Associations among internalized and perceived stigma, state mindfulness, self-efficacy, and depression symptoms among men who have sex with men in China: A serial mediation model.
Caimeng LiuGuangzhe Frank YuanXiaoming LiHong Wang FungMing Yu Claudia WongJingjing ZhaoXueyou FengPublished in: Archives of psychiatric nursing (2023)
Previous research has demonstrated that stigma is strongly related to depressive symptoms among men who have sex with men (MSM). However, data are limited regarding the associations between stigma, state mindfulness, self-efficacy, and depression symptoms. The current study aimed to analyze state mindfulness and self-efficacy as possible mediators between internalized and perceived stigma and depression symptoms. A sample of 2610 Chinese MSM (M age = 23.99, SD = 6.09, age range: 18-68 years) was recruited from an online survey platform and completed the HIV and Homosexuality Related Stigma Scale, Patient Health Questionnaire-9, the short version of Five Facet Mindfulness Questionnaire, and the Chinese General Self-Efficacy Scale. Results indicated that state mindfulness significantly mediated the linkage between internalized and perceived stigma and depressive symptoms, and self-efficacy significantly mediated the relation between state mindfulness and depression symptoms. Furthermore, internalized and perceived stigma were associated with depression symptoms through a serial mediation of state mindfulness and self-efficacy. This study highlights that state mindfulness and self-efficacy might play important roles in the psychological response of MSM to stigmatization and psychopathology symptoms.
Keyphrases
- social support
- depressive symptoms
- men who have sex with men
- hiv testing
- sleep quality
- hiv positive
- mental health
- chronic pain
- hiv aids
- mental illness
- public health
- cross sectional
- healthcare
- physical activity
- case report
- south africa
- deep learning
- antiretroviral therapy
- dna methylation
- genome wide
- climate change
- social media
- high density
- electronic health record