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Purpose: To assess gynecologic oncologists' attitudes relating to palliative care referrals among advanced cancer patients. Methods: Gynecologic oncologists were surveyed using validated measures to assess stigmatizing attitudes toward palliative care, anticipated stigma of palliative care, acceptance of palliative care, and willingness to refer to palliative care. Descriptive statistics were calculated. Analysis was performed using linear regression. Results: 1200 physicians received the survey and 108 (9%) completed it. Most were female (69.4%) and white (82.4%). Most practiced in academics (64.8%) in urban environments (71.3%). Respondents did not have anticipated stigma surrounding palliative care referral (mean score 1.89, range 1-7, higher score indicating more stigma), were accepting of palliative care (mean score 1.45, range 1-7, higher score indicating less acceptance), and were willing to refer patients to palliative care (mean score 5.75, range 1-7, higher score indicating more willingness to refer). Linear regression demonstrated females had less anticipated stigma surrounding palliative care (B = −.213, P =.04) and higher acceptance of palliative care (B = −.244, P =.01). Most surveyed derived satisfaction from work with advanced cancer patients (83%). Nineteen percent were depressed by managing advanced cancer patients. One fourth felt emotionally burned out by dealing with too many deaths. Conclusions: Most gynecologic oncologists did not exhibit stigma surrounding palliative care and derive satisfaction from their work. Some gynecologic oncologists experience depression and burnout related to their profession. This close connection with patients as they transition to the end of life may take a toll on providers. [ABSTRACT FROM AUTHOR]

Discrimination towards fat individuals is pervasive in the United States, and perceptions of weight discrimination are associated with poor physical and mental health outcomes (e.g., low well-being). The rejection-identification model theorizes that perceptions of group-based discrimination may lead people to identify with their stigmatized group, subsequently helping them maintain well-being. We applied the rejection-identification model to weight discrimination to understand whether positively identifying as fat may mediate the impact of perceived weight-group discrimination on well-being. Across two samples (N = 739), fat-group identification, ingroup affiliation, and body affirmation were tested as mediators of the association between perceived weight discrimination and well-being. We also examined support for weight-related social change. Results showed that fat identification was a significant mediator, associated positively with discrimination but negatively with well-being; fat identification also was positively associated with greater support for weight-related social change. Body affirmation was a significant mediator of well-being and support for weight-related social change. Identifying as fat does not seem to provide the same benefits to well-being observed for other social identities (e.g., ethnicity); perceiving one's own body positively, however, may be a potential pathway through which weight discrimination's consequences can be reduced. Implications for well-being, identity, and the rejection-identification model are discussed., Competing Interests: Declaration of Competing Interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

As social policies have changed to grant more rights to lesbian, gay, bisexual, and transgender (LGBT) individuals, some Christians in the United States have suggested that LGBT rights impede Christians' religious freedom. Across five studies, we examined the causes and consequences of zero-sum beliefs (ZSBs) about Christians and LGBT individuals. We demonstrate that Christians' beliefs about conflict with sexual minorities are shaped by their understandings of Christian values, social change, interpretation of the Bible, and in response to religious institutions. In Study 1, heterosexual cisgender Christians endorsed ZSBs more than other groups. Christians reported perceiving that anti-LGBT bias has decreased over time while anti-Christian bias has correspondingly increased. In Study 2, Christians' zero-sum beliefs increased after they reflected on religious values, suggesting that intergroup conflict is seen as being a function of Christian beliefs. Study 3 confirmed the role of symbolic threat in driving ZSBs; perceived conflict was accentuated when Christians read about a changing cultural climate in which Christians' influence is waning. An intervention using Biblical scripture to encourage acceptance successfully lowered zero-sum beliefs for mainline but not fundamentalist Christians (Study 4). A final field study examined how ZSBs predict sexual prejudice in response to changing group norms. After a special conference in which the United Methodist Church voted to restrict LGBT people from marriage and serving as clergy, zero-sum beliefs became a stronger predictor of sexual prejudice (Study 5). We discuss the implications of Christian/LGBT ZSBs for religious freedom legislation, attitudes toward sexual minorities, and intergroup conflict more generally. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

A large body of research suggests that, among White individuals, perceived weight discrimination has deleterious consequences for eating and exercise outcomes; however, the research literature on perceived weight discrimination among other racial/ethnic groups is limited. The primary goal of the present study was to examine the associations of perceived weight discrimination with eating and exercise thoughts and behaviors among White versus Latino/a participants. A sample of White (N = 50) and Latino/a (N = 281) undergraduate college students with higher body weight (BMI: M = 30.65, SD = 5.42) completed self-report measures assessing perceived weight-based discrimination, frequency of intake of unhealthy and healthy foods, and frequency of both thoughts about exercise and exercise behaviors; we examined relationships among these variables within White versus Latino/a participants. Results showed that perceived weight discrimination was associated with more frequent intake of unhealthy foods, more frequent exercise thoughts, and less frequent exercise behaviors among White participants, and that there were no significant associations between perceived weight discrimination and the eating and exercise measures of interest among Latino/a participants. These findings highlight a number of potential avenues for future research to identify the mechanisms underlying these differential associations of perceived weight discrimination to eating and exercise behaviors across racial/ethnic groups., (Copyright © 2021 Elsevier Ltd. All rights reserved.)

Previous research has found that among low-status individuals, both group identification (GID) and status-legitimizing beliefs (SLBs) motivate varying responses to ingroup discrimination claimants. SLBs are traditionally thought to motivate decreased support for low-status claimants, while GID is thought to motivate increased liking and support of ingroup members. The current research examines these conflicting influences on ingroup claimants among women (Studies 1a and 1b) and Latino/as (Studies 2 and 3). We find that when SLBs are strongly endorsed (Studies 1a, 1b, and 2) or primed (Study 3), GID does not predict liking or support for a claimant. Only when SLB endorsement is low and identity safety cues are absent does GID predict liking and support for a claimant. Our results suggest that when motivations conflict, SLBs seem to more strongly predict reactions to ingroup claimants.

Objective: Although palliative care is critical to managing symptoms, pain, and transitions to end-of-life care among those facing serious or chronic illness, it is often underused, which may be due to stigma associated with palliative care representing giving up fighting one's illness. The goal of the present studies was to test the theoretical framework of stigma within the context of palliative care to inform future work on intervention development that addresses potential barriers to palliative care utilization., Method: In study 1, participants (n = 152) had an oncologist describe two treatment options to a terminally ill cancer patient: (1) palliative care and (2) chemotherapy. Participants were then randomly assigned to read that the patient chose palliative care or chemotherapy. In study 2, these stereotypes about those receiving palliative care were examined as a potential mediator between perceived palliative care stigma and prospective palliative care use. Participants (n = 199) completed self-report measures of palliative care stigma, negative stereotypes about palliative care users, and prospective use of palliative care. Mediation analysis tested the mediational effects of stereotypes on the relationship between palliative care stigma and prospective usage of palliative care., Result: In study 1, those in the palliative care condition endorsed significantly higher levels of negative stereotypes about the patient, viewed the decision more negatively, and saw the patient as less afraid of death. In study 2, palliative care stigma was associated with less prospective usage of palliative care for self and for one's family member. This relationship was mediated by negative stereotypes about individuals receiving palliative care., Significance of Results: Results suggest that palliative care stigma exists (study 1) and that this stigma may be a barrier to the utilization of palliative care (study 2). Future research should examine stigma reduction as a potential intervention target to improve palliative care utilization.

Weight stigma and weight discrimination are prevalent in the United States and binge eating has been found to be associated with these experiences in numerous studies. One issue with the current literature on weight stigma and binge eating, however, is that study samples are primarily female, resulting in a lack of understanding of this relationship among males. To address this gap, we examined potential sex differences in the association between weight stigma and binge eating, as well as mediators of this relationship. Specifically, we examined experiences of weight discrimination and weight stigma consciousness as predictors of binge eating, and we assessed whether these relationships were mediated by depression, perceived stress, and/or perceived control. Results showed that, among females and males, experiences of weight discrimination significantly predicted binge eating and depression mediated this relationship; perceived stress also mediated this association, but only among males, and perceived control did not mediate for either sex. Results also showed that, among males, the relationship between weight stigma consciousness and binge eating was mediated by depression and perceived control, but not perceived stress. Weight stigma consciousness was unrelated to binge eating among females. Together, these findings suggest that weight stigma constructs differentially impact females and males, thereby illuminating the possible need for consideration of sex as an important component of efforts to reduce weight stigma., (Copyright © 2018 Elsevier Ltd. All rights reserved.)

Objective: Across two studies, we examine if the relationships between perceived weight stigma, maladaptive eating behaviors (Study 1 & 2) and weight gain (Study 2) are mediated by fear of fat (FOF)., Method: In Study 1, 189 participants completed measures of eating behavior (e.g., emotional and restrained eating), FOF, perceived weight stigma and height and weight. In Study 2, a longitudinal design, participants reported their perceived weight stigma, FOF and had their height and weight measured; they then returned 10 weeks later to complete measures of eating behaviors (e.g., flexible restraint, ridged restraint, and emotional eating) and height and weight. We examined the predictive value of weight stigma at session 1 on eating behavior and weight gain at session 2. Further, we examined FOF as a mediator of these relationships., Results: In Study 1, we found that FOF significantly mediated the positive relationship between perceived weight stigma and restrained eating behavior ( b =.13, CI: .09 to .19). In Study 2, we found that perceived weight stigma predicted weight gain over the 10-week period and that this relationship was mediated by both FOF ( b =.31, CI: .03 to .78) and rigid restraint of eating ( b =.07, CI: .002 to .28). Flexible restraint and emotional eating behavior were not mediators of the relationship between perceived weight stigma and weight gain., Conclusion: Fear of fat may be one process through which perceptions of weight stigma lead to maladaptive eating behavior and weight gain. Understanding this important process may lead to more effective healthy weight interventions.

Objective: Fear and stigmatization are often used to motivate individuals with higher body weight to engage in healthy behaviors, but these strategies are sometimes counterproductive, leading to undesirable outcomes. In the present study, the impact of weight-based stigma on cognition (i.e., inhibitory control) and food selection (i.e., calories selected) was examined among individuals who consider themselves to be overweight. It was predicted that participants higher in perceived weight stigma would perform more poorly on an inhibitory control task and order more calories on a food selection task when they read about discrimination against individuals with higher weight versus discrimination against an out-group., Methods: Participants completed online prescreen measures assessing whether they considered themselves to be overweight and their perceptions of weight stigma. Individuals who considered themselves to be overweight were invited into the laboratory to complete tasks that manipulated weight-based discrimination, then inhibitory control and food selection were measured., Results: The higher participants were in perceived weight stigma, the more poorly they performed on the inhibitory control task and the more calories they ordered when they read about discrimination against individuals with higher body weight. These relationships were not observed when participants read about discrimination against an out-group., Conclusions: The present findings provide evidence that perceptions of weight stigma are critical in understanding the impact of weight-based discrimination. Additionally, these results have theoretical and practical implications for both understanding and addressing the psychological and physical consequences of weight-based stigma., (Copyright © 2017 Elsevier Ltd. All rights reserved.)

The current research examines how status-legitimizing beliefs (SLBs) influence White people's perceptions of anti-White bias, endorsement of zero-sum beliefs, and support for Affirmative Action. We suggest that SLBs perpetuate inequality by increasing White people's perceptions of zero-sum beliefs and anti-White bias, which in turn lead to decreased support for Affirmative Action. White individuals primed with SLBs perceived greater anti-White bias, endorsed greater zero-sum beliefs, and indicated less support for Affirmative Action than individuals primed with neutral content. Mediation analysis revealed that the SLB prime decreased support for Affirmative Action by increasing perceptions of anti-White bias. This research offers experimental evidence that SLBs contribute to White people's perceptions of anti-White bias and to decreased support for Affirmative Action., (© 2015 The British Psychological Society.)

Consensually held ideologies may serve as the cultural "glue" that justifies hierarchical status differences in society (e.g. Augustinos, 1998). Yet to be effective these beliefs need to be embraced by low-status groups. Why would members of low-status groups endorse beliefs that justify their relative disadvantage? We propose that members of low-status groups in the United States may benefit from some system-justifying beliefs (such as the belief in meritocracy) to the extent that these beliefs emphasize the perception of control over future outcomes. In 2 studies, among women, lower-SES women, and women of color, we found a positive relationship between the belief in meritocracy and well-being (self-esteem and physical health) that was mediated by perceived control. Members of low-status groups may benefit from some system-justifying beliefs to the extent that these beliefs, like the belief in meritocracy, emphasize the perception of control over future outcomes.

Sleep-wake behaviors and temperament were examined longitudinally for trait stability and relationship to behavioral state regulation from infancy to early childhood. Subjects were 120 low-risk, full-term infants from a middle class sample. At 6 weeks, parents completed 3 consecutive days of the Baby's Day Diary which measures sleep, wake, fuss, feed and cry states and the Infant Characteristics Questionnaire. At 16 months, parents assessed sleep behaviors with the Sleep Habits Inventory and temperament with the Toddler Symptom Checklist. At 24 months, parents repeated 3 days of the Baby's Day Diary. Structural Equation Modeling was used to examine cross-age hypotheses for sleep-wake and temperament associations. From early infancy to toddlerhood, sleep-wake behaviors and irritable temperament were notably stable but independent in this cohort.

Background: Infants exposed prenatally to alcohol are at increased risk for poor neurodevelopmental outcome including Sudden Infant Death Syndrome., Aim: To examine the relationship between prenatal alcohol exposure, sleep, arousal and sleep-related spontaneous motor movements in early infancy., Study Design: Low-income women (N=13) were interviewed regarding pre- and pregnancy rates of alcohol, cigarette smoking and other substance use in the perinatal period. Infants were examined in a laboratory nap study using EEG, videography and actigraphy at 6-8 weeks of age. Estimates of maternal pre- and pregnancy alcohol use were used to divide infants into high vs. low maternal alcohol use groups., Subjects: Mother-infant dyads recruited from a family practice clinic., Outcome Measures: Sleep-related spontaneous movements, behavioral state, and maternal assessments of infant alertness and irritability., Results: Pre-pregnancy rates of alcohol consumption including binge drinking correlated with maternal report of poor infant alertness, and increased irritability. High maternal exposure groups showed increased sleep fragmentation, e.g., frequency and duration of wakefulness following sleep onset and decreased active sleep. Bout analysis of the temporal structure of sleep-related spontaneous movements showed significantly reduced bout duration associated with high maternal alcohol use., Conclusion: These results present evidence that prenatal alcohol exposure disrupts postnatal sleep organization and suppresses spontaneous movements during sleep, and increased sleep fragmentation promotes sleep deprivation. Results are consistent with the SIDS model of chronic sleep debt and suggest that attenuated sleep-related movements should be examined as an important modulator of cardiorespiratory functions during sleep in high-risk groups.