The impact of psychological flexibility on sexual identity stress and well-being among lesbian, gay, and bisexual individuals.

2021 ◽  
Vol 91 (5) ◽  
pp. 660-670
Author(s):  
Kevin Ka Shing Chan ◽  
Charles Chiu Hung Yip
Keyword(s):  
Sexual Identity ◽  
Psychological Flexibility ◽  
Well Being ◽  
And Bisexual ◽  
The Impact

scholarly journals The Impact of Intersectional Identities on Older People With HIV

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 723-723
Author(s):  
Mark Brennan-Ing ◽  
Charles Emlet
Keyword(s):  
Older People ◽  
African American Women ◽  
Well Being ◽  
Hiv Stigma ◽  
Neurocognitive Functioning ◽  
Bisexual Men ◽  
And Bisexual ◽  
And Gender ◽  
The Impact ◽  
Racial Ethnic

Abstract Kimberlé Crenshaw introduced the term “intersectionality” in the late 1980s to highlight the experience discrimination and marginalization of Black and African-American women originating from the confluence of their racial/ethnic and gender identities. Since that time the focus on intersectionality has broadened to consider other communities and individuals who may have multiple stigmatized and discredited identities, including older people with HIV (PWH). For example, Porter and Brennan-Ing described the “Five Corners” model as the intersection of ageism, racism, classism, sexism, and HIV stigma for older transgender and gender non-conforming PWH. HIV disproportionately affects marginalized communities (e.g., racial/ethnic and sexual minorities). Thus, for older PWH it is important to consider how HIV stigma may intersect with other marginalized identities and impact physical and psychological well-being. The first paper in this session examines how the intersection of HIV serostatus, gay identity, and age complicates identity disclosure, leading to social isolation and interference with care planning. The second paper describes how intersectional identities among older PWH interfere with access to mental health services in a population that is disproportionately affected by depression and PTSD. Our third paper examines the role of race, education, and behavioral health in neurocognitive functioning among a diverse sample of older HIV+ gay and bisexual men. Our last paper examines neurocognitive functioning among older Latinx PWH, finding that sexual and gender minorities were at greater risk for impairment. Implications of these findings for research and programming that accounts for the effects of intersectionality among older PWH will be discussed.

Examining the Impact of Question Construction on Reporting of Sexual Identity: Survey Experiment among Young Adults (Preprint)

2021 ◽  
Author(s):  
William J Young ◽  
Michelle Bover Manderski ◽  
Ollie Ganz ◽  
Cristine D Delnevo ◽  
Mary Hrywna
Keyword(s):  
Young Adults ◽  
Sexual Identity ◽  
Sexual Minorities ◽  
Online Survey ◽  
The United States ◽  
Survey Experiment ◽  
Physical And Mental Health ◽  
Sexual Identities ◽  
And Bisexual ◽  
The Impact

BACKGROUND Compared to heterosexuals, sexual minorities in the United States experience a higher incidence of negative physical and mental health outcomes. However, a variety of measurement challenges limit researchers’ ability to conduct meaningful survey research to understand these disparities. Many national health surveys only offer respondents three substantive options for reporting their sexual identities (straight/heterosexual, gay or lesbian, and bisexual) despite the prevalence of additional identities, which could lead to measurement error via misreporting and item non-response. OBJECTIVE This study compared the traditional three-option approach to measuring sexual identity with an expanded approach that offered respondents five additional options. METHODS An online survey experiment conducted among New Jersey residents between March and June 2021 randomly assigned 1,258 young adults (ages 18-21) to answer either the three-response measure of sexual identity or the expanded item. Response distributions for each measure were compared as were the odds of item non-response. RESULTS The expanded version of the question appeared to result in more accurate reporting among some subgroups and induced less item non-response. Twelve percent of participants answering the expanded version of the question selected a response that was not available in the shorter version. Females answering the expanded item were less likely to identify as gay or lesbian (2% vs.7%). Females and Non-Hispanic whites were slightly more likely to skip the shorter item (1% vs. 0%). Five percent of respondents answering the longer item were unsure of their sexual identity (a similar option was not available in the shorter version). Compared to respondents answering the longer version of the question, those answering the shorter version had substantially greater odds of skipping the question altogether (Odds Ratio 9.57, 95% CI 1.21-75.73, P=.03). CONCLUSIONS Results favor the use of a longer, more detailed approach to measuring sexual identity in epidemiological research. Such a measure will likely allow researchers to produce more accurate estimates of health behaviors and outcomes among sexual minorities.

scholarly journals POS1191 COVID-19 STRESS: DOES IT AUGMENT PAIN IN PEOPLE WITH FIBROMYALGIA AND MIGHT PSYCHOLOGICAL FLEXIBILITY PROTECT AGAINST THIS INFLUENCE?

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 878.1-878
Author(s):  
T. Koppert ◽  
J. W. G. Jacobs ◽  
M. Lumley ◽  
R. Geenen
Keyword(s):  
Psychological Impact ◽  
Psychological Flexibility ◽  
Well Being ◽  
Pain Severity ◽  
Inflammatory Rheumatic Diseases ◽  
Regression Analyses ◽  
Cross Sectional ◽  
Negative State ◽  
Stress Levels ◽  
The Impact

Background:Stress might augment pain in people with fibromyalgia, possibly through sensitization of the central nervous system. The COVID-19 pandemic offers a unique opportunity to examine this mechanism. If it holds, the link between COVID-19 stress and pain would be stronger in people with fibromyalgia than in people without it. Additionally, psychological flexibility might act as a resilience factor, reducing pain severity. If psychological flexibility buffers the impact of stress on pain in people with fibromyalgia, then enhancing psychological flexibility may be of value.Objectives:To determine the association between COVID-19 stress and pain severity in people with fibromyalgia, as compared to people without fibromyalgia, and whether psychological flexibility buffers the impact of stress on pain severity.Methods:In a repeated cross-sectional design, we analysed questionnaire data from two independent surveys. The data collection has been described in a previous study of mental well-being in people with inflammatory rheumatic diseases.[1] The current study analysed data from people with and without fibromyalgia. Data were collected before the COVID-19 pandemic (2018; fibromyalgia: n=145, no fibromyalgia: n=386) and at the first peak of the pandemic in the Netherlands (2020; fibromyalgia: n=270, no fibromyalgia: n=1259). Stress due to the pandemic, psychological flexibility, and pain were subjected to regression analyses. Two operationalisations of stress were analysed: self-reported stress levels during the peak of the pandemic in 2020, and a comparison of assessments in 2018 and 2020 (assuming higher stress levels during the pandemic peak in 2020).Results:In regression analyses, stress during the pandemic (p<.001), having fibromyalgia (p<.001), and lower psychological flexibility (p<.001) were all associated with more severe pain, but the interactions showed that the strength of the association of stress with pain was not different in people with fibromyalgia compared to people without fibromyalgia (p=.76 and p=.28 for the two operationalization of stress, respectively). Another interaction indicated that psychological flexibility was a potential buffer against the association between self-reported stress and pain in the first operationalisation of stress (p=.04), but not in the second (p=.44). The significant but small interaction is shown in the Figure 1. It suggests that pain is higher in people with low psychological flexibility and higher stress levels during the pandemic. This effect was not specific to fibromyalgia.Conclusion:Overall, the significant main effects show that negative states, such as stress related to the pandemic and low psychological flexibility, are associated with another negative state: pain. A small interaction effect suggests that psychological flexibility may protect against the impact of COVID-19 stress on pain, both in people with and without fibromyalgia. However, the analyses reject our hypothesis that COVID-19 stress would augment pain especially in people with fibromyalgia.References:[1]Koppert TY, Jacobs JWG, Geenen R. The psychological impact of the COVID-19 pandemic on Dutch people with and without an inflammatory rheumatic disease. Rheumatology (Oxford) 2020; keaa842. doi: 10.1093/rheumatology/keaa842.Pain (standard deviation from the norm) as a function of low (-1 SD) and high (+1 SD) psychological flexibility and low (-1 SD) and high (-1 SD) self-reported stress levels during the first peak of the pandemic in 2020, while controlling for gender, age, education level, and number of diseases.Disclosure of Interests:Tim Koppert: None declared, Johannes W.G. Jacobs: None declared, Mark Lumley Consultant of: Paid research consultant to Cognifisense, LLP, which studies virtual reality treatments for chronic pain., Rinie Geenen Speakers bureau: Sanofi Genzyme paid for a lecture and worshop on depression and fatigue in RA.

scholarly journals ACTyourCHANGE Study Protocol. The Promotion of Healthy Lifestyle for Obese Patients with Acceptance and Commitment Therapy provided with A Modular Approach.

2021 ◽  
Author(s):  
Anna Guerrini Usubini ◽  
Roberto Cattivelli ◽  
Emanuele Giusti ◽  
Francesco Vailati Riboni ◽  
Giorgia Varallo ◽  
...  
Keyword(s):  
Acceptance And Commitment Therapy ◽  
Psychological Health ◽  
Behavioral Change ◽  
Healthy Lifestyle ◽  
Psychological Flexibility ◽  
Well Being ◽  
Obese Patients ◽  
Commitment Therapy ◽  
Acceptance And Commitment ◽  
The Impact

Abstract Background: Acceptance and Commitment Therapy (ACT) resulted to be efficacious in promoting the core process of Psychological Flexibility, a key ability related to physical and psychological health outcomes. Despite evidence-based ACT protocols were applied successfully in different contexts, including the promotion of long-standing behavioral change, the impact of the single processes in the psychological flexibility model remains unclear. The aim of the present study is to evaluate the efficacy of a Focused-ACT intervention for the maintenance of a healthy lifestyle, by separating and evaluating the impact of single core processes targeted into a modular intervention on the maintenance of healthy lifestyle. Methods: An individually randomized group treatment trial will be conducted. 150 adult obese patients who are attending a four-week medically-based multidisciplinary rehabilitation of weight loss will be randomly allocated into three groups: Module Engage, Module Openness, and Module Awareness. At the beginning (Time 0) and at the end of the intervention (Time 1), at six months (Time2) and one year (Time 3) follow-up weight and height will be recorder and participants will complete the Psychological General Well Being Inventory(PGWBI), the Outcome Questionnaire-45.2 (OQ-45.2), the Brief Values Inventory (BVI), the Committed Action Questionnaire (CAQ), the Italian-Cognitive Fusion Questionnaire (I-CFQ), the Acceptance and Action Questionnaire (AAQ II) and the Five Facet Mindfulness Questionnaire (FFMQ). Repeated measures 3 (conditions) x 4 (times) will be assessed to examine differences between three groups within four times on both general outcomes measure of weight, BMI, PGWBI and OQ-45.2, and FACT processes targeted during the interventions.Discussion: By providing additional evidence supporting the relevance of modular transdiagnostic interventions in clinical practice and the use of Process-Based Therapy, this study will contribute toclarify which mechanisms are involved in a generalizable lifestyle behavioral change intervention. Trial registrationClinicalTrials.gov Registration number: NCT04474509 Date: July, 4 2020 https://clinicaltrials.gov/ct2/show/NCT04474509

The Impact of Sociosexualization and Sexual Identity Development on the Sexual Well-Being of Youth Formerly in the Foster Care System

2020 ◽  
Vol 66 (4) ◽  
pp. 439-446
Author(s):  
Richard A. Brandon-Friedman ◽  
Elizabeth A. Wahler ◽  
Barbara J. Pierce ◽  
Jeffry W. Thigpen ◽  
J. Dennis Fortenberry
Keyword(s):  
Foster Care ◽  
Identity Development ◽  
Sexual Identity ◽  
Well Being ◽  
Sexual Identity Development ◽  
Foster Care System ◽  
The Impact ◽  
Care System

scholarly journals The Impact of Psychological Flexibility on Psychological Well-Being in Adults With Obesity

2021 ◽  
Vol 12 ◽  
Author(s):  
Anna Guerrini Usubini ◽  
Giorgia Varallo ◽  
Valentina Granese ◽  
Roberto Cattivelli ◽  
Simone Consoli ◽  
...  
Keyword(s):  
Psychological Health ◽  
Psychological Flexibility ◽  
Well Being ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Psychological Well Being ◽  
Physical And Psychological Health ◽  
The Impact ◽  
Health And Well Being

Obesity is a global health problem that affects both physical and psychological health and well-being. Psychological flexibility is one of the key components related to psychological health. This cross-sectional study aims to investigate the impact of psychological flexibility on psychological well-being in a sample of 220 individuals with obesity. Multivariate analysis was performed to investigate the role of psychological flexibility in explaining psychological well-being, controlling for confounding factors (sex, age, and Body Mass Index). According to the results, psychological flexibility significantly explained psychological well-being. Our study provides additional evidence of the impact of psychological flexibility on psychological well-being. It also provides further support for the importance of integrating psychological flexibility in the psychological interventions for obesity.

scholarly journals Lifetime Asthma Prevalence and Correlates Among US Youths by Sexual Identity and Race/Ethnicity, 2009–2017

2020 ◽  
Vol 110 (7) ◽  
pp. 1076-1083 ◽  
Author(s):  
Caleb W. Curry ◽  
Dylan Felt ◽  
Lauren B. Beach ◽  
Megan M. Ruprecht ◽  
Xinzi Wang ◽  
...  
Keyword(s):  
Sexual Identity ◽  
The United States ◽  
Asthma Prevalence ◽  
Vulnerable Youth ◽  
Logistic Regression Models ◽  
Race Ethnicity ◽  
And Bisexual ◽  
Traditional Risk Factors ◽  
Heterosexual Sex ◽  
The Impact

Objectives. To comprehensively assess asthma disparities and identify correlates in youths at the intersections of sex, sexual identity, and race/ethnicity in the United States. Methods. We obtained a diverse sample of youths (n = 307 073) from the Centers for Disease Control and Prevention’s Youth Risk Behavior Survey. We pooled data across 107 jurisdiction-years (2009–2017). We calculated lifetime asthma prevalence by sexual identity, race/ethnicity, and their intersections—stratified by sex. We developed multivariable weighted logistic regression models to examine the impact of selected correlates on lifetime asthma prevalence. Results. Lesbian, gay, and bisexual youths have significant disparities in asthma prevalence compared with heterosexual peers. Moreover, across sex, higher prevalence of lifetime asthma was seen for most sexual identity and race/ethnicity subpopulations (27 of 30) when compared with White heterosexual sex-matched participants. Selected traditional risk factors (overweight, obese, and smoking) and bullying tended to attenuate odds among groups, especially those with a minority sexual identity. Conclusions. Asthma inequities at the intersection of sexual identity and race/ethnicity are substantive. Future studies should investigate the mechanisms contributing to these disparities to promote health equity among vulnerable youth populations.

scholarly journals Qualitative Findings on the Impact of COVID-19 Restrictions on Australian Gay and Bisexual Men: Community Belonging and Mental Well-being

2021 ◽  
pp. 104973232110392
Author(s):  
Steven P. Philpot ◽  
Martin Holt ◽  
Dean Murphy ◽  
Bridget Haire ◽  
Garrett Prestage ◽  
...  
Keyword(s):  
Mental Health ◽  
Well Being ◽  
Gay And Bisexual Men ◽  
Poor Mental Health ◽  
Free Text ◽  
Bisexual Men ◽  
Community Belonging ◽  
And Bisexual ◽  
The Impact ◽  
Mental Well Being

COVID-19 may threaten the already poor mental health outcomes of Australian gay and bisexual men and cut ties to important social/sexual networks and community. Qualitative research into the experiences of gay and bisexual men during COVID-19 regulations is currently sparse. We report on 489 responses to a qualitative free-text question asking Australian gay and bisexual men about the impacts of COVID-19 during April 2020. Issues pertinent to gay and bisexual men include lost ties to gay and bisexual social/sexual communities, spaces, and activities, which can reduce a sense of belonging to important sexual identity spaces, as well as significant mental well-being vulnerabilities. Reminiscing the collective response to HIV/AIDS, findings reinforce the value of gay and bisexual community organizations, spaces, and networks as supports for gay and bisexual men and emphasize the need for delivering mental health services.

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