Cited by 246Social and Intergroup PsychologyMental Health Treatment and AccessRacial and Ethnic Identity Research

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The Burden of Stigma on Health and Well-Being: A Taxonomy of Concealment, Course, Disruptiveness, Aesthetics, Origin, and Peril Across 93 Stigmas

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Pachankis, John E., Hatzenbuehler, Mark L., Wang, Katie, Burton, Charles L., Crawford, Forrest W., Phelan, Jo C., Link, Bruce G.·2018·Personality and Social Psychology Bulletin

DOI 10.1177/0146167217741313PMC PMC5837924

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Abstract

Most individuals are stigmatized at some point. However, research often examines stigmas separately, thus underestimating the overall impact of stigma and precluding comparisons across stigmatized identities and conditions. In their classic text, Social Stigma: The Psychology of Marked Relationships, Edward Jones and colleagues laid the groundwork for unifying the study of different stigmas by considering the shared dimensional features of stigmas: aesthetics, concealability, course, disruptiveness, origin, peril. Despite the prominence of this framework, no study has documented the extent to which stigmas differ along these dimensions, and the implications of this variation for health and well-being. We reinvigorated this framework to spur a comprehensive account of stigma’s impact by classifying 93 stigmas along these dimensions. With the input of expert and general public raters, we then located these stigmas in a six-dimensional space and created discrete clusters organized around these dimensions. Next, we linked this taxonomy to health and stigma-related mechanisms. This quantitative taxonomy offers parsimonious insights into the relationship among the numerous qualities of numerous stigmas and health.

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The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267
Society and the Adolescent Self-Image
Rosenberg, M. (1965) · doi:10.1515/9781400876136 · Cited by 30,126
Untitled work
(1970) · Cited by 24,983
Intraclass correlations: Uses in assessing rater reliability.
Shrout, P. E., & Fleiss, J. L. (1979) · Psychological Bulletin · doi:10.1037/0033-2909.86.2.420 · Cited by 24,532
Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence
Meyer, I. H. (2003) · Psychological Bulletin · doi:10.1037/0033-2909.129.5.674 · Cited by 14,736
Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption‐II
SAUNDERS, J. B., AASLAND, O. G., BABOR, T. F., DE LA FUENTE, J. R., & GRANT, M. (1993) · Addiction · doi:10.1111/j.1360-0443.1993.tb02093.x · Cited by 13,597
The Handbook of Social Psychology
Gravatt, A. E., Lindzey, G. E., & Aronson, F. (1969) · The Family Coordinator · doi:10.2307/582242 · Cited by 12,518
Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale
Gratz, K. L., & Roemer, L. (2004) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/b:joba.0000007455.08539.94 · Cited by 8,942 · cited 1×
“The full-scale score has been associated with a wide range of adverse mental and behavioral health outcomes, including depression, anxiety, self-injurious behaviors, and partner abuse (Gratz & Roemer, 2004).”
Conceptualizing Stigma
Link, B. G., & Phelan, J. C. (2001) · Annual Review of Sociology · doi:10.1146/annurev.soc.27.1.363 · Cited by 8,848
Self-citation

Show all 94 references

Research works printed but not linked: 4

Centers for Disease Control and Prevention, 2000, Measuring healthy days
Centers for Disease Control and Prevention, 2014, Behavioral risk factor surveillance system survey questionnaire
Goffman E., 1963, Stigma: Notes on a spoiled identity
10.1037/0022-3514.77.3.474 · DOI · Paper page

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Authors: Pachankis, J. E., Hatzenbuehler, M. L., Wang, K., Burton, C. L., Crawford, F. W., Phelan, J. C., & Link, B. G.
Affiliations: Yale University (US)
Columbia University (US)
University of California, Riverside (US)
Corresponding author: Pachankis, John E.
ORCID: Pachankis, John E.
Hatzenbuehler, Mark L.
Wang, Katie
Burton, Charles L.
Crawford, Forrest W.
Phelan, Jo C.
Link, Bruce G.
Venue: Personality and Social Psychology Bulletin
Publisher: SAGE Publications
Published: 2017-12-31
Volume: 44
Issue: 4
Pages: 451-474
ISSN: 0146-1672 (ISSN-L)
1552-7433
DOI: 10.1177/0146167217741313
PMC: PMC5837924
OpenAlex: W2781876295
Cited by: 246
References: 94
Citations by year: 2026: 27 · 2025: 30 · 2024: 39 · 2023: 42 · 2022: 28 · 2021: 29 · 2020: 20 · 2019: 17 · 2018: 13
FWCI: 34.90
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Personality and Social Psychology Bulletin (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH109413, T32MH020031)
National Institute on Drug Abuse (K01DA032558)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (DP2HD091799)
Topics: Social Sciences › Sociology and Political Science › Social and Intergroup Psychology
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
Keywords: stigma, well-being, social stigma
MeSH terms: Adult, Female, Health, Health Status, Humans, Male, Mental Healing, Social Stigma, Self Report

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The Burden of Stigma on Health and Well-Being: A Taxonomy of Concealment, Course, Disruptiveness, Aesthetics, Origin, and Peril Across 93 Stigmas

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