A systematic review and research agenda of internalized sexual stigma in sexual minority individuals: Evidence from longitudinal and intervention studies

Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systema...

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Vydáno v:Clinical psychology review Ročník 108; s. 102376
Hlavní autoři: Nguyen, Josh, Anderson, Joel, Pepping, Christopher A.
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Elsevier Ltd 01.03.2024
Témata:
Humans
Internalized stigma
LGBT
Longitudinal Studies
Minority stress
Self Concept
Sexual and Gender Minorities - psychology
Sexual minorities
Social Stigma
Systematic review
Internalized stigma
Systematic review
Sexual minorities
Minority stress
LGBT
ISSN:0272-7358, 1873-7811, 1873-7811
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Abstract Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices. •We evaluated studies testing determinants of sexual minority internalized stigma.•Distal and proximal stressors predict subsequent internalized sexual stigma.•Demographics, personality, and social factors are likely moderators.•There is limited evidence for current interventions to reduce internalized sexual stigma.•An ecological diathesis-stress model of internalized sexual stigma is proposed.
AbstractList Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices.Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices.
Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices.
Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of the literature pertaining to risk and protective factors that influence the development of internalized sexual stigma over time. This systematic review presents findings from 31 studies addressing this question (n = 9192); 23 studies examined psychosocial and sociodemographic predictors of internalized sexual stigma among sexual minority individuals, and eight studies tested the effects of psychological interventions on internalized sexual stigma. Longitudinal studies highlight the stability of internalized sexual stigma over time, and the role of stigma and discrimination, proximal minority stressors (e.g., outness, concealment), and psychological factors (e.g., depressive and anxious symptoms, coping styles, and demoralization) in predicting subsequent internalized sexual stigma. Demographic factors appear to play only a limited role in predicting subsequent internalized sexual stigma. Finally, most intervention studies found no significant effects in reducing internalized sexual stigma, with three exceptions finding significant intervention effects among young sexual minority individuals. We conclude by outlining a theory-driven model of internalized stigma and a research agenda to test more nuanced models of internalized stigma that include multifactorial risk indices. •We evaluated studies testing determinants of sexual minority internalized stigma.•Distal and proximal stressors predict subsequent internalized sexual stigma.•Demographics, personality, and social factors are likely moderators.•There is limited evidence for current interventions to reduce internalized sexual stigma.•An ecological diathesis-stress model of internalized sexual stigma is proposed.
ArticleNumber 102376
Author Nguyen, Josh
Anderson, Joel
Pepping, Christopher A.
Author_xml – sequence: 1
  givenname: Josh
  surname: Nguyen
  fullname: Nguyen, Josh
  organization: Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia
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  givenname: Joel
  surname: Anderson
  fullname: Anderson, Joel
  organization: Australian Research Centre in Sex, Health, and Society, La Trobe University, Melbourne, Australia
– sequence: 3
  givenname: Christopher A.
  surname: Pepping
  fullname: Pepping, Christopher A.
  email: c.pepping@griffith.edu.au
  organization: School of Applied Psychology, Griffith University, Brisbane, Australia
BackLink https://www.ncbi.nlm.nih.gov/pubmed/38218122$$D View this record in MEDLINE/PubMed
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Keywords Internalized stigma
Systematic review
Sexual minorities
Minority stress
LGBT
Language English
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Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.
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Snippet Internalized sexual stigma is a well-established risk factor for poor mental health among sexual minority individuals. However, there has been no synthesis of...
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SubjectTerms Humans
Internalized stigma
LGBT
Longitudinal Studies
Minority stress
Self Concept
Sexual and Gender Minorities - psychology
Sexual minorities
Social Stigma
Systematic review
Title A systematic review and research agenda of internalized sexual stigma in sexual minority individuals: Evidence from longitudinal and intervention studies
URI https://dx.doi.org/10.1016/j.cpr.2023.102376
https://www.ncbi.nlm.nih.gov/pubmed/38218122
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