Cumulative consequences of stigma: Possessing multiple concealable stigmatized identities is associated with worse quality of life

Large health disparities exist between stigmatized and nonstigmatized groups. In addition to experiencing and anticipating greater discrimination, members of stigmatized groups also tend to demonstrate greater ruminative tendencies in response, which may lead to these poor health outcomes. Even among stigmatized groups, differences in the visibility of stigma lead to different mechanisms through which stigma takes its toll. Previous work has primarily focused on the impact of belonging to a single marginalized group; however, people often belong to multiple marginalized groups, and this likely affects both their health outcomes and their anticipation of stigma. In the current study, we focused on individuals with concealable stigmatized identities (CSIs)—socially stigmatized identities that are not immediately apparent to others—and created a measure of concealable marginalization that captures multiple group memberships. We predicted that those possessing a greater number of CSIs would anticipate more stigma from others, and, in turn, ruminate more about the stigma, which would negatively impact the health. Surveying N = 288 adults with CSIs, we found that possessing a greater number of marginalized concealable identities predicted worse self-reported physical quality of life. These relationships were partially mediated by greater anticipated stigma and brooding rumination in regard to their CSI. This work illuminates a more complete picture of how living with CSIs can take its toll on health.     

Is there a Science of the Processes Underlying Health and Illness Behaviors? A Comment on Maes and Karoly

Maes and Karoly (2005) provide thorough overview of many of the current theoretical models and much of the empirical data describing application of self-regulation concepts to chronic illness management. They make clear that much of theory and data focuses on remote and proximal goals involved in the self-regulation process. The review makes clear, however, that few models and studies conceptualise and examine how individuals create goals and evaluate progress. Knowledge of these processes is essential for the development of effective interventions. We argue that understanding these processes is essential for understanding the interplay of concrete experience and conceptual processes. Concepts in this area are central for understanding how top-down and bottom-up processes integrate in generating self-regulatory behaviors to affect somatic experience. We discuss theoretical frameworks that can generate research paths that will lead to effective interventions.     

Natural Disasters in Indonesia: Relationships Among Posttraumatic Stress,Resource Loss,Depression, Social Support,and Posttraumatic Growth

ABSTRACT

Indonesia is at significant risk for catastrophic natural disasters, including earthquakes, volcanic eruptions, and tsunamis. Few studies have examined psychological functioning following disaster exposure in Indonesia, the fourth most populous country in the world. This study assesses variables associated with posttraumatic stress and posttraumatic growth following a devastating earthquake in Central Java that ranks as one of the costliest in Indonesia. The participants were 85 men and women living in rural farming villages. Almost all (95%) experienced major home damage or total home destruction. Posttraumatic stress symptoms were associated with resource loss, depression, and concerns about future earthquakes. Participants reported moderate posttraumatic growth. Posttraumatic growth was associated with energy resource loss and social support. The findings support conservation of resources stress theory. The implications of the findings for intervention and recovery programs are discussed.     

Do humans and nonhuman animals share the grouping principles of the iambic–trochaic law?

The iambic–trochaic law describes humans’ tendency to form trochaic groups over sequences varying in pitch or intensity (i.e., the loudest or highest sounds mark group beginnings), and iambic groups over sequences varying in duration (i.e., the longest sounds mark group endings). The extent to which these perceptual biases are shared by humans and nonhuman animals is yet unclear. In Experiment 1, we trained rats to discriminate pitch-alternating sequences of tones from sequences randomly varying in pitch. In Experiment 2, rats were trained to discriminate duration-alternating sequences of tones from sequences randomly varying in duration. We found that nonhuman animals group sequences based on pitch variations as trochees, but they do not group sequences varying in duration as iambs. Importantly, humans grouped the same stimuli following the principles of the iambic–trochaic law (Exp. 3). These results suggest the early emergence of the trochaic rhythmic grouping bias based on pitch, possibly relying on perceptual abilities shared by humans and other mammals, whereas the iambic rhythmic grouping bias based on duration might depend on language experience.     

The Iowa Infant Feeding Attitude Scale: Analysis of Reliability and Validity1

Development of the Iowa Infant Feeding Attitude Scale (IIFAS) is described. In Study 1, a set of 17 items was selected on the basis of responses by 125 postpartum women. Analyses of the reliability and validity were then conducted. In Study 2, these analyses were replicated using data from an independent sample of 130 postpartum women. Study 3 involved an analysis of the ability of scores on the IIFAS to predict duration of breast-feeding among a sample of 725 women who had initiated that method of feeding their babies while in the hospital. Limitations of this research and possible future uses of the IIFAS in studies addressing the determinants and consequences of infant-feeding attitudes are discussed.