Hypervigilance
An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults
Bibliographic Data
| ID | 8104420 |
|---|---|
| Authors | Nathan L Hollinsaid (0000-0001-8808-607X, corresponding author), John E Pachankis (0000-0002-2015-9225), Richard Bränström (0000-0002-5889-2481), Mark L Hatzenbuehler (0000-0002-7430-0853) |
| Year | 2023 |
| Volume | 11 |
| Issue | 5 |
| Pages | 954-973 |
| Publication date | 2023-03-25 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Clinical Psychological Science (JOURNAL) |
| Journal identifiers | ISSN: 2167-7026 • E-ISSN: 2167-7034 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/21677026231159050 |
| OpenAlex | W4360948854 |
| Language | EN |
| Citations received | 16 |
| References cited | 19 |
Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance is rarely explicitly assessed but is instead commonly conflated with putatively related constructs, including sexual-orientation-related rejection sensitivity and rumination, hindering conceptual and mechanistic understandings of this process. We therefore embedded a hypervigilance measure in a longitudinal, population-based study of 811 Swedish sexual-minority young adults (ages 17–34). Hypervigilance—but neither sexual-orientation-related rejection sensitivity nor rumination, with which it was only weakly correlated ( rs = .23–.24)—uniquely mediated prospective associations between perceived discrimination and internalizing symptoms 2 years later, explaining up to 40% of these effects. Sexual-orientation-related rejection sensitivity and rumination prospectively predicted hypervigilance on these paths. Findings suggest that hypervigilance represents a distinct construct and transdiagnostic mechanism through which stigma-related experiences and processes undermine sexual-minority mental health. We discuss implications for enhancing psychological interventions for sexual minorities by addressing hypervigilance
Anxiety · Cognition · Developmental psychology · Hypervigilance · Psychiatry · Psychopathology · Rumination · Sexual minority · Sexual orientation · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · LGBTQ Health, Identity, and Policy · Psychology · Racial and Ethnic Identity Research · Clinical Psychology · Social Psychology
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| Unique citing works | 16 |
|---|---|
| Citations per year | 8 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 16 |