The impact of mindfulness on self-stigma and affective symptoms among sexual minorities

Chan, Kevin Ka Shing; Leung, Donald Chi Kin

doi:10.1016/j.jad.2021.02.057

Cited by 26 publications

(23 citation statements)

References 56 publications

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“…Mindfulness has been consistently associated with healthier eating behaviors including intuitive eating, less eating pathology, and improved body image (Sairanen et al, 2015 ; Sala, Shankar Ram, Vanzhula, & Levinson, 2020 ; Warren et al, 2017 ). Mindfulness may also protect against the adverse effects of internalized stigma on psychological wellbeing (Chan & Leung, 2021 ; Yang & Mak, 2016 ). Further, intuitive eating training emphasizes the importance of both mindfulness and self-compassion (Tribole & Resch, 2012 ).…”

mentioning

confidence: 99%

Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

Braun

Riley

Kunicki

et al. 2021

Health Psychology and Behavioral Medicine

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mentioning

confidence: 99%

Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

Braun

Riley

Kunicki

et al. 2021

Health Psychology and Behavioral Medicine

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“…They may also suffer diminished levels of self-esteem and self-worth (Yang & Mak, 2017). Furthermore, they may feel ashamed of their sexual orientation and begin to denigrate themselves and withdraw from others in order to conceal their stigmatized status (Chan & Leung, 2021).…”

Section: Background and Objectives Of The Present Studymentioning

confidence: 99%

“…Bootstrap Analyses of Indirect Effects in the Structural Model FLEXIBILITY AMONG LGB INDIVIDUALS help LGB individuals build critical consciousness and develop cognitive restructuring skills to recognize the of stigma and reduce its endorsement and internalization, thereby mitigating self-stigmatizing beliefs, attitudes, and behaviors(Chan & Leung, 2021;Proujansky & Pachankis, 2014;Yip & Chan, 2021).…”

mentioning

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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“…Mindfulness means paying attention in a particular way: on purpose, in the present moment, and nonjudgmentally [26]. Mindfulness could reduce the level of stigma by effectively increasing positive reappraisal and reducing negative rumination [27], and their negative relationship has been demonstrated in multiple studies [27][28][29][30]. In addition, studies have indicated that mindfulness can increase interpersonal skills, improve social cognition, and promote participation in social activities [31].…”

Section: Introductionmentioning

confidence: 99%

The mediator role of stigma in the association of mindfulness and social engagement among breast cancer survivors in China

Jiang

Zhang

Zhao

et al. 2022

Support Care Cancer

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Purpose This study aims to explore the association between mindfulness and social engagement among Chinese breast cancer survivors (BCSs) and the mediator role of stigma in the relation of mindfulness and social engagement. Methods This cross-sectional study was conducted among 937 BCSs from March to April 2021 in Shanghai, China. Data were collected using the Mindful Attention Awareness Scale, the Stigma Scale for Chronic Illness 8-item version, and the index of social engagement. Descriptive statistics, independent-sample t -test, one-way ANOVA, and regression analyses were used to explore the role of stigma in the association of mindfulness and social engagement among Chinese BCSs. Results Social engagement levels differed significantly by participant’s BMI, education level, employment status, personal monthly income, monthly per capita household income. Mindfulness was positively correlated with social engagement, and stigma was negatively correlated with mindfulness and social engagement among Chinese BCSs. Stigma plays a complete mediating role in the relationship between mindfulness and social engagement in BCSs. Conclusion In the practice of individual mindfulness intervention on social engagement of BCSs, health care providers should identify and eliminate the constraints, which restrain the reduction of stigma level while individual mindfulness is being enhanced.

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The impact of mindfulness on self-stigma and affective symptoms among sexual minorities

Cited by 26 publications

References 56 publications

Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

Internalized weight stigma and intuitive eating among stressed adults during a mindful yoga intervention: associations with changes in mindfulness and self-compassion

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

The mediator role of stigma in the association of mindfulness and social engagement among breast cancer survivors in China

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