The moderating role of psychological inflexibility in the relationship between minority stress, substance misuse, and suicidality in LGB+ adolescents

Weeks, Sean N.; Renshaw, Tyler L.; Galliher, Renee Vickerman; Tehee, Melissa

doi:10.1016/j.jcbs.2020.10.007

Cited by 10 publications

(5 citation statements)

References 44 publications

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“…Simultaneously, statistically significant relationships were observed between decreased SI and reduced psychological inflexibility, consistent with previous research (Crasta et al, 2020;Chou et al, 2018;Krafft et al, 2018;Weeks et al, 2020). Reduced experiential avoidance also correlated significantly with decreased SI (Ducasse et al, 2014;Walser et al, 2015), supporting the notion that suicidal behavior may be a form of avoidance (Hennings, 2020).…”

Section: Discussionsupporting

confidence: 89%

Acceptance and Commitment Therapy on suicidal behavior: a systematic review

Ortas-Barajas,

Manchón

2024

An. psicol.

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Suicide has emerged as a pressing global issue affecting both society and public health. In this context, Acceptance and Commitment Therapy (ACT) could prove effective in its approach, supported by evidence of the relationship between certain components of ACT and suicidal behavior. Thus, the present study aims to conduct a systematic review on the efficacy of ACT in suicidal behavior. For this, the PRISMA protocol was followed, using the following databases: PsycInfo, PubMed, Scopus and PsicoDoc. Initially, 108 potentially relevant publications were obtained, 13 of which were finally included in the review. We analyzed study quality using a risk of bias assessment instrument. As a result, statistically significant decreases in suicidal ideation (SI) and suicide risk factors were observed. In addition, some studies indicated statistically significant relationships between increased psychological flexibility and decreased SI. While the data suggested the potential effectiveness of ACT in reducing suicidal ideation (SI), more experimental studies are needed to consider the complexity of suicidal behavior and explore the processes of change involved. El suicidio se ha convertido en un problema social y de salud pública a nivel mundial. En este sentido, la Terapia de Aceptación y Compromiso (ACT) podría ser eficaz en su abordaje, existiendo evidencia sobre la relación entre algunos de sus componentes y la conducta suicida. Así, el presente estudio tuvo por objetivo realizar una revisión sistemática sobre la eficacia de ACT en conducta suicida. Para ello se siguió el protocolo PRISMA, empleando las siguientes bases de datos: PsycInfo, PubMed, Scopus y PsicoDoc. Inicialmente se obtuvieron 108 publicaciones potencialmente relevantes, de las cuales, finalmente, 13 fueron incluidas en la revisión. La calidad de los estudios se analizó a través de un instrumento de evaluación de riesgo de sesgos. Como resultados, a nivel general se observaron disminuciones estadísticamente significativas en ideación suicida (IS) y factores de riesgo de suicidio. Además, algunos estudios señalaron relaciones estadísticamente significativas entre un aumento de flexibilidad psicológica y la disminución de IS. Si bien los datos apuntaron a una posible eficacia de ACT en la reducción de IS, es necesario llevar a cabo mayor número de estudios experimentales que contemplen la complejidad de la conducta suicida y exploren los procesos de cambio implicados.

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Section: Discussionsupporting

confidence: 89%

Acceptance and Commitment Therapy on suicidal behavior: a systematic review

Ortas-Barajas,

Manchón

2024

An. psicol.

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“…GSM = global minority stress; Fa Re = family rejection; Ho Cl = homonegative climate; Ho Co = homonegative communication; Ne Di = negative disclosure experiences; So Ma = social marginalization; Id Ma = identity management; In Ho = internalized homonegativity; Ne Ex = negative expectancies; In = intersectionality; DMSD = distal minority stress domain; PMSD = proximal minority stress domain. The information in this table was originally reported in Weeks et al (2020).…”

Section: Resultsmentioning

confidence: 99%

“…The procedures in the current study were conducted through a series of secondary analyses using data collected in two previous studies (Weeks et al, 2020; Weeks et al, 2021). A combined sample size of N = 445 was gathered through two independent instances of participant recruitment through online survey panels.…”

Section: Methodsmentioning

confidence: 99%

Validating the Structure of Proximal and Distal Factors within the Sexual Minority Adolescent Stress Inventory

Weeks

Renshaw

Serang

2022

Journal of Psychoeducational Assessment

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Minority stress theory is a model for understanding health disparities among sexual minorities, defined as those who experience a level of same-sex attraction, identity, or behavior. Methods for assessing minority stress among youth included only adult measures until the development of the Sexual Minority Adolescent Stress Inventory (SMASI). The SMASI appears to be a robust scale in its ability to measure specific stressors and global minority stress among adolescents; however, it does not measure the domain-level constructs of proximal and distal stress, which are integral features of the underlying theory. This study tests the psychometric defensibility of including these domain-level factors within an updated SMASI measurement model. Results provide evidence for the structural validity of the proximal and distal domains within the SMASI measurement model and suggest this updated model has more informational value than the original model for capturing minority stress.

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“…Other programs such as Affirmative Supportive Safe and Empowering Talk (Craig, 2013;Craig et al, 2014) have also found preliminary support through open pilot testing, focusing on building resilience, but their efficacy has yet to be established in the literature. Indeed, recent work to explore coping and supportive resources that can counteract the influence of minority stress including peer and family support, LGBT friendships, safety and access to resources suggest new veins for intervention (e.g., Goldbach and Gibbs, 2015;Salvati et al, 2018;Petrocchi et al, 2020;Weeks et al, 2020). Recent psychometric studies have also explored the importance of positive identity development in LGB people (Baiocco et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

Confirming the Reliability and Validity of the Sexual Minority Adolescent Stress Inventory in a National Sample of Sexual Minority Adolescents

et al. 2021

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Objective: Sexual minority adolescents (SMA) experience numerous behavioral health disparities, including depression, anxiety, substance use, non-suicidal self-injury, and suicidality. The primary framework to understand these disparities is minority stress theory, which frames this disproportionate burden as the result of discrimination, violence, and victimization in a homophobic culture. Empirical examinations of minority stress among SMA have been limited by lack of diverse samples or validated measures. This study engaged a national community sample of SMA to confirm reliability and validity of the Sexual Minority Adolescent Stress Inventory (SMASI).Method: A national sample of 2,310 SMA aged 14–17 was recruited in the United States through a hybrid social media and respondent-driven sampling approach. Item response theory and confirmatory factor analysis established the psychometric properties of the SMASI in this sample; minority stress was modeled as a latent variable in several regression models to verify criterion and divergent validity.Results: In this national sample (M age = 15.9; 64% female and 60% White), the factor structure of the SMASI and its 11 subscales was confirmed and shown to be invariant by demographic characteristics. Minority stress as measured by the SMASI was significantly associated with all mental and behavioral health outcomes.Conclusions: This study provides evidence that SMASI is a reliable, valid, and important tool for better understanding minority stress and subsequent health and mental health consequences among SMA.

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The moderating role of psychological inflexibility in the relationship between minority stress, substance misuse, and suicidality in LGB+ adolescents

Cited by 10 publications

References 44 publications

Acceptance and Commitment Therapy on suicidal behavior: a systematic review

Acceptance and Commitment Therapy on suicidal behavior: a systematic review

Validating the Structure of Proximal and Distal Factors within the Sexual Minority Adolescent Stress Inventory

Confirming the Reliability and Validity of the Sexual Minority Adolescent Stress Inventory in a National Sample of Sexual Minority Adolescents

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