Do stigma and its psychosocial impact differ between Asian-born Chinese immigrants and Western-born Caucasians with head and neck cancer?

Stigma appears to influence emotional distress and well-being in cancer survivors, but cross-cultural differences have been ignored. Previous studies suggest that stigma may be especially relevant for survivors of Asian origin. However, their study designs (e.g. focused on female cancers, qualitative designs, and an absence of comparison groups) limit the strength of this conclusion. We hypothesized that (1) Asian-born Chinese immigrants (AI) would report more perceived cancer-related stigma than Western-born Caucasians (WBC); and (2) the impact of stigma on emotional distress and well-being would be greater in AI as compared to WBC. Head and neck cancer survivors (n = 118 AI and n = 404 WBC) completed measures of well-being, emotional distress, and a three-item indicator of stigma in structured interviews. The majority of respondents (59%) reported one or more indicators of stigma. Stigma correlated significantly with emotional distress (r = .13, p = .004) and well-being (r = ?.09, p = .032). Contrary to our hypotheses, WBCs and AIs did not differ in reported stigma nor did we detect differences in its psychosocial impact. Stigma exerts a deleterious psychosocial impact on head and neck cancer survivors. It did not differ significantly between AI and WBC survivors.     

Authoritarianism,Knowledge of AIDS,and Affect Toward Persons with AIDS: Implications for Health Education1

Four hundred sixteen undergraduate university students were asked to indicate their knowledge of AIDS and affect toward persons with AIDS and to take the California F-scale (Adorno, Frenkel-Brunswik, Levinson, & Sanford, 1950, 1982). Results indicated a significant relationship between authoritarianism and affect toward persons with AIDS, r= .31 (p < .01). Knowledge of AIDS was very slightly related to affect toward persons with AIDS, but it did not moderate the relationship between authoritarianism and affect toward persons with AIDS. The findings are interpreted as having possible implications for health education.     

Just world beliefs, causal beliefs, and acquaintance: Associations with stigma toward eating disorders and obesity

The current study investigated the relationship between just world beliefs and stigmatizing attitudes toward eating disorders and obesity. Further, the associations between stigma and causal beliefs, and between stigma and acquaintance with these conditions, were examined. Participants (n = 447) read four vignettes describing an individual with anorexia nervosa, bulimia nervosa, binge eating disorder, or obesity. After each vignette, participants completed questionnaires assessing stigmatizing attitudes, just world beliefs, causal beliefs, and acquaintance with the condition depicted in the vignette. Stronger just world beliefs were associated with greater stigma toward all three eating disorders, as well as obesity (rs ranging from −.11 to −.18). More stigmatizing attitudes were associated with greater attribution of individual responsibility for the development of the disorder. However, participants with personal experience or who knew someone with the depicted problem did not have lower stigma scores than those who did not. The current study suggests that justification ideologies such as just world beliefs and controllability beliefs may underlie the stigmatization of eating disorders and obesity. These findings provide support for stigma reduction efforts aimed at targeting justification ideologies and altering causal beliefs.     

Stigma,Attitudes, and Help‐Seeking Intentions for Psychological Problems in Relation to Regional Suicide Rates

In this ecological study, we investigated whether help‐seeking related to stigma, intentions, and attitudes toward suicide are associated with the suicide rates of 20 regions within the Netherlands and Belgium. Significant associations were found between regional suicide rates and the intention to seek informal help (β = ?1.47, p = .001), self‐stigma (β = 1.33, p = .038), and shame (β = .71, p = .030). The association between self‐stigma and suicide rate was mediated by intentions to seek informal help. These results suggest that to promote suicide prevention at the level of the regional population, stigma, shame, and intentions to seek help should be targeted in the public domain.     

Identification Reduces Stigma of Mental Ill‐Health: A Community‐Based Study

The stigma surrounding mental ill‐health is an important issue that affects likelihood of diagnosis and uptake of services, as those affected may work to avoid exposure, judgment, or any perceived loss in status associated with their mental ill‐health. In this study, we drew upon social identity theory to examine how social group membership might influence the stigma surrounding mental ill‐health. Participants from two urban centers in Ireland (N = 626) completed a survey measuring stigma of mental health, perceived social support as well as identification with two different social groups (community and religion). Mediation analysis showed that subjective identification with religious and community groups led to greater perceived social support and consequently lower perceived stigma of mental ill‐health. Furthermore, findings indicated that high identification with more than one social group can lead to enhanced social resources, and that identification with a religious group was associated with greater community identification. This study thus extends the evidence base of group identification by demonstrating its relationship with stigma of mental ill‐health, while also reinforcing how multiple identities can interact to enhance social resources crucial for well‐being.     

Coping,social support,stigma, and gender difference among people living with HIV in Guangxi,China

The current study examined whether gender, HIV-related stigma, social support, and the interaction between gender and social support are associated with coping responses among people living with HIV and AIDS (PLWHA) in Guangxi, China. A total of 2987 PLWHA in Guangxi participated from October 2012 to August 2013. Multivariate analysis of covariance was conducted with gender and social support as main factors in the model, and stigma and other variables as covariates. After controlling for demographic variables and stigma, there were significant main effects of emotional social support (F = 1.61, p < .001), functional social support (F = 1.67, p < .001), and informational social support (F = 3.67, p < .001) on various coping strategies. The interaction between gender and informational social support (F = 1.33, p < .05), internalized stigma (F = 37.03, p < .001) and perceived stigma (F = 9.16, p < .001) were associated with various coping strategies. Findings signify the importance of HIV-related stigma and social support differences in the coping strategies among PLWHA in Guangxi, China.     

Derogating obese individuals: the role of blame,contempt, and disgust

Weight stigma is pervasive and has profound negative consequences for obese individuals. The attribution‐emotion approach of stigmatization holds that blame attributions relate to derogation stigmatized groups indirectly through anger and pity. Other research suggests that disgust is related to weight stigma. In the present studies, we investigate whether contempt is a reliable predictor of biases against obese individuals. Study 1 (N = 297) shows that contempt partially mediates the relation between blame and both prejudice and support for weight related discrimination policies. Studies 2 and 3 (total N = 406) added disgust and show that both contempt and disgust relate to social distance and prejudice. Contempt mediated the relation between blame and negative reactions toward obese individuals, even after controlling for other emotions, while disgust only mediated these relations in Study 2. Anger and pity did not show this mediating role, but pity was moderately associated with weight bias. Contempt is likely to play an important role in how people react to members of this stigmatized group.     

A META-ANALYSIS OF CONDITIONAL REASONING TESTS OF AGGRESSION

James et al. (2005) reported an estimate of criterion-related validity (corrected only for dichotomization of criteria) of r = .44 across 11 conditional reasoning test of aggression (CRT-Aggression) validity studies. This meta-analysis incorporated a total sample size more than twice that of James et al. Our comparable validity estimate for CRT-Aggression scales predicting counterproductive work behaviors was r = .16. Validity for the current, commercially marketed test version (CRT-A) was lower (r = .10). These validity estimates increased somewhat (into the .24–.26 range) if studies using dichotomous criteria with low base rates were excluded from the meta-analysis. CRT-Aggression scales were correlated r = .14 with measures of job performance. As we differed with James et al. in some of our coding decisions, we reran all analyses using James et al.'s coding decisions and arrived at extremely similar results.     

Relationships Among Religiousness,Spirituality, and Health for Individuals with Stroke

The current study evaluated the relationships among spiritual beliefs, religious practices, physical health, and mental health for individuals with stroke. A cross-sectional analysis of 63 individuals evaluated in outpatient settings, including 32 individuals with stroke and 31 healthy controls was conducted through administration of the Brief Multidimensional Measure of Religiousness/Spirituality (BMMRS) and the Medical Outcomes Scale-Short Form 36 (SF-36). For individuals with stroke, the SF-36 General Mental Health scale was significantly correlated with only the BMMRS Religious and Spiritual Coping scale (r = .43; p < .05). No other BMMRS factors were significantly correlated with SF-36 mental or physical health scales. Non-significant trends indicated spiritual factors were primarily related to mental versus physical health. This study suggests spiritual belief that a higher power will assist in coping with illness/disability is associated with better mental health following stroke, but neither religious nor spiritual factors are associated with physical health outcomes. The results are consistent with research that suggests that spiritual beliefs may protect individuals with stroke from experiencing emotional distress.     

Enduring without avoiding: Pauses and verbal dysfluencies in public speaking fear

Direct measures of overt behavior have been underutilized in speech and other social fear, anxiety, and phobia research. This study demonstrates the usefulness of such variables in the evaluation of public speaking fear. A molecular behavioral assessment methodology was used to examine pauses and verbal dysfluencies of individuals with circumscribed speech fear (n=8) or general social anxiety (n=8), as well as nonanxious control participants (n=16), during an impromptu speech behavior test. Speech fear and generally social anxious individuals paused more often and for a longer duration than the nonanxious group. Results also indicated greater increases in state anxiety during the speech in the circumscribed speech fear sample, relative to the generalized social anxiety and control groups. Taken together with other research, these findings provide evidence that circumscribed speech fear is a meaningful subtype and can be independent of generalized social anxiety. The utility of measuring pausing and verbal dysfluencies in the behavioral assessment of speech fear and other social anxiety and phobia is discussed.     

Reliability of heterosocial skills measurement with sex offenders

The heterosocial skills of 79 sex offenders were assessed using two self-report inventories, the Social Anxiety and Distress Scale (SAD) and the S-R Inventory of Anxiousness (SRI). In addition, staff members rated the offenders on modified versions of the SAD and the Heterosocial Skills Behavior Checklist for Males (HSB). Twenty-one offenders were also videotaped during a brief interaction with a female confederate. The tapes were rated using the HSB. All ratings and videotapings were conducted twice within a two-week period. The two self-report scales showed good test-retest reliability (r=.88) and correlatedr=.63 with each other. However, the SAD correlated significantly with the Crowne-Marlowe Social Desirability Scale and showed significant change from first to second administrations. The SRI showed less reactivity to social desirability and changed less over time. The staff ratings showed higher test-retest (r=.72–.76) than interrater (r=.36–.43) reliability. They correlatedr=–.56 with each other and did not show a significant relationship to the Crowne-Marlowe. However, both staff-ratings changed significantly from test to retest. Inspection of correlations between staff and self-report measures indicated that these instruments may be strongly affected by rater variance. Different measures completed by the same person correlated higher than the same measure completed by different persons. The HSB showed high levels of interrater agreement (90–100%) and split-half reliability (r=.95–.97). However, test-retest reliability was poor for the overall score and for the category measuring form of conversation. Categories measuring voice and affect were moderately reliable over time (r=.53–.74). However, the voice category scores changed substantially from first to second videotaping. On almost all measures used in this study, the sex offenders' scores were similar to those derived from normal populations. Only the category measuring affect on the HSB seemed to differentiate this group from normals.     

Efficacy of a Photovoice‐based video as an online mental illness anti‐stigma intervention and the role of empathy in audience response: A randomized controlled trial

This study examined the efficacy of a Photovoice‐based video as a novel online anti‐stigma video in reducing mental illness stigma, as well as the role of empathic concern in stigma reduction. Photovoice is a grassroots process by which members of a marginalized group, such as people with a mental illness, document and convey their experience; in this study’s context, the experience of living with a mental illness and the stigma associated with this experience. Canadian undergraduate university students (n = 303; average age = 21) were randomly assigned to view either a Photovoice‐based anti‐stigma intervention video (n = 156) or a control video (n = 147). Compared to the control condition, the Photovoice‐based video was efficacious in reducing mental illness stigma, including reduced fear and anger toward people with a mental illness, decreased perceptions of dangerousness, and decreased desired social distance. In addition, the intervention was efficacious in maintaining reduced desired social distance relative to the control at 1‐month post‐intervention. Finally, empathic concern was found to mediate the relationship between the Photovoice‐based video and reduced mental illness stigma, suggesting that one way the intervention reduced mental illness stigma was by eliciting empathy in the viewer.     

Social Media as Social Capital of LGB Individuals in Hong Kong: Its Relations with Group Membership,Stigma, and Mental Well‐Being

Social media are found to facilitate social information exchange among lesbian, gay, and bisexual (LGB) individuals who are subjected to social stigma. This study tested the protective role of LGB‐tailored social media uses and gratifications in promoting LGB group membership, which we hypothesized to reduce LGB stigma and enhance mental health among LGB individuals in Hong Kong. Based on a sample of 233 Chinese LGB individuals in Hong Kong, structural equation modeling showed evidence for our hypotheses, χ_(df=62)² = 88.20, GFI = 0.95, CFI = 0.98, NNFI = 0.98, SRMR = 0.07, RMSEA = 0.04. Community surveillance, identity expression, and emotional support on social media may promote mental health by instilling a sense of group membership and reducing stigma. Social media may build camaraderie and bolster resilience among LGB individuals that may otherwise be difficult in conservative regions.     

Attitudes toward seeking professional psychological help among Chinese students at a UK university

Aim: In this study we aimed to investigate whether Chinese international and British home students at a university in the United Kingdom differed in their attitudes towards seeking psychological help. Method: The total sample comprised 323 participants. Participants completed measures to assess their attitudes toward seeking professional psychological help (recognition of need for psychological help, stigma tolerance, interpersonal openness, confidence in mental health practitioners). Results: Chinese students reported significantly less interpersonal openness than that reported by British students. Contrary to prediction, however, no significant group differences were found on any of the other mental health attitudes (i.e. recognition of need for psychological help, confidence in mental health practitioners or stigma tolerance). Within‐group contrasts also showed that Chinese students reported lower scores on interpersonal openness than on stigma tolerance and confidence in mental health practitioners. In contrast, British participants reported less confidence in mental health practitioners and recognition of the need for psychological help than reported for stigma tolerance and interpersonal openness. Conclusion: The findings highlight the need for a greater understanding of students' cultural inclinations toward mental health issues and cultural attitudes that may hinder and/or facilitate students' access and engagement with psychological services in higher education institutions.     

Predictors of COVID-19 precautionary behaviors to protect people with disabilities

Disability is conceptualized using one of two major frameworks: the medical and the social model of disability. The medical model of disability describes disability as an individual issue in which the appropriate intervention is to remove the disability. The social model of disability describes disability as a social construction in which the appropriate intervention is societal change to increase accessibility. This study drew on models of disability to understand predictors of engagement in COVID-precautionary behavior prior to the vaccine to protect people with disabilities (PWD) from contracting COVID-19. Participants (n = 720) with and without disabilities (n = 77 and n = 633, respectively) completed an online questionnaire measuring disability beliefs, attitudes toward PWD, concerns about PWD contracting COVID-19, and engagement in behavior protecting PWD from contracting COVID-19. Medical model beliefs were negatively associated with behavior. In addition, negative attitudes toward PWD and low concern about PWD contracting COVID-19 fully accounted for the relationship. Social model beliefs were positively associated with behavior. In addition, positive attitudes toward PWD and greater concern about PWD contracting COVID-19 partially explained the relationship. These findings suggest that framing disability as a social construction rather than a medical issue could promote greater public health behavior to protect PWD from contracting COVID.     

Big Five facets' associations with pro-environmental attitudes and behaviors

Climate change mandates us to understand why individuals do (not) behave pro-environmentally and personality traits are well suited for this purpose. Past research has mostly focused on how broad domain-level personality traits were associated with pro-environmental attitudes and behaviors. In two datasets (N = 501 and 287), we examined whether personality facets provided a more detailed picture of how personality traits were associated with pro-environmental attitudes and behaviors. It was found that some facets were the main drivers of domain-level associations. Furthermore, it was found that facets, collectively, predicted pro-environmental attitudes (r = .50 to .52) and behaviors (r = .29 to .42) in holdout datasets. This predictive ability was on par with the predictive ability of domains. Therefore, facets provided a greater understanding of how personality traits were associated with pro-environmental attitudes and behaviors. Furthermore, facets provided a similar predictive ability of pro-environmental attitudes and behaviors to that of domains.     

State–trait anxiety and existential fear: an empirical analysis

The Fear Checklist consists of 18 items (e.g. intimacy, loss of control, failure) a respondent checks to signify areas that have been or currently are personal sources of concern and/or apprehension. Total scores on the Fear Checklist, along with scores on each of its three subscales (Social, Control, Identity), were correlated with the state (A-State) and trait (A-Trait) anxiety scales of the State–Trait Anxiety Inventory (STAI). Both the A-State and A-Trait scales demonstrated significant association with the total Fear Checklist score (r_stat =0.48, r_trait=0.50) and each of its three subscales in a group of 135 male federal prisoners. Despite substantial overlap between the A-State and A-Trait scales (r=0.76), each achieved significant partial correlations with the total Fear Checklist score when the other scale was controlled (i.e. the A-Trait score was controlled in the state anxiety–fear relationship and the A-State score was controlled in the trait anxiety–fear relationship). These results lend preliminary support to the notion that existential fear, as measured by the Fear Checklist, is sensitive to both dispositionally (A-Trait) and situationally (A-State) based anxiety, although the majority of variance shared by the STAI and Fear Checklist was common to both STAI scales.     

Effects of HIV/AIDS Information on Attitudes Toward AIDS: A Cross-Ethnic Comparison of College Students

College students (N = 274) from five ethnic groups were administered an AIDS information questionnaire and the Attitudes Toward AIDS Scale (ATAS; Goh, in press) to determine the effects of AIDS information on attitudes toward AIDS. A series of chi-squares and multivariate analyses of variance indicated significant differences among ethnic groups on the usage of HIV/AIDS information, the self-reported degree of knowledge about HIV/AIDS, measured knowledge about HIV/AIDS, and HIV/AIDS-related attitudes. Besides ethnicity, access to HIV/AIDS information and self-reported degree of knowledge about AIDS had significant effects on a person's measured knowledge of and attitudes toward HIV/AIDS.     

Incongruence as an explanation for the negative mental health effects of unemployment: Meta‐analytic evidence

The present paper is concerned with the effects of incongruence between a person's level of employment commitment (measured with scales of work involvement, Protestant work ethic or similar concepts) and his or her current employment situation (employed or not employed). We hypothesize that this kind of incongruence (a) is a typical characteristic of the unemployment situation and (b) is systematically associated with diminished well‐being and mental health. Meta‐analyses of empirical data endorse both hypotheses. (a) Employed people show only marginally stronger levels of employment commitment than unemployed people (d = 0.11, equivalent to r = .05). Both groups are characterized by high mean levels of employment commitment. Therefore, unemployed people are in an incongruent situation, while employed people are not. (b) Incongruent levels of employment commitment, that is, high levels among the unemployed and low levels among the employed, are significantly associated with psychological distress (mixed symptoms of distress: r = .19; depression: r = .19; anxiety: r = .14; subjective well‐being/life satisfaction: r = .13; self‐esteem: r = .08). In sum, available cross‐sectional data clearly endorse the incongruence model. Meta‐analyses of longitudinal data, although based on small sample sizes, are also consistent with the model.     

Stigma and Barriers to Mental Health Care in Deployed Canadian Forces Personnel

Mental disorders are prevalent on deployed operations, but only a small fraction of those with problems access care due to a range of barriers. A survey measuring need for care, perceived barriers, and care-seeking propensity was administered to Canadian Forces personnel during deployment in Afghanistan. Complex characteristics of barriers to care on deployment were found: stigma had no association with care-seeking propensity; perceived structural barriers were associated with greater care-seeking propensity; and perceived structural barriers were greater in more isolated locations. Only negative attitudes toward care had the expected negative association with care-seeking propensity. Research and practical considerations are discussed.