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      Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.

      Psychological Bulletin

      American Psychological Association (APA)

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          Abstract

          In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress--explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems. The model describes stress processes, including the experience of prejudice events, expectations of rejection, hiding and concealing, internalized homophobia, and ameliorative coping processes. This conceptual framework is the basis for the review of research evidence, suggestions for future research directions, and exploration of public policy implications.

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          Most cited references 145

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          Lifetime and 12-Month Prevalence of DSM-III-R Psychiatric Disorders in the United States

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            Stereotype threat and the intellectual test performance of African Americans.

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              The Social Self: On Being the Same and Different at the Same Time

               M. Brewer (1991)
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                Author and article information

                Journal
                Psychological Bulletin
                Psychological Bulletin
                American Psychological Association (APA)
                1939-1455
                0033-2909
                September 2003
                September 2003
                : 129
                : 5
                : 674-697
                10.1037/0033-2909.129.5.674
                2072932
                12956539
                © 2003

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