The Experts below are selected from a list of 2403 Experts worldwide ranked by ideXlab platform
Jillian C Shipherd - One of the best experts on this subject based on the ideXlab platform.
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trauma recovery in the transgender and gender diverse community extensions of the Minority Stress Model for treatment planning
Cognitive and Behavioral Practice, 2019Co-Authors: Jillian C Shipherd, Danielle S Berke, Nicholas A LivingstonAbstract:Abstract Transgender and gender diverse (TGD) populations, including those that do not identify with gender binary constructs (man or woman) are increasingly presenting for treatment of posttrauma sequelae. Providers who offer services for trauma survivors including posttraumatic Stress disorder (PTSD) treatment should be knowledgeable about evidence-based care and have some cultural familiarity with TGD experiences. Indeed, the Minority Stress Model suggests that the combination of distal and proximal Minority Stressors can combine to produce increased mental health symptoms as compared with cisgender peers, though this Model has yet to be fully tested. Clients often present with a complicated picture of experiences, which include a variety of Minority Stressors, microaggressions, discrimination, and traumatic events that can all be related to their identity. However, conceptualizations of trauma treatment in the context of extensive Minority Stress are lacking. This paper summarizes the existing literature and offers guidance to mental health providers who are well positioned to address stigma, discrimination, violence, and related symptoms that arise from micro-, mezzo- and macro-level spheres of TGD individuals’ experience.
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a systematic review of social Stress and mental health among transgender and gender non conforming people in the united states
Clinical Psychology Review, 2018Co-Authors: Jillian C Shipherd, Sarah E ValentineAbstract:Abstract Transgender and gender non-conforming (TGNC) populations, including those who do not identify with gender binary constructs (man or woman) are increasingly recognized in health care settings. Research on the health of TGNC people is growing, and disparities are often noted. In this review, we examine 77 studies published between January 1, 1997 and March 22, 2017 which reported mental health outcomes in TGNC populations to (a) characterize what is known about mental health outcomes and (b) describe what gaps persist in this literature. In general, depressive symptoms, suicidality, interpersonal trauma exposure, substance use disorders, anxiety, and general diStress have been consistently elevated among TGNC adults. We also used the Minority Stress Model as a framework for summarizing existing literature. While no studies included all elements of the Minority Stress Model, this summary gives an overview of which studies have looked at each element. Findings suggest that TGNC people are exposed to a variety of social Stressors, including stigma, discrimination, and bias events that contribute to mental health problems. Social support, community connectedness, and effective coping strategies appear beneficial. We argue that routine collection of gender identity data could advance our understanding mental health risk and resilience factors among TGNC populations.
Kelly Yuhsin Liao - One of the best experts on this subject based on the ideXlab platform.
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moderating effects of three coping strategies and self esteem on perceived discrimination and depressive symptoms a Minority Stress Model for asian international students
Journal of Counseling Psychology, 2008Co-Authors: Meifen Wei, Daniel W Russell, Brent Mallinckrodt, Kelly Yuhsin LiaoAbstract:This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N = 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general Stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
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moderating effects of three coping strategies and self esteem on perceived discrimination and depressive symptoms a Minority Stress Model for asian international students
Journal of Counseling Psychology, 2008Co-Authors: Tsunyao Ku, Daniel W Russell, Brent Mallinckrodt, Kelly Yuhsin LiaoAbstract:This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general Stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem.
Stephen T Russell - One of the best experts on this subject based on the ideXlab platform.
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Minority Stress and mechanisms of risk for depression and suicidal ideation among lesbian gay and bisexual youth
Developmental Psychology, 2015Co-Authors: Laura Baams, Arnold H Grossman, Stephen T RussellAbstract:The experience of Minority Stress is often named as a cause for mental health disparities among lesbian, gay, and bisexual (LGB) youth, including higher levels of depression and suicidal ideation. The processes or mechanisms through which these disparities occur are understudied. The interpersonal-psychological theory of suicide posits two key mechanisms for suicidal ideation: perceived burdensomeness and thwarted belongingness (Joiner, 2009). The aim of the current study is to assess the mental health and adjustment among LGB youth emphasizing the Minority Stress Model (Meyer, 2003) and the interpersonal-psychological theory of suicide (Joiner et al., 2009). With a survey of 876 LGB self-identified youth, levels of coming-out Stress, sexual orientation victimization, perceived burdensomeness, thwarted belongingness, depression, and suicidal ideation were examined. The results of a multigroup mediation Model show that for all gender and sexual identity groups, the association of sexual orientation victimization with depression and suicidal ideation was mediated by perceived burdensomeness. For gay, lesbian, and bisexual girls coming-out Stress was also found to be related to depression and suicidal ideation, mediated by perceived burdensomeness. The results suggest that feeling like a burden to “people in their lives” is a critical mechanism in explaining higher levels of depression and suicidal ideation among LGB youth. These results have implications for community and social support groups, many of which base their interventions on decreasing social isolation rather than addressing youths' beliefs of burdensomeness. Implications for future research, clinical and community settings are discussed.
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Minority Stress and mechanisms of risk for depression and suicidal ideation among lesbian gay and bisexual youth
Developmental Psychology, 2015Co-Authors: Laura Baams, Arnold H Grossman, Stephen T RussellAbstract:The experience of Minority Stress is often named as a cause for mental health disparities among lesbian, gay, and bisexual (LGB) youth, including higher levels of depression and suicidal ideation. The processes or mechanisms through which these disparities occur are understudied. The interpersonal-psychological theory of suicide posits 2 key mechanisms for suicidal ideation: perceived burdensomeness and thwarted belongingness (Joiner et al., 2009). The aim of the current study is to assess the mental health and adjustment among LGB youth emphasizing the Minority Stress Model (Meyer, 2003) and the interpersonal-psychological theory of suicide (Joiner et al., 2009). With a survey of 876 LGB self-identified youth, levels of coming-out Stress, sexual orientation victimization, perceived burdensomeness, thwarted belongingness, depression, and suicidal ideation were examined. The results of a multigroup mediation Model show that for all gender and sexual identity groups, the association of sexual orientation victimization with depression and suicidal ideation was mediated by perceived burdensomeness. For gay, lesbian, and bisexual girls coming-out Stress was also found to be related to depression and suicidal ideation, mediated by perceived burdensomeness. The results suggest that feeling like a burden to "people in their lives" is a critical mechanism in explaining higher levels of depression and suicidal ideation among LGB youth. These results have implications for community and social support groups, many of which base their interventions on decreasing social isolation rather than addressing youths' beliefs of burdensomeness. Implications for future research, clinical and community settings are discussed.
Ethan H Mereish - One of the best experts on this subject based on the ideXlab platform.
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Bisexual-Specific Minority Stressors, Psychological DiStress, and Suicidality in Bisexual Individuals: the Mediating Role of Loneliness
Prevention Science, 2017Co-Authors: Ethan H Mereish, Sabra L. Katz-wise, Julie M WoulfeAbstract:Bisexual individuals are at higher risk for poor mental health outcomes compared to heterosexual as well as lesbian and gay individuals and experience Minority Stressors, such as discrimination, from both heterosexual and sexual Minority communities. However, there is little research examining the negative effects of bisexual-specific Minority Stressors on bisexual individuals’ mental health as well as psychological factors that might help explain Minority Stressors’ deleterious effects. This research examined the effects of distal Minority Stressors (i.e., anti-bisexual experiences from both heterosexual as well as lesbian and gay people) and proximal Stressors (i.e., internalized heterosexism and sexual orientation concealment) on psychological diStress and suicidality among bisexual adults (N = 503). Building on the relational framing of the Minority Stress Model, we also tested one relational factor (i.e., loneliness) as a mediator of the associations between distal and proximal Minority Stressors and poor mental health (i.e., psychological diStress and suicidality). Structural equation Modeling analyses were used to test the mediating effects of loneliness on the associations between Minority Stressors and psychological diStress and suicidality. Although distal and proximal Minority Stressors were not associated with each other, loneliness mediated the effects of distal and proximal Minority Stressors on psychological diStress and suicidality. The results of this study underscore the importance of targeting bisexual-specific Minority Stressors as well as loneliness in preventive interventions to improve the mental health of bisexual individuals.
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a relational Model of sexual Minority mental and physical health the negative effects of shame on relationships loneliness and health
Journal of Counseling Psychology, 2015Co-Authors: Ethan H Mereish, Paul V PoteatAbstract:Sexual minorities (e.g., lesbians, gay men, bisexual individuals) are at an increased risk for poorer mental and physical health outcomes than heterosexuals, and some of these health disparities relate to Minority Stressors such as discrimination. Yet, there is little research elucidating pathways that predict health or that promote resiliency among sexual minorities. Building on the Minority Stress Model, the present study utilized relational cultural theory to situate sexual Minority health within a relational framework. Specifically, the study tested mediators of the relationships between distal (i.e., discrimination, rejection, victimization) and proximal Stressors (i.e., internalized homophobia, sexual orientation concealment) and psychological and physical diStress for sexual minorities. Among 719 sexual Minority adults, structural equation Modeling analyses were used to test 4 Models reflecting the mediating effects of shame, poorer relationships with a close peer and the lesbian/gay/bisexual/transgender (LGBT) community, and loneliness on the associations between Minority Stressors and psychological diStress (i.e., depression and anxiety) and physical diStress (i.e., diStressing physical symptoms). As hypothesized, the associations between distal and proximal Minority Stressors and diStress were mediated by shame, poorer relationships with a close peer and the LGBT community, and loneliness. Findings underscore the possible relational and interpersonal mechanisms by which sexual Minority Stressors lead to psychological and physical diStress.
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the effects of general and homophobic victimization on adolescents psychosocial and educational concerns the importance of intersecting identities and parent support
Journal of Counseling Psychology, 2011Co-Authors: Paul V Poteat, Ethan H Mereish, Craig D Digiovanni, Brian W KoenigAbstract:Many adolescents experience peer victimization, which often can be homophobic. Applying the Minority Stress Model with attention to intersecting social identities, this study tested the effects of general and homophobic victimization on several educational outcomes through suicidality and school belonging among 15,923 adolescents in Grades 7 through 12 on account of their sexual orientation and race/ethnicity. Parent support also was tested as a moderator of these effects. Homophobic victimization had different effects on suicidality across groups, indicating the importance of considering individuals' multiple social identities. However, homophobic victimization had universal negative effects on school belonging for all groups. Nearly all indirect effects of general and homophobic victimization on reported grades, truancy, and importance of graduating were significant through suicidality and school belonging across groups. Parent support was most consistent in moderating the effects of general and homophobic victimization on suicidality for heterosexual White and racial/ethnic Minority youth. In nearly all cases, it did not moderate the effects of general or homophobic victimization for lesbian, gay, bisexual, transgender, and questioning youth. Furthermore, in most cases, parent support did not moderate the effects of general or homophobic victimization on school belonging. Findings underscore the need for counseling psychologists to work with parents of all youth on ways to provide support to those who experience homophobic victimization. Furthermore, they highlight the need for counseling psychologists to be involved as social justice advocates in the passage and implementation of school policies that address homophobic bullying and other forms of bias-based bullying and harassment.
Daniel W Russell - One of the best experts on this subject based on the ideXlab platform.
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moderating effects of three coping strategies and self esteem on perceived discrimination and depressive symptoms a Minority Stress Model for asian international students
Journal of Counseling Psychology, 2008Co-Authors: Meifen Wei, Daniel W Russell, Brent Mallinckrodt, Kelly Yuhsin LiaoAbstract:This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N = 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general Stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
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moderating effects of three coping strategies and self esteem on perceived discrimination and depressive symptoms a Minority Stress Model for asian international students
Journal of Counseling Psychology, 2008Co-Authors: Tsunyao Ku, Daniel W Russell, Brent Mallinckrodt, Kelly Yuhsin LiaoAbstract:This study examined 3 coping strategies (reflective, suppressive, and reactive), along with self-esteem, as moderators of the relation between perceived discrimination and depressive symptoms. International students (N 354) from China, India, Korea, Taiwan, and Hong Kong provided data via an online survey. The role of perceived general Stress was statistically controlled. Hierarchical regression analyses indicated a significant direct effect of perceived discrimination, a significant 2-way interaction of perceived discrimination and suppressive coping, and a significant 3-way interaction of perceived discrimination, reactive coping, and self-esteem in predicting depressive symptoms. An increased tendency to use suppressive coping appeared to strengthen the association between perceived discrimination and depressive symptoms. In contrast, the association between perceived discrimination and depressive symptoms was not significant when reactive coping was infrequently used, but only for students with relatively high self-esteem.