In this study we explore individual's experiences of identity integration between their sexual orientation and religious beliefs. Using both qualitative and quantitative research methods, we examined identity integration in forty members and participants of the Metropolitan Community Church of New York (MCC/NY), a gay-positive church located in Mid-town Manhattan. The survey and interview data collected showed that: (1) a majority of the research participants reported that they had successfully integrated their homosexual and religious identities, (2) being integrated was related to higher role involvement at MCC/NY, being a member of the church, attending more MCC/NY worship services and activities/ministries, and attending MCC/NY for more years, (3) lesbians were less likely than gay men to report past conflict between their identities, and more likely to report being fully integrated, and (4) MCC/ NY played an important role in helping these participants achieve integration between their homosexual and religious identities.

Objectives One of the most common acute side effects of breast cancer radiotherapy is treatment induced skin changes, referred to as skin toxicity. Yet no research to date has focused expressly on skin toxicity-related quality of life in breast cancer radiotherapy patients. Therefore, our aim was to use qualitative approaches to better understand the impact of skin toxicity on quality of life. Methods Semi-structured interviews were conducted with 20 women (Stage 0-III breast cancer), during their last week of external beam radiotherapy. Each interview was transcribed verbatim, and thematic analysis was performed. Results Three themes were identified based on the interview responses: First, skin changes affect multiple dimensions of quality of life. They cause physical discomfort, body image disturbance, emotional distress, and impair both day-to-day functioning and satisfaction with radiation treatment. Second, individual differences affect women’s experiences. Generally African-American women, younger women, women who are not currently in a relationship, women who are being treated during the summer, and women who are more invested in their appearance are more distressed by skin toxicity. Third, women use a variety of symptom management strategies including self-medication, complementary/alternative medicine approaches, and psychological strategies. Conclusions Implications of results are: 1) Skin toxicity affects numerous dimensions of quality of life, and assessment approaches and psychosocial interventions should address this; 2) individual differences may affect the experience of skin toxicity, and should be considered in treatment and education approaches; and 3) participants’ own creativity and problem-solving should be used to improve the treatment experience.

Objective. This study describes lupus fatigue multidimensionally and introduces a multivariate model: Sleep problems and depressiain, through reciprocal effects on each other, act as ]mediators through which lupus disease activity increases fatigue.Methods. Self-reported sleep patterns, depression, and fatigue were assessed in 48 women with systemic lupus erythematosuis (SLE) and 27 women from the general population. Rheumatologists rated current lupus disease activity.Results. The SLE group reported greater overall fatigue than did the control!$. Temporal and affective dimensions of fatigue were more differentiating than sensory or severity dimensions. The SLE group also reported longer sleep latency and total sleep time, but not higher depression. Using 2-stage regression, a form of structural equation modeling, the proposed lupus fatigue model was supported.Conclusion. These preliminary results describe fatigue as a multidimensional phenomenon arising out of several contributing factors. They suggest that fatigue treatment strategies should address mediating processes

Stigma and social inequality deprive disadvantaged social groups of a sense of social well-being. Stress researchers have focused on prejudice-related events and conditions but have not described more intangible stressors experienced by sexual minorities. We use narrative methods to examine how sexual minorities experience stigma and social inequality as we focus on the more intangible stressors that are both pervasive and difficult to measure. Three themes emerged in the narratives of our ethnically diverse sample of 57 adult sexual minority women and men: (a) stigma deprived them of access to critical possibilities and opportunities; (b) stigma deprives them of safety and acceptance; and (c) despite this, the experience of stigma is also related to the adoption of a positive and collective orientation towards their stigmatized identities. Recognizing these stressors and related resilience can direct policy makers toward interventions that go even beyond eliminating prejudice by including goals to strengthen minority communities.