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Considering Sexual and Gender Minority Community Inequity Within the Psychological Mediation Framework
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DOI：10.1037/sgd0000843.png)
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Abstract
En 中文
Sexual and gender minority (SGM) people not only experience distal stressors from the cis-heterodominant culture but also from within SGM communities. The psychological mediation framework suggests that the relation between distal stress and mental health are explained by both group-specific (e.g., acceptance concerns, internalized stigma, concealment motivation) and general processes (e.g., emotion dysregulation, hope, and social support). However, no study to date has explored SGM community inequity and how it functions as a distal stressor within the psychological mediation framework. Using a sample of 625 SGM people, the present study examined how SGM community inequity functioned as a distal stressor within the psychological mediation framework to influence group-specific and general processes, thereby impacting anxiety and depression. Structural equation modeling demonstrated that higher SGM community inequity was directly associated with higher levels of all group-specific processes and emotion dysregulation and lower levels of hope and social support. Analyses indicated SGM community inequity was indirectly associated with anxiety through higher levels of acceptance concerns and internalized stigma, though higher levels of internalized stigma were associated with lower levels of anxiety. Further, SGM community inequity was also indirectly associated with anxiety and depression through higher levels of emotion dysregulation and lower levels of hope. Our findings provide opportunities for expanding upon the psychological mediation framework to consider experiences of interpersonal and structural inequity within SGM communities. Implications for clinical practice and community-level interventions are discussed.
Keywords:
minority stress
emotion regulation
hope
discrimination
mental health
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