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Introduction: This article describes the development and initial validation of a measure of implicit internalized stigma among queer people, the Implicit Internalized Sexual Orientation Stigma Affect Misattribution Procedure (Internal-SOS-AMP), a computer-administered sequential priming procedure.
Methods: The creation of the Internal-SOS-AMP involved a mixed-methods approach, including a literature review, expert interviews, stimuli selection and pilot testing, data collection from a large sample, reliability testing, correlational analyses, and confirmatory factor analysis. Psychometric testing was conducted with a national sample of 500 queer adults who completed two waves of data collection. Confirmatory factor analysis was used to evaluate two models: a one-factor model with internalized stigma specified as one overall construct and a two-factor model with internalized stigma specified as two constructs based on binary conceptions of gender (stigma regarding queer women and stigma regarding queer men).
Results: Results showed that the two-factor model best fit the data. This indicates that although implicit attitudes toward queer men and women are highly correlated, implicit internalized stigma differentiated by two gender stimuli groups (men and women) more accurately reflects the data. There was evidence of convergent validity as Internal-SOS-AMP scores showed small positive associations with explicit internalized stigma. Regarding divergent validity, Internal-SOS-AMP scores were inversely related to affirmation of a queer identity. Reliability results for the Internal-SOS-AMP showed good internal consistency and acceptable test-retest reliability.
Discussion: The creation of the Internal-SOS-AMP used best practices for measurement development. Psychometric findings show strong evidence of content validity, convergent validity, divergent validity, and reliability of the Internal-SOS-AMP.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11638870 | PMC |
http://dx.doi.org/10.3389/fpsyg.2024.1385410 | DOI Listing |
Arch Psychiatr Nurs
October 2025
Center for Innovation and Medical Education Research, Buddhist Tzu Chi Medical Foundation Hualien Tzu Chi Hospital, Hualien, Taiwan.
Background: Internalized sexual stigma is a significant psychological stressor contributing to depression among gay men. While resilience and positive sexual identity are known protective factors, their combined roles remain understudied in non-Western contexts, particularly in East Asian societies like Taiwan.
Purpose: This study investigated whether resilience mediates and positive sexual identity moderates the association between internalized stigma and depressive severity among Taiwanese gay men.
Gastroenterol Hepatol
September 2025
Balearic Health Service, Mallorca, Spain; ADEMA-Health Group of IUNICS, Balearic Islands, Spain. Electronic address:
Background: Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing global health concern, particularly among individuals with obesity. While metabolic and behavioral risk factors have been well described, the role of psychosocial determinants, such as weight stigma, remains underexplored.
Objectives: To assess the association between sociodemographic variables, healthy lifestyle behaviors, and internalized weight stigma with MASLD risk in a large cohort of obese workers across Spain.
Diabetes Ther
September 2025
HaaPACS GmbH, Schriesheim, Germany.
Introduction: Weight and diabetes stigma among healthcare professionals (HCPs) may negatively impact treatment decisions, patient outcomes, and physician-patient interactions. We assessed the relationship between weight stigma, diabetes stigma, perceptions of healthcare quality, and avoidance of healthcare among adults with type 2 diabetes (T2D).
Methods: This observational, online survey-based study included 857 US adults with T2D.
HIV Med
September 2025
Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Astana, Kazakhstan.
Introduction: Human immunodeficiency virus (HIV) remains a significant global health problem, and the number of new cases is increasing in Central Asia, including Kazakhstan. This study aimed to examine the association of a range of demographic, physical health and psychosocial factors with the mental health of people living with HIV in Kazakhstan, applying the two-continua model of mental health, which holds that mental wellbeing and mental illness are two distinct continua that are interrelated in their contributions to overall mental health. The study findings can inform future interventions aimed to prevent mental illness and promote the mental wellbeing of people living with HIV.
View Article and Find Full Text PDFJ Homosex
September 2025
Department of Basic Psychological Processes and their Development, Euskal Herriko Unibertsitatea (UPV/EHU), Donostia, Spain.
Loneliness is a subjective experience characterized by a perceived deficiency in social relationships, often accompanied by feelings of emptiness and exclusion. Various demographic and situational factors can influence loneliness levels. Prolonged social disconnection is associated with chronic stress, which can harm mental and physical health.
View Article and Find Full Text PDF