Abstract
This study revealed that attributional style can identify gay men at risk for adverse mental health correlates of discrimination, as well as those resilient in the face of frequent discriminatory events. Men identifying as gay (N = 307) completed online self-reports of social anxiety, perceived frequency of discriminatory events, attributions for discriminatory events, and key minority stress constructs: internalized homonegativity and gay identity development. A new measure was constructed to assess different types of attributions regarding discrimination, with factor analyses yielding promising psychometric properties. Global attributions and the importance ascribed to discrimination were associated with increased social anxiety, above and beyond other minority stress constructs related to mental health in gay men. Attribution style also served as a moderator, as perceived discrimination was only associated with increased social anxiety in gay men who attributed high globality/importance to discriminatory events. Attributions may serve as risk or protective factors in the context of discrimination.
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Abramson, L. Y., Seligman, M. E. P., & Teasdale, J. D. (1978). Learned helplessness in humans: Critique and reformulation. Journal of Abnormal Psychology, 87, 49–74.
Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Thousand Oaks, CA: Sage Publications.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: American Psychiatric Association.
Bentler, P. M. (1989). EQS structural equations program manual. Los Angeles: BMDP Statistical Software.
Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness-of-fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606.
Bradbury, T., & Fincham, F. (1992). Attributions and behavior in marital interaction. Journal of Personality and Social Psychology, 63, 613–628.
Brady, S., & Busse, W. (1994). The Gay Identity Questionnaire: A brief measure of homosexual identity formation. Journal of Homosexuality, 26, 1–22.
Branscombe, N. R., Wohl, M. J. A., Owen, S., Allison, J. A., & N’Gbala, A. (2003). Counterfactual thinking, blame assignment, and well–being in rape victims. Basic and Applied Social Psychology, 25, 265–273.
Brooks, V. R. (1981). Minority stress and Lesbian women. Lexington, MA: Lexington Books, D. C. Health and Co.
Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Newbury Park, CA: Sage.
Bruch, M. A., & Belkin, D. K. (2001). Attributional style in shyness and depression: Shared and specific maladaptive patterns. Cognitive Therapy and Research, 25, 247–259.
Bruch, M., Fallon, M., & Heimberg, R. (2003). Social phobia and difficulties in occupational adjustment. Journal of Counseling Psychology, 50, 109–117.
Bruch, M. A., & Pearl, L. (1995). Attributional style and symptoms of shyness in a heterosocial interaction. Cognitive Therapy and Research, 19, 91–107.
Cass, V. C. (1979). Homosexual identity formation: A theoretical model. Journal of Homosexuality, 4, 219–235.
Clark, D., & McManus, F. (2002). Information processing in social phobia. Biological Psychiatry, 51, 92–100.
Cochran, S. D., & Mays, V. E. (2006). Estimating prevalence of mental and substance-using disorders among lesbians and gay men from existing national health data. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people. Washington, DC: American Psychological Association.
Crocker, J., Voelkl, K., Testa, M., & Major, B. (1991). Social stigma: The affective consequences of attributional ambiguity. Journal of Personality and Social Psychology, 60, 218–228.
Currie, M., Cunningham, E., & Findlay, B. (2004). The short internalized homonegativity scale: Examination of the factorial structure of a new measure of internalized homophobia. Educational and Psychological Measurement, 64, 1053–1067.
Division 44/Committee on Lesbian, Gay, and Bisexual Concerns Joint Task Force. (2000). Guidelines for psychotherapy with lesbian, gay, and bisexual clients. American Psychologist, 55, 1440–1451.
Eccleston, C. P., & Major, B. N. (2006). Attributions to discrimination and self-esteem: The role of group identification and appraisals. Group Processes & Intergroup Relations, 9, 147–162.
Foa, E. B., Franklin, M. E., Perry, K. J., & Herbert, J. D. (1996). Cognitive biases in generalized social phobia. Journal of Abnormal Psychology, 105, 433–439.
Foster, M. D. (2001). The motivational quality of global attributions in hypothetical and experienced situations of gender discrimination. Psychology of Women Quarterly, 25, 242–253.
Fresco, D. M., Coles, M. E., Heimberg, R. G., Liebowitz, M. R., Hami, S., Stein, M. B., et al. (2001). The Liebowitz Social Anxiety Scale: A comparison of the psychometric properties of self-report and clinician-administered formats. Psychological Medicine, 31, 1025–1035.
Gibb, B., Beevers, C., Andover, M., & Holleran, K. (2006). The hopelessness theory of depression: A prospective multi-wave test of the vulnerability-stress hypothesis. Cognitive Therapy and Research, 30, 763–772.
Guidry, L. (1999). Clinical intervention with bisexuals: A contextualized understanding. Professional Psychology: Research and Practice, 30(1), 22–26.
Halpin, S., & Allen, M. (2004). Changes in psychosocial well-being during stages of gay identity development. Journal of Homosexuality, 47, 109–126.
Hart, T., & Heimberg, R. (2005). Social anxiety as a risk factor for unprotected intercourse among gay and bisexual male youth. AIDS and Behavior, 9, 505–512.
Hatzenbuehler, M. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730.
Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., et al. (1998). Cognitive behavioral group therapy vs. Phenelzine therapy for social phobia. Archives of General Psychiatry, 55, 1133–1141.
Jose, P. E. (2008). ModGraph-I: A programme to compute cell means for the graphical display of moderational analyses: The internet version, Version 2.0. Victoria University of Wellington, Wellington, New Zealand. Retrieved April 2, 2010 from http://www.victoria.ac.nz/psyc/staff/paul-jose-files/modgraph/modgraph.php.
Katzelnick, D., Kobak, K., DeLeire, T., Henk, H., Greist, J., Davidson, J., et al. (2001). Impact of generalized social anxiety disorder in managed care. American Journal of Psychiatry, 158, 1999–2007.
Kessler, R. (2003). The impairments caused by social phobia in the general population: Implications for intervention. Acta Psychiatrica Scandinavica, 108, 19–27.
Kessler, R., Berglund, P., Demler, O., Jin, R., & Walters, E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62(6), 593–602.
Kessler, R., Mickelson, K., & Williams, D. (1999). The prevalence, distribution, and mental health correlates of perceived discrimination in the United States. Journal of Health and Social Behavior, 40, 208–230.
Kinsey, A. C., Pomeroy, W. B., & Martin, C. E. (1948). Sexual behavior in the human male. Oxford, England: Saunders.
Lam, A. G., & Sue, S. (2001). Client diversity. Psychotherapy: Theory, Research, and Practice, 38, 479–486.
Liebowitz, M. R. (1987). Social phobia. Modern Problems of Pharmacopsychiatry, 22, 141–173.
Liebowitz, M. R. (2003). Guidelines for using the Liebowitz Social Anxiety Scale (LSAS). Unpublished manual.
Mays, V., & Cochran, S. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869–1876.
Metalsky, G. I., Abramson, L. Y., Seligman, M. E. P., Semmel, A., & Peterson, C. (1982). Attributional styles and life events in the classroom: Vulnerability and invulnerability to depressive mood reactions. Journal of Personality and Social Psychology, 43, 612–617.
Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674–697.
Pachankis, J. E., & Goldfried, M. R. (2006). Social anxiety in young gay men. Anxiety Disorders, 20, 996–1015.
Pachankis, J., Goldfried, M., & Ramrattan, M. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76, 306–317.
Patel, A., Knapp, M., Henderson, J., & Baldwin, D. (2002). The economic consequences of social phobia. Journal of Affective Disorders, 68, 221–233.
Peterson, C., Semmel, A., von Baeyer, C., Abramson, L. Y., Metalsky, G. I., & Seligman, M. E. P. (1982). The attributional style questionnaire. Cognitive Therapy and Research, 6, 287–300.
Ross, M. W. (1985). Actual and anticipated societal reaction to homosexuality and adjustment in two societies. Journal of Sex Research, 21, 40–55.
Ross, M. W., & Rosser, S. B. R. (1996). Measurement and correlates of internalized homophobia: A factor analytic study. Journal of Clinical Psychology, 52, 15–21.
Rust, P. (2002). Bisexuality: The state of the union. Annual Review of Sex Research, 13, 180–240.
Rytwinski, N., Fresco, D., Heimberg, R., Coles, M., Liebowitz, M., Cissell, S., et al. (2009). Screening for social anxiety disorder with the self-report version of the Liebowitz Social Anxiety Scale. Depression and Anxiety, 26, 34–38.
Safren, S. A., & Heimberg, R. G. (1999). Depression, hopelessness, suicidality and related factors in sexual minority and heterosexual adolescents. Journal of Consulting and Clinical Psychology, 67, 859–886.
Safren, S. A., & Pantalone, D. W. (2006). Social anxiety and barriers to resilience among lesbian, gay, and bisexual adolescents. In A. M. Omoto & H. S. Kurtzman (Eds.), Sexual orientation and mental health: Examining identity and development in lesbian, gay, and bisexual people. Washington, DC: American Psychological Association.
Sandfort, T. G., de Graaf, R., Bijl, R. V., & Schnabel, P. (2001). Same-sex sexual behavior and psychiatric disorders: Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Archives of General Psychiatry, 58, 85–91.
Sechrist, G., & Swim, J. (2008). Psychological consequences of failing to attribute negative outcomes to discrimination. Sex Roles, 59, 21–38.
Shaver, K., & Drown, D. (1986). On causality, responsibility, and self-blame: A theoretical note. Journal of Personality and Social Psychology, 50, 697–702.
Steiger, J. H., & Lind, J. C. (1980). Statistically based tests for the number of factors. Paper presented at the annual spring meeting of the Psychometric Society, Iowa City, IA.
Szymanski, D. M. (2006). Does internalized heterosexism moderate the link between heterosexist events and lesbians’ psychological distress? Sex Roles, 54, 227–234.
Szymanski, D. M. (2009). Examining potential moderators of the link between heterosexist events and gay and bisexual men’s psychological distress. Journal of Counseling Psychology, 56, 142–151.
Taylor, S., & Wald, J. (2003). Expectations and attributions in social anxiety disorder: Diagnostic distinctions and relationship to general anxiety and depression. Cognitive Behavior Therapy, 32, 166–178.
Torres, L. (2009). Attributions to discrimination and depression among Latino/as: The mediating role of competence. American Journal of Orthopsychiatry, 79, 118–124.
Vassilopoulos, S. (2005). Anticipatory processing plays a role in maintaining social anxiety. Anxiety, Stress & Coping: An International Journal, 18, 321–332.
Vassilopoulos, S. (2006). Interpretation and judgmental biases in socially anxious and nonanxious individuals. Behavioural and Cognitive Psychotherapy, 34, 243–254.
Weiner, B. (1986). An attribution theory of motivation and emotion. New York: Springer.
Wilson, J. K., & Rapee, R. M. (2005). The interpretation of negative social events in social phobia: Changes during treatment and relationship to outcome. Behaviour Research and Therapy, 43, 373–389.
Wittchen, H., & Fehm, L. (2003). Epidemiology and natural course of social fears and social phobia. Acta Psychiatrica Scandinavica, 108, 4–18.
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This study was supported by a Seed Grant from the University of Georgia Center for Research and Engagement in Diversity, Athens, GA (C. Kamen)
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Burns, M.N., Kamen, C., Lehman, K.A. et al. Minority Stress and Attributions for Discriminatory Events Predict Social Anxiety in Gay Men. Cogn Ther Res 36, 25–35 (2012). https://doi.org/10.1007/s10608-010-9302-6
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DOI: https://doi.org/10.1007/s10608-010-9302-6