological mediation framework, 18 studies have demonstrated that experiences of discrimination and victimization may "get under the skin" (i.e., affect mental health) by contributing to general psychological processes (e.g., emotion dysregulation, rumination) 19 21 and sexual minority-specific processes (e.g., internalized stigma, rejection sensitivity). 22 Meanwhile, social support may contribute to lower depression by increasing self-esteem 23 and decreasing hopelessness.…”

Section: Introductionmentioning

confidence: 96%

The Role of LGBTQ Identity Pride in the Associations among Discrimination, Social Support, and Depression in a Sample of LGBTQ Adolescents

et al. 2021

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The current study examined the role of LGBTQ identity pride in the associations among discrimination, social support, and depressive symptoms in a sample of LGBTQ youth. As part of a larger study, 13,440 LGBTQ youth completed a survey assessing depressive symptoms, past-year bullying, family rejection, general and LGBTQ-specific teacher support, general and LGBTQ-specific family support, and LGBTQ identity pride. Findings showed that greater bullying and family rejection were associated with lower LGBTQ identity pride and, in turn, greater depression. Conversely, greater general and LGBTQ-specific teacher support and greater general and LGBTQ-specific family support were associated with greater LGBTQ identity pride and, in turn, lower depression. All of the indirect effects were significant when the predictors were examined in separate models and most remained significant when the predictors were examined simultaneously. LGBTQ identity pride may be a mechanism linking discrimination and social support to depression among LGBTQ youth.

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Sexual Minority Status and Psychological Risk for Suicide Attempt: A Serial Multiple Mediation Model of Social Support and Emotion Regulation

Cited by 31 publications

References 45 publications

The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model

The relationship between childhood adversities and complex posttraumatic stress symptoms: a multiple mediation model

Psychological Distress Among HIV Healthcare Providers During the COVID-19 Pandemic in China: Mediating Roles of Institutional Support and Resilience

The Role of LGBTQ Identity Pride in the Associations among Discrimination, Social Support, and Depression in a Sample of LGBTQ Adolescents

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