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Buried in stigma: Experimental investigation of the impact of hoarding depictions in reality television on public perception
Title
Buried in stigma: Experimental investigation of the impact of hoarding depictions in reality television on public perception
Creator
Bates, Sage
Date
2019
Description
Hoarding disorder (HD) has been newly classified as a distinct mental disorder and is a considerable public health concern. Treatment...
Show moreHoarding disorder (HD) has been newly classified as a distinct mental disorder and is a considerable public health concern. Treatment ambivalence is a problem in this clinical population, and stigma of HD may be one potential factor contributing to an unwillingness to seek treatment. However, stigma of HD has been understudied, despite the media often perpetuating severe and negative representations of individuals with HD. This study is the first to investigate experimentally the impact of a popular reality television show on attitudes and beliefs about individuals with HD. Participants were randomly assigned to one of three conditions in which they watched popular television shows with varying degrees of clutter: Hoarders (high clutter depiction), Clean House (medium clutter depiction), and House Hunters (low clutter depiction). Participant attitudes and beliefs were evaluated before and after the episode viewing. Results of the study showed that participants who viewed A&E’s Hoarders desired more social distance from individuals with HD—an index of stigma—after viewing the television show, compared to the other groups. The interaction effects of two additional indices of stigma based on watching Hoarders approached statistical significance. There were also significant effects found for other indices of stigma. The present experimental study contributes to the very small body of research investigating stigma of HD and possible causes of treatment ambivalence in individuals living with HD.
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Testing Models of Minority Stress and Cognitive Escape in a Large Sample of Lesbian/Gay Individuals
Title
Testing Models of Minority Stress and Cognitive Escape in a Large Sample of Lesbian/Gay Individuals
Creator
Manser, Kelly
Date
2020
Description
Compared to heterosexual individuals, gay/lesbian individuals experience health and sociopolitical disparities. Health disparities include...
Show moreCompared to heterosexual individuals, gay/lesbian individuals experience health and sociopolitical disparities. Health disparities include higher prevalence of binge drinking, tobacco use, and cardiovascular disease (CVD) among gay/lesbian individuals. Sociopolitical disparities are rooted in structural stigma and include policies and norms that fail to protect, or actively discriminate against, gay/lesbian individuals. These health and sociopolitical disparities can be understood by converging two theories previously tested among gay/lesbian individuals – minority stress and cognitive escape. Minority stress theory asserts factors such as structural stigma may relate to proximal stress and negative health sequelae in targeted minority groups, while cognitive escape theory suggests escape-related behaviors like substance use may mediate links between systemic factors and individual health. This study used binary logistic regressions to test mediation models in which substance use mediated links between structural stigma and health within a large sample of gay/lesbian individuals. Structural stigma was operationalized as number of sexual orientation anti-discrimination laws, health was operationalized as presence versus absence of any CVD conditions, and substance use was operationalized as binge drinking and tobacco use. Models were tested in an aggregated sample, and also in sex/gender subsamples. In bivariate and component-path analyses, structural stigma predicted smoking frequency across samples. Stigma-binge drinking linkages were more salient among lesbian women compared to gay men. According to Sobel tests, smoking status mediated the stigma-CVD status relation for males-only and combined-sex samples. Study strengths, limitations, and implications are discussed.
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