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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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The Impact of Knowledge, Self-efficacy, and Stigma on STI Testing Intention among College Students
Title
The Impact of Knowledge, Self-efficacy, and Stigma on STI Testing Intention among College Students
Creator
Thomas, Julia
Date
2019
Description
Young people (ages 15-24) account for over half of the new cases of sexually transmitted infections (STIs) each year in the United States (CDC...
Show moreYoung people (ages 15-24) account for over half of the new cases of sexually transmitted infections (STIs) each year in the United States (CDC, 2016). The current study examined how knowledge, self-efficacy, and stigma are associated with STI testing intention among sexually active college students using path model analysis. Data were collected via an online survey (N = 76, 54% female). STI testing intention was measured using a 5-point Likert scale for eight STIs referenced in the Brief Sexual History Tool (CDC, 2018). These items comprised an intention scale with high internal consistency for this sample (α = .97). Path analysis was conducted using SPSS AMOS and MacKinnon’s ab product approach in RMediation was used to test mediating effects. The predicted path model fit the data well and the relationships between self-efficacy and knowledge, label avoidance, and intention were significant. Mediation analysis revealed significant indirect paths for knowledge and label avoidance on STI testing intention through self-efficacy. These findings indicate that self-efficacy directly impacts college students’ STI testing intention, while knowledge and label avoidance indirectly impact intention through self-efficacy. Findings suggest that providers and college health clinics may be able to increase the frequency of STI testing behavior by promoting strategies to increase students’ self-efficacy.
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They Aren't Like Me, They are Bad, and They are to Blame: A Theoretically-Informed Study of Stigma of Hoarding Disorder and Obsessive-Compulsive Disorder
Title
They Aren't Like Me, They are Bad, and They are to Blame: A Theoretically-Informed Study of Stigma of Hoarding Disorder and Obsessive-Compulsive Disorder
Creator
Chasson, Gregory S., Guy, Arryn A., Bates, Sage, Corrigan, Patrick W.
Date
2018, 2018
Publisher
Elsevier
The Public Stigma of Tourette Syndrome
Title
The Public Stigma of Tourette Syndrome
Creator
Tooley, Anastasia Cherise
Date
2021
Description
There is a dearth of quantitative research examining the public stigma of Tourette syndrome (TS), and no known studies assessing public...
Show moreThere is a dearth of quantitative research examining the public stigma of Tourette syndrome (TS), and no known studies assessing public perceptions of difference (how similar they are), disdain (how bad they are), and blame (how responsible they are) toward individuals with TS. The current study sought to understand the public stigma of TS as a visible and unconcealable condition. An internet sample of 450 adults were recruited through MTurk. Participants read four brief vignettes, each describing an adolescent with TS, obsessive-compulsive disorder (OCD), autism spectrum disorder (ASD), or a history of juvenile detention. Results showed TS to be associated with neutral or negative public perceptions across stigma facets. When compared to OCD and ASD, vignettes describing TS were viewed with similar difference, disdain, and blame. TS was least familiar to participants. Findings highlight differences in stigma for concealable versus visible stigmatized conditions which has implications for future research and anti-stigma interventions.
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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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Qualitative Investigation of Stigma Experiences of Individuals Living with Hoarding Disorder
Title
Qualitative Investigation of Stigma Experiences of Individuals Living with Hoarding Disorder
Creator
Bates, Sage
Date
2023
Description
Hoarding disorder (HD) is characterized by significant difficulty discarding items, resulting in an accumulation of clutter. HD is a public...
Show moreHoarding disorder (HD) is characterized by significant difficulty discarding items, resulting in an accumulation of clutter. HD is a public health concern and is associated with treatment ambivalence (e.g., refusal to initiate treatment, dropout, and limited treatment compliance). While low insight and motivation may account for some of the treatment ambivalence, it also could be due to a number of other factors related to how HD is being perceived by others, such as stigma. Yet, there is very little research on the relationship between stigma and hoarding, and what these studies have shown is that HD is judged negatively by the general population (i.e., public stigma) in a variety of ways. However, despite these initial findings, there are no in-depth studies examining stigma of HD from the perspective of those with lived experience. Further, previous research of stigma and HD utilized stigma measures that were significantly modified from their original intent to measure severe mental illness, and it is possible that general measures of stigma may not capture the specific features of HD or public perceptions of HD. The present study is a qualitative analysis to investigate stigma pertinent to HD.
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