Kevin Ka Shing Chan1, Donald Chi Kin Leung2. 1. Department of Psychology, The Education University of Hong Kong, Hong Kong; Centre for Psychosocial Health, The Education University of Hong Kong, Hong Kong. Electronic address: kkschan@eduhk.hk. 2. Department of Psychology, The Education University of Hong Kong, Hong Kong.
Abstract
BACKGROUND: Research shows that mindfulness may enable sexual minorities to resist stigma and reduce distress. Less is known, however, about the underlying processes. The present study addressed this gap in the literature by examining how mindfulness would mitigate self-stigma and, in turn, alleviate affective symptoms among lesbian, gay, and bisexual (LGB) individuals. METHODS: A total of 401 LGB individuals from Hong Kong, China, provided cross-sectional questionnaire data on mindfulness, positive reappraisal, negative rumination, self-stigma content, self-stigma process, disempowerment, depressive symptoms, and anxiety symptoms. Structural equation modeling and Bootstrap analyses were conducted to analyze the relations among the variables. RESULTS: Structural equation modeling showed that mindfulness was associated with increased positive reappraisal and reduced negative rumination, which were, in turn, associated with lower levels of self-stigma content and process, respectively. Moreover, lower levels of self-stigma content and process were associated with a reduced sense of disempowerment, which was, in turn, associated with lower levels of depressive and anxiety symptoms. Bootstrap analyses further demonstrated that mindfulness had significant indirect effects on depressive and anxiety symptoms via positive reappraisal, self-stigma content, and disempowerment and via negative rumination, self-stigma process, and disempowerment. CONCLUSIONS: Theoretically, this study revealed the potential pathways through which mindfulness could enable LGB individuals to mitigate self-stigma content and process and thereby alleviate depressive and anxiety symptoms. Practically, this study pointed to the potential utility of mindfulness training in facilitating LGB individuals to resist societal stigma, reduce internalized stigma, and lessen emotional distress.
BACKGROUND: Research shows that mindfulness may enable sexual minorities to resist stigma and reduce distress. Less is known, however, about the underlying processes. The present study addressed this gap in the literature by examining how mindfulness would mitigate self-stigma and, in turn, alleviate affective symptoms among lesbian, gay, and bisexual (LGB) individuals. METHODS: A total of 401 LGB individuals from Hong Kong, China, provided cross-sectional questionnaire data on mindfulness, positive reappraisal, negative rumination, self-stigma content, self-stigma process, disempowerment, depressive symptoms, and anxiety symptoms. Structural equation modeling and Bootstrap analyses were conducted to analyze the relations among the variables. RESULTS: Structural equation modeling showed that mindfulness was associated with increased positive reappraisal and reduced negative rumination, which were, in turn, associated with lower levels of self-stigma content and process, respectively. Moreover, lower levels of self-stigma content and process were associated with a reduced sense of disempowerment, which was, in turn, associated with lower levels of depressive and anxiety symptoms. Bootstrap analyses further demonstrated that mindfulness had significant indirect effects on depressive and anxiety symptoms via positive reappraisal, self-stigma content, and disempowerment and via negative rumination, self-stigma process, and disempowerment. CONCLUSIONS: Theoretically, this study revealed the potential pathways through which mindfulness could enable LGB individuals to mitigate self-stigma content and process and thereby alleviate depressive and anxiety symptoms. Practically, this study pointed to the potential utility of mindfulness training in facilitating LGB individuals to resist societal stigma, reduce internalized stigma, and lessen emotional distress.
Keywords:
Depressive and anxiety symptoms; Disempowerment; Lesbian, gay, and bisexual individuals; Mindfulness; Positive reappraisal and negative rumination; Self-stigma content and process
Authors: Tosca D Braun; Kristen E Riley; Zachary J Kunicki; Lucy Finkelstein-Fox; Lisa A Conboy; Crystal L Park; Elizabeth Schifano; Ana M Abrantes; Sara W Lazar Journal: Health Psychol Behav Med Date: 2021-11-19