Literature DB >> 26322654

Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian, Gay, and Bisexual Older Adults.

Charles P Hoy-Ellis1.   

Abstract

Recent population-based studies indicate that sexual minorities aged 50 and older experience significantly higher rates of psychological distress than their heterosexual age-peers. The minority stress model has been useful in explaining disparately high rates of psychological distress among younger sexual minorities. The purpose of this study is to test a hypothesized structural relationship between two minority stressors--internalized heterosexism and concealment of sexual orientation--and consequent psychological distress among a sample of 2,349 lesbian, gay, and bisexual adults aged 50 to 95 years old. Structural equation modeling indicates that concealment has a nonsignificant direct effect on psychological distress but a significant indirect effect that is mediated through internalized heterosexism; the effect of concealment is itself concealed. This may explain divergent results regarding the role of concealment in psychological distress in other studies, and the implications will be discussed.

Entities:  

Keywords:  Aging; bisexual; gay; lesbian; mental health; minority stress; older adults; psychological distress; sexual minorities

Mesh：

Year:  2015        PMID： 26322654      PMCID： PMC4802965          DOI： 10.1080/00918369.2015.1088317

Source DB:  PubMed          Journal:  J Homosex        ISSN： 0091-8369


  32 in total

1.  The health and social service needs of gay and lesbian elders and their families in Canada.

Authors:  Shari Brotman; Bill Ryan; Robert Cormier
Journal:  Gerontologist       Date:  2003-04

2.  Mediation analysis.

Authors:  David P MacKinnon; Amanda J Fairchild; Matthew S Fritz
Journal:  Annu Rev Psychol       Date:  2007       Impact factor: 24.137

Review 3.  The psychological implications of concealing a stigma: a cognitive-affective-behavioral model.

Authors:  John E Pachankis
Journal:  Psychol Bull       Date:  2007-03       Impact factor: 17.737

Review 4.  Sexual orientation and mental health.

Authors:  Gregory M Herek; Linda D Garnets
Journal:  Annu Rev Clin Psychol       Date:  2007       Impact factor: 18.561

5.  The impact of minority stress on mental health and substance use among sexual minority women.

Authors:  Keren Lehavot; Jane M Simoni
Journal:  J Consult Clin Psychol       Date:  2011-04

6.  The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities.

Authors:  Karen I Fredriksen-Goldsen; Jane M Simoni; Hyun-Jun Kim; Keren Lehavot; Karina L Walters; Joyce Yang; Charles P Hoy-Ellis; Anna Muraco
Journal:  Am J Orthopsychiatry       Date:  2014-11

7.  Sexual orientation and health: comparisons in the women's health initiative sample.

Authors:  B G Valanis; D J Bowen; T Bassford; E Whitlock; P Charney; R A Carter
Journal:  Arch Fam Med       Date:  2000 Sep-Oct

8.  The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: a prospective study.

Authors:  Mark L Hatzenbuehler; Katie A McLaughlin; Katherine M Keyes; Deborah S Hasin
Journal:  Am J Public Health       Date:  2010-01-14       Impact factor: 9.308

9.  Social and psychological well-being in lesbians, gay men, and bisexuals: the effects of race, gender, age, and sexual identity.

Authors:  Robert M Kertzner; Ilan H Meyer; David M Frost; Michael J Stirratt
Journal:  Am J Orthopsychiatry       Date:  2009-10

10.  Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada.

Authors:  Wendy Zhang; Nadia O'Brien; Jamie I Forrest; Kate A Salters; Thomas L Patterson; Julio S G Montaner; Robert S Hogg; Viviane D Lima
Journal:  PLoS One       Date:  2012-07-19       Impact factor: 3.240
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  7 in total

1.  Lesbian, gay, & bisexual older adults: linking internal minority stressors, chronic health conditions, and depression.

Authors:  Charles P Hoy-Ellis; Karen I Fredriksen-Goldsen
Journal:  Aging Ment Health       Date:  2016-04-06       Impact factor: 3.658

2.  Sexual orientation concealment and mental health: A conceptual and meta-analytic review.

Authors:  John E Pachankis; Conor P Mahon; Skyler D Jackson; Benjamin K Fetzner; Richard Bränström
Journal:  Psychol Bull       Date:  2020-07-23       Impact factor: 17.737

3.  Risk of dementia and mild cognitive impairment among older adults in same-sex relationships.

Authors:  Jaime Perales-Puchalt; Kathryn Gauthreaux; Jason Flatt; Merilee Ann Teylan; Jason Resendez; Walter A Kukull; Kwun C G Chan; Jeffrey Burns; Eric D Vidoni
Journal:  Int J Geriatr Psychiatry       Date:  2019-04-22       Impact factor: 3.485

4.  A Comparative Analysis of Family Quality of Life Between Heterosexual and Sexual Minority Caregivers of People with Dementia.

Authors:  Joel G Anderson; Jennifer M Jabson Tree; Jason D Flatt; Alden L Gross; Ishan C Williams; Karen M Rose
Journal:  J Appl Gerontol       Date:  2022-03-26

5.  Behavioral Health Treatment Patterns Among Employer-Insured Adults in Same- and Different-Gender Marriages and Domestic Partnerships.

Authors:  Linda Diem Tran; Haiyong Xu; Francisca Azocar; Susan L Ettner
Journal:  Psychiatr Serv       Date:  2018-02-01       Impact factor: 3.084

6.  Gay-Specific and General Stressors Predict Gay Men's Psychological Functioning Over Time.

Authors:  Antonio Petruzzella; Brian A Feinstein; Joanne Davila; Justin A Lavner
Journal:  Arch Sex Behav       Date:  2020-03-07

7.  Subjective cognitive decline higher among sexual and gender minorities in the United States, 2015-2018.

Authors:  Jason D Flatt; Ethan C Cicero; Nickolas H Lambrou; Whitney Wharton; Joel G Anderson; Erin D Bouldin; Lisa C McGuire; Christopher A Taylor
Journal:  Alzheimers Dement (N Y)       Date:  2021-07-28
  7 in total

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