“…and their negative sequelae (i.e., emotional distress), based on conceptualizations of stigma as a stressor (see Miller & Kaiser, 2001). The link between emotional distress and stigmatizing events, as well as support for the hypothesis that discriminating events cause distress, has been documented in empirical studies on gender and race/ethnicity based stigma (Landrine, Klonoff, Gibbs, Manning, Lund, 1995;Landrine & Klonoff, 1996;Swim, 2001). Several empirical studies among PLH have documented the association between HIV-stigma and depression (Lee, Kochman, Sikkema, 2002;Lichtenstein, Laska, & Claire, 2002;Crandall & Coleman, 2002;Laryea & Gien, 1993;Berger, Ferrans, & Lashley, 2001), as well as anxiety, alienation, social conflict, and poor social support (Berger et al, 2001).…”