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<p>LGBTQ+ individuals experience and anticipate stigma not only within society at large, but also—and critically—in healthcare contexts. Sexual stigma in healthcare services, positive identity, psychological well-being, and mentalization were assessed in 361 LGBTQ+ (lesbian, gay, bisexual, transgender and nonbinary, queer) adults living in Italy. In both LGB cisgender and TNBQ groups, positive identity mediated the association between healthcare stigma and well-being. Mentalization moderated the impact of stigma on well-being only in the TNBQ group. Fostering culturally competent compassion and mentalization capacities can help LGBTQ+ populations’ counteract the detrimental effect of stigma on well-being.</p>

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When Stigma Enters Healthcare: Positive Identity and Mentalization in LGBTQ+ People’s Well-Being

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年4月27日

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  • Selene Mezzalira,
  • Gianluca Cruciani,
  • Maria Quintigliano,
  • Vincenzo Bochicchio,
  • Nicola Carone,
  • Cristiano Scandurra

摘要

LGBTQ+ individuals experience and anticipate stigma not only within society at large, but also—and critically—in healthcare contexts. Sexual stigma in healthcare services, positive identity, psychological well-being, and mentalization were assessed in 361 LGBTQ+ (lesbian, gay, bisexual, transgender and nonbinary, queer) adults living in Italy. In both LGB cisgender and TNBQ groups, positive identity mediated the association between healthcare stigma and well-being. Mentalization moderated the impact of stigma on well-being only in the TNBQ group. Fostering culturally competent compassion and mentalization capacities can help LGBTQ+ populations’ counteract the detrimental effect of stigma on well-being.