Robin J. Lewis

An empirical analysis of stressors for gay men and lesbians.

Abstract This research describes the empirical classification of stressors for gay men and lesbians. Volunteer respondents were recruited through a free local gay and lesbian newspaper, through gay and lesbian student organizations nationwide, through gay and lesbian bookstores nationwide, and at a gay festival in St. Louis. Nine hundred seventy-nine (979) participants completed a 70-item measure with stressors that had been identified in previous qualitative research. Participants were asked to indicate the degree to which they had experienced stress associated with a variety of experiences. Participants also completed a measure of dysphoria (CES-D), responded about their degree of openness regarding sexual orientation, and provided information about their relationship status and involvement with gay groups and activities. Using confirmatory factor analysis, a six-factor model was predicted to account for the data. One-factor, six-factor, and ten-factor models were tested. The ten-factor model yielded the best fit with the data and accounted for 63.5% of the variance. The factor structure remained stable when gay men were compared to lesbians, when those endorsing a predominantly gay versus exclusively gay orientation were compared, and when those in a relationship were compared to those who were not in a relationship. Increased gay stress was associated with more dysphoria. Implications of these findings are discussed and directions for future research are considered.

Stigma consciousness, social constraints, and lesbian well-being

Stigma consciousness, the expectation of prejudice and discrimination, has been associated with negative psychological outcomes for lesbians. This research examined the moderating role of social constraints or difficulty lesbians experience in talking with others about sexual orientation-related issues. One hundred five, predominantly out, lesbians completed measures of stigma consciousness, social constraints, lesbian-related stress, intrusive thoughts, internalized homophobia, negative mood, and physical symptoms. For lesbians who were high (but not low) in social constraints, stigma consciousness was positively associated with intrusive thoughts, internalized homophobia, and physical symptoms. These results add to the literature on the negative consequences of social constraints by suggesting that constraints in combination with high stress that is not necessarily traumatic (i.e., stigma consciousness) are associated with the most negative outcomes.

Internalized Sexual Minority Stressors and Same-Sex Intimate Partner Violence

Intimate partner violence (IPV) is a serious problem in both same-sex and heterosexual relationships. Although there are numerous similarities in the dynamics of IPV, gay men and lesbians experience unique stressors related to their sexual minority status. This preliminary, descriptive study examined the relationship among internalized homophobia, stigma consciousness, and openness to self-reported IPV victimization and perpetration. Among 581 men and lesbians, approximately one-quarter reported IPV victimization and almost 10% reported IPV perpetration. When demographic variables of age, sex of participant, and relationship status were controlled, victims of IPV reported greater expectations of prejudice and discrimination, yet were more open about their sexual orientation. Similarly, expectations of prejudice and discrimination were related to IPV perpetration. As researchers and counselors focus on understanding, and ultimately reducing, same-sex IPV, it is imperative that sexual minority stressors are considered.

Men, muscles, and body image: comparisons of competitive bodybuilders, weight trainers, and athletically active controls

Objectives: To investigate body image and psychosocial adjustment among competitive bodybuilders, non-competitive weight trainers, and athletically active men. Methods: Participants were 40 men in each of the three groups who were assessed on body composition and multiple facets of body image evaluation, investment and anxiety, eating attitudes, and social self esteem. Results: Relative to the other two groups, competitive bodybuilders had greater body mass due to fat-free body mass. Although groups did not differ in their situational body image discomfort, competitive bodybuilders and weight trainers had a more positive global appearance evaluation and were more psychologically invested in their physical appearance. Compared with active controls, men in both weightlifting groups were more satisfied with their upper torso and muscle tone. Competitive bodybuilders reported more mid torso satisfaction than the other two groups. Competitive bodybuilders also wished to be significantly heavier than controls did and reported higher social self esteem but greater eating disturbance. Conclusions: The findings suggest that competitive bodybuilders as a group are not more “muscle dysmorphic” than either non-competitive weight trainers or physically active men who do not train with weights.

Friendship, Social Interaction, and Coping With Stress

The experiment described in this article examined how interacting with a friend as opposed to a stranger in anticipation of a stressful event (giving an extemporaneous speech) affects coping. Results indicated that subjects perceived more social support after interacting with a friend than with a stranger. They were less depressed and were judged to be more confident during the extemporaneous speech after interacting with an opposite-sex friend than with an opposite-sex stranger. Specific verbal and nonverbal behaviors contributed to successful coping. Subjects reported less fear if they talked about their feelings about public speaking during the social interaction, and they were more confident while speaking if they engaged in problem-solving talk. Problem-solving, other-related, and unrelated talk predicted perceived social support. Of the nonverbal behaviors measured, eye contact was the best predictor of coping and perceived social support.

Children at risk for emotional disorders: Risk and resource dimensions

Abstract This paper reviews the literature pertaining to the risk and resource factors that impact on childrens emotional functioning. While researchers and clinicians have addressed these issues, these factors have rarely been conceptualized collectively into a model for comprehensive identification and intervention. It is proposed that risk and resource be assessed by considering the following dimensions: (a) Child-based factors; (b) Nuclear family factors; and (c) Broader environmental factors. Research in each of these areas is reviewed and directions for future endeavors in the area of risk identification are discussed.

Still Stressful After All These Years: A Review of Lesbians’ and Bisexual Women's Minority Stress

This article reviews the conceptualization of, and empirical literature on, lesbians’ and bisexual womens sexual minority stress. In much of the early research, the experiences of sexual minority women and men were considered together (or womens experiences were inferred from mens), obscuring important differences. There is empirical and theoretical justification to consider the experiences of women and men separately and to develop and evaluate comprehensive models of sexual minority stress for women. Existing conceptualizations of sexual minority stress that include assessment of discrimination, victimization, harassment, concealment, internalized homonegativity may be applied, and perhaps adapted, to facilitate understanding of the unique stressors associated with womens sexual minority status. Future research must include mediators of the relationship between stressors and outcomes such as individual (e.g., coping and resilience) and group (e.g., social support, identification with a sexual minority community) resources. It is also essential to understand what factors may buffer the deleterious effects of these stressors.

AN EXPRESSIVE WRITING INTERVENTION TO COPE WITH LESBIAN-RELATED STRESS: THE MODERATING EFFECTS OF OPENNESS ABOUT SEXUAL ORIENTATION

Over the past two decades, expressive writing interventions have been used successfully to reduce distress and improve well-being for those dealing with traumatic events, stressors, and illnesses. The purpose of this study was to investigate an expressive writing intervention for lesbian-related stressors. As expected, writing about traumatic events related to sexual orientation reduced self-reported confusion and perceived stress over a 2-month period for those lesbians who were less open about their sexual orientation. Interestingly, writing about such traumatic experiences was associated with increases in confusion and perceived stress for those who were more open about their sexual orientation. Applying this paradigm to assist individuals in coping with stressors related to their sexual orientation represents an important addition to the expressive writing literature. Furthermore, it offers a promising, cost-effective method to assist closeted lesbians in coping with stressors related to their sexual orientation.

Minority Stress and Binge Eating Among Lesbian and Bisexual Women

Previous research demonstrates that lesbian and bisexual (LB) women report more binge eating behaviors compared to heterosexual women although the explanations for this disparity are not well understood. LB women also experience distal (e.g., discrimination) and proximal (e.g., expectations of rejection) minority stressors that are related to negative mental and physical health outcomes. The present study investigated the association between minority stressors and binge eating behaviors in LB women. A sample of 164 LB women completed an online survey that included measures of distal and proximal sexual minority stressors, emotional-focused coping, social isolation, negative affect, and binge eating. The resultant model partially supported both the psychological mediation framework and the affect regulation model. The principal finding was that among LB women, proximal stressors were associated with social isolation and emotion-focused coping, which in turn were associated with negative affect and ultimately binge eating. Overall, the study provides evidence that minority stress is associated with binge eating and may partially explain the disparity in binge eating between LB and heterosexual women.

Profiles of Binge Eating: The Interaction of Depressive Symptoms, Eating Styles, and Body Mass Index

Binge eating is associated with depressive symptoms, eating styles, and obesity. However, less is known about interactions between these variables and binge eating. This study examined the relationship between depressive symptoms, eating styles, body mass index, and binge eating. Individuals with a higher body mass index, who reported more depressive symptoms and more external eating, reported the greatest binge eating. Similarly, individuals with a higher body mass index who reported more depressive symptoms and more emotional eating reported the greatest binge eating. These findings demonstrate possible profiles of individuals most at risk for binge eating and associated eating disorders.