Out and healthy: Being more "out" about a concealable stigmatized identity may boost the health benefits of social support

Journal of Health Psychology

Volumn 21, Issue 12, 2016, Pages 2934-2943

  Weisz, Bradley M ^a   Quinn, Diane M ^a   Williams, Michelle K ^a  

^a UNIVERSITY OF CONNECTICUT   (United States)

Author keywords

childhood abuse; concealable stigmatized identities; disclosure; domestic violence; health; mental illness; sexual assault; social support; stigma; substance abuse

Indexed keywords

ADULT; CHILD ABUSE SURVIVOR; CROSS-SECTIONAL STUDY; DOMESTIC VIOLENCE; FEMALE; HEALTH SURVEY; HUMAN; INTERPERSONAL COMMUNICATION; MALE; MENTAL DISEASE; MIDDLE AGED; PSYCHOLOGY; RAPE; SOCIAL BEHAVIOR; SOCIAL STIGMA; SOCIAL SUPPORT; VIOLENCE;

ADULT; ADULT SURVIVORS OF CHILD ABUSE; CROSS-SECTIONAL STUDIES; DOMESTIC VIOLENCE; FEMALE; HEALTH SURVEYS; HUMANS; MALE; MENTAL DISORDERS; MIDDLE AGED; RAPE; SOCIAL IDENTIFICATION; SOCIAL STIGMA; SOCIAL SUPPORT; TRUTH DISCLOSURE; VIOLENCE;

EID: 85001125062     PISSN: 13591053     EISSN: 14617277     Source Type: Journal    
DOI: 10.1177/1359105315589392     Document Type: Article

References (32)

1. Beals KP, Peplau LA, Gable SL, (2009) Stigma management and well-being: The role of perceived social support, emotional processing, and suppression. Personality & Social Psychology Bulletin 35: 867-879.
2. Chaudoir SR, Fisher JD, (2010) The disclosure processes model: Understanding disclosure decision-making and post-disclosure outcomes among people living with a concealable stigmatized identity. Psychological Bulletin 136: 236-256.
3. Chaudoir SR, Quinn DM, (2010) Revealing concealable stigmatized identities: The impact of disclosure motivations and positive first-disclosure experiences on fear of disclosure and well-being. Journal of Social Issues 66: 570-584.
4. Cohen S, Hoberman HM, (1983) Positive events and social supports as buffers of life change stress. Journal of Applied Social Psychology 13: 99-125.
5. Cohen S, Wills TA, (1985) Stress, social support, and the buffering hypothesis. Psychological Bulletin 98: 310-357.
6. Cole SW, Kemeny ME, Taylor SE, (1997) Social identity and physical health: Accelerated HIV progression in rejection-sensitive gay men. Journal of Personality and Social Psychology 72: 320-335.
7. Cole SW, Kemeny ME, Taylor SE, et al. (1996) Elevated physical health risk among gay men who conceal their homosexual identity. Health Psychology 15: 243-251.
8. Earnshaw VA, Smith LR, Cunningham CO, et al. (2013) Intersectionality of internalized HIV stigma and internalized substance use stigma: Implications for depressive symptoms. Journal of Health Psychology. Epub ahead of print 29. DOI: 10.1177/1359105313507964.
9. Goffman E, (1963) Stigma: Notes on the Management of Spoiled Identity. Upper Saddle River, NJ: Prentice Hall.
10. Hatzenbuehler ML, Phelan JC, Link BG, (2013) Stigma as a fundamental cause of population health inequalities. American Journal of Public Health 103: 813-821.
11. Hayes AF, (2013) Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Based Approach. New York: Guilford Press.
12. Holt-Lunstad J, Smith TB, Layton JB, (2010) Social relationships and mortality risk: A meta-analytic review. PLoS Medicine 7: e1000316.
13. House JS, Landis KR, Umberson D, (1988) Social relationships and health. Science 241: 540-545.
14. Idler EL, Benyamini Y, (1997) Self-rated health and mortality: A review of twenty-seven community studies. Journal of Health and Social Behavior 38: 21-37.
15. Kalichman SC, DiMarco M, Austin J, et al. (2003) Stress, social support, and HIV-status disclosure to family and friends among HIV-positive men and women. Journal of Behavioral Medicine 26: 315-332.
16. Larson DG, Chastain RL, (1990) Self-concealment: Conceptualization, measurement, and health implications. Journal of Social and Clinical Psychology 9: 439-455.
17. Legate N, Ryan RM, Weinstein N, (2012) Is coming out always a "good thing"? Exploring the relations of autonomy support, outness, and wellness for lesbian, gay, and bisexual individuals. Social Psychological and Personality Science 3: 145-152.
18. McGarrity LA, Huebner DM, (2014) Is being out about sexual orientation uniformly healthy? The moderating role of socioeconomic status in a prospective study of gay and bisexual men. Annals of Behavioral Medicine 47: 28-38.
19. Major B, Cozzarelli C, Sciacchitano AM, et al. (1990) Perceived social support, self-efficacy, and adjustment to abortion. Journal of Personality and Social Psychology 59: 452-463.
20. Mohr J, Fassinger R, (2000) Measuring dimensions of lesbian and gay male experience. Measurement and Evaluation in Counseling and Development 33: 66-90.
21. Pachankis JE, (2007) The psychological implications of concealing a stigma: A cognitive-affective-behavioral model. Psychological Bulletin 133: 328-345.
22. Pascoe EA, Smart Richman L, (2009) Perceived discrimination and health: A meta-analytic review. Psychological Bulletin 135: 531-554.
23. Pennebaker JW, (1982) The Psychology of Physical Symptoms. New York: Springer-Verlag.
24. Quinn DM, (2006) Concealable versus conspicuous stigmatized identities. In: Levin S, Van Laar C, (eds) Stigma and Group Inequality: Social Psychological Approaches. Mahwah, NJ: Lawrence Erlbaum Associates, pp. 83-103.
25. Quinn DM, Chaudoir SR, (2009) Living with a concealable stigmatized identity: The impact of anticipated stigma, centrality, salience, and cultural stigma on psychological distress and health. Journal of Personality and Social Psychology 97: 634-651.
26. Quinn DM, Earnshaw VA, (2011) Understanding concealable stigmatized identities: The role of identity in psychological, physical, and behavioral outcomes. Social Issues and Policy Review 5: 160-190.
27. Quinn DM, Williams MK, Quintana F, et al. (2014) Examining effects of anticipated stigma, centrality, salience, internalization, and outness on psychological distress for people with concealable stigmatized identities. PLoS ONE 9: e96977.
28. Rothman EF, Sullivan M, Keyes S, et al. (2012) Parents' supportive reactions to sexual orientation disclosure associated with better health: Results from a population-based survey of LGB adults in Massachusetts. Journal of Homosexuality 59: 186-200.
29. Simoni JM, Mason HRC, Marks G, et al. (1995) Women's self-disclosure of HIV infection: Rates, reasons, and reactions. Journal of Consulting and Clinical Psychology 63: 474-478.
30. Strachan ED, Bennett WM, Russo J, et al. (2007) Disclosure of HIV status and sexual orientation independently predicts increased absolute CD4 cell counts over time for psychiatric patients. Psychosomatic Medicine 69: 74-80.
31. Thoits PA, (2010) Stress and health: Major findings and policy implications. Journal of Health and Social Behavior 51: S41-S53.
32. Vyavaharkar M, Moneyham L, Corwin S, et al. (2011) HIV-disclosure, social support, and depression among HIV-infected African American women living in the rural southeastern United States. AIDS Education and Prevention 23: 78-90.