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A dearth of research has explored concurrently the associations between multiple forms of gender affirmation (or transitioning) and the mental health of transgender adults. In 2015, 288 U.S. transgender adults completed a cross-sectional, online survey assessing demographics, gender affirmation experiences, and mental health. Adjusting for age and discrimination experiences, we used mixed-effect logistic regression analyses to examine changes in self-reported suicidal ideation, suicide attempts, and non-suicidal self-injury (NSSI) before and after initiating the gender affirmation process, and linear regression analyses to examine associations between gender affirmation experiences and self-reported depressive, anxiety, and stress symptoms. Overall, 81.3% of participants identified along the female-to-male, trans masculine gender spectrum (of which 20.9% identified as non-binary) and 18.8% identified along the male-to-female, trans feminine gender spectrum (of which 7.4% identified as non-binary). Nearly all participants (98.6%) reported disclosing their gender identity to family or a coworker; 67.4% endorsed recently using hormones, and 31.3% endorsed a gender-affirming medical procedure. In multivariable models, participants were at greater odds of NSSI, contemplating suicide, and attempting suicide before initiating the gender affirmation process compared to after. In additional models, gender identity disclosure and medical procedure engagement were inversely associated with depressive and anxiety symptoms, whereas gender identity disclosure, hormone use, and medical procedure engagement were inversely associated with stress symptoms. Finally, the number of gender affirmation experiences endorsed was inversely associated with depressive, anxiety, and stress symptoms. Findings support the possibility that social and medical gender affirmation experiences may be protective against mental health problems in transgender adults.

Previous studies have shown that self-affirmation increases acceptance of a message and motivates health behavior change. The present study investigated whether self-affirmation increases the acceptance of persuasive messages on COVID-19 vaccines and promotes vaccination intention. A total of 144 participants were randomly assigned to the self-affirmation ( n  = 72) or control ( n  = 72) groups before reading a persuasive message on COVID-19 vaccines. The results revealed that the self-affirmation group showed significantly higher acceptance of persuasive information on COVID-19 vaccines than the control group. Additionally, the self-affirmation group also showed significantly higher post-experiment vaccination intention than the control group. Mediation analysis indicated that increased acceptance of persuasive information significantly mediated the beneficial effects of self-affirmation on post-experiment vaccination intention. The present study demonstrated that self-affirmation could be an effective strategy for increasing the acceptance of persuasive messages on COVID-19 vaccines and promoting vaccination intention.

Transgender women of color are disproportionately impacted by HIV, poor health outcomes, and transgender-related discrimination (TD). We tested the Model of Gender Affirmation (GA) to identify intervention-amenable targets to enhance viral suppression (VS) using data from 858 transgender women of color living with HIV (49% Latina, 42% Black; 36% virally suppressed) in a serial mediation model. Global fit statistics demonstrated good model fit; statistically significant (p ≤ 0.05) direct pathways were between TD and GA, GA and healthcare empowerment (HCE), and HCE and VS. Significant indirect pathways were from TD to VS via GA and HCE (p = 0.036) and GA to VS via HCE (p = 0.028). Gender affirmation and healthcare empowerment significantly and fully mediated the total effect of transgender-related discrimination on viral suppression. These data provide empirical evidence for the Model of Gender Affirmation. Interventions that boost gender affirmation and healthcare empowerment may improve viral suppression among transgender women of color living with HIV.

The claim that partisanship has developed into a social identity is one of the dominant explanations for the current rising levels of affective polarization among the U.S. electorate. We provide evidence that partisanship functions as a social identity, but that the salience of partisan identity—in and of itself—does not account for increased affective polarization. Using a two-wave panel survey capturing natural variation in the salience of politics, we find that partisanship contributes more to individuals’ self-concept in times of heightened political salience. We also show that partisans can be detached from their Democratic or Republican identity by having them focus on individuating characteristics (by way of a self-affirmation treatment). However, we find only limited evidence that when partisan social identity is made less salient, either by way of natural variation in political context or through a self-affirmation treatment, partisans are any less inclined to express in-party favoritism and out-party hostility. Taken together, our evidence shows that partisanship does operate as an important social identity, but that affective polarization is likely attributable to more than the classic in-group versus out-group distinction.

Relatively little is known about identity-related resilience factors associated with well-being among transgender and gender non-conforming (TGNC) people. Drawing upon theory on stigma-related stress and resilience and work examining group identification as a buffer against discrimination, the aim of the current study was to model perceived discrimination, transgender identification, and gender identity affirmation as predictors of well-being for TGNC people. We also tested whether the positive association between gender identity affirmation and well-being might be explained by the benefits affirmation has for individual self-concept clarity. Participants were 105 TGNC individuals (42% transgender male, 39% transgender female, 19% other gender non-conforming [e.g., non-binary]) recruited through online forums and support groups in the UK and North America who completed an online survey including self-report measures of key constructs. Results from structural equation models demonstrated that: (1) experiences of discrimination were associated with lower well-being overall, but having a stronger transgender identity moderated this association; (2) after adjustment for discrimination and transgender identification, experiences of gender identity affirmation were independently associated with greater well-being for TGNC people. Secondary analyses demonstrated that gender identity affirmation was linked to well-being through reinforcing a strong, internalized sense of clarity about individual self-concept. Results are discussed in terms of the implications for TGNC health and well-being, particularly with regard to the need for supportive, identity-affirming social environments.

We argue that consumers with high self-brand connections (SBC) respond to negative brand information as they do to personal failure — they experience a threat to their positive self-view. After viewing negative brand information, high (vs. low) SBC consumers reported lower state self-esteem. Consumers with high SBC also maintained favorable brand evaluations despite negative brand information. However, when they completed an unrelated self-affirmation task, they lowered their brand evaluations the same as low SBC consumers. This finding suggests that high SBC consumers' reluctance to lower brand evaluation might be driven by a motivation to protect the self rather than the brand.

Although growth mindset (i.e., the belief that intelligence can be developed) has been shown to play an important role in academic achievement, little is known about the underlying mediating and/or moderating mechanisms in adolescents. The current study investigated (a) the mediating role of reasoning ability in the relationship between growth mindset and academic achievement, and (b) the moderating role of self-affirmation in the direct and indirect relationships between growth mindset and academic achievement. Participants were 1828 Chinese adolescents (age, M = 16.88; 59.4% male). Participants filled out questionnaires regarding growth mindset, academic achievement, reasoning ability, and self-affirmation. After controlling for age, sex, annual family income, hukou (household registered), and parent’s educational level, we found that growth mindset was significantly positively associated with academic achievement. Mediation analysis revealed that reasoning ability partially mediated this relationship. Growth mindset (incremental theories of intelligence) significantly predicted academic achievement in adolescents with high self-affirmation, but not in those with low self-affirmation. Moderated mediation analysis further indicated that the direct and indirect relationships between growth mindset and academic achievement were moderated by self-affirmation. The indirect effect of growth mindset on academic achievement via reasoning ability was stronger for adolescents with high self-affirmation than in those with low self-affirmation.

The question of the antecedents of prejudicial responses has a long history that includes contributions of historical, structural, cultural, and psychological factors. Social-psychological research on prejudice as self-image maintenance provides evidence that manifestations of prejudice stem, in part, from the motivation to maintain a feeling of self-worth and self-integrity. Here, we review studies that indicate when and why prejudice toward out-groups in response to self-threats is weakened by affirmations of self-worth. A distinction emerges between in-group threats (e.g., negative acts committed by the in-group) and out-group threats (e.g., immigrants) to social identity, on the one hand, and the defensive reactions people make in response to each kind of threat (i.e., denying in-group responsibility vs. displaying prejudice), on the other. Such negative intergroup interactions can be attenuated by affirming the self. We present theorized moderators (i.e., individual differences and cultural norms) and proposed mechanisms underlying affirmation effects in the domain of prejudice. We discuss potential applications of self-affirmation in prejudice-reduction efforts.

There are relatively few studies to address mental health implications of self-affirming, especially across groups experiencing a chronic health condition. In this study, short- and longer-term effects of a brief self-affirmation intervention framed in terms of implementation intentions (if-then plans with self-affirming cognitions; S-AII) were evaluated against an active control group (non-affirming implementation intentions; N-AII), matched to the target condition, and mere goal intention condition (a non-active control) in adults with psoriasis. The three pre-registered primary outcomes captured depression, anxiety, and well-being. Adults with psoriasis ( = 175; = 36.53, s.d. = 11.52) were randomized into S-AII, N-AII, or control. Participants' mental health outcomes were assessed prior to randomization (at baseline), at week 2 (post-intervention), and at a 1-month follow-up. Linear mixed models were used and results were reported on the intention-to-treat principle. Analyses revealed that S-AII exerted significantly more improvement in the course of well-being ( s > 0.25), depressive symptoms ( s > -0.40), and anxiety ( s > -0.45) than the N-AII and control group at 2-week post-intervention. Though the differences between groups faded at 1-month follow-up, the within-group changes over time for S-AII in all mental health outcomes remained significant. Brief and low-intensity S-AII intervention exerted in the short-term a considerable impact on mental health outcomes. The S-AII shows promising results as a relevant public mental health strategy for enhancing well-being and reducing psychological distress. Future studies could consider whether these effects can be further enhanced with booster interventions.

Self-affirmation interventions can reduce defensive responses to threats to the self, but have had limited reach to the general population. We sought to create an effective and feasible version of the Kindness Questionnaire self-affirmation intervention for use on a mobile device outside the traditional university laboratory setting and by non-student participants. In an online experiment, 603 cigarette smokers (Mage= 37.5 years, SD = 10.2) were randomly assigned to one of six conditions in a 2 (Self-Affirmation: Self-Affirmation, No Self-Affirmation Control) × 3 (Example Type: Written, Imagined, No Examples) fully-crossed design. Participants read a message about the health harms of smoking. None of the self-affirmation variations were effective or feasible: the self-affirmation showed null effects on the primary outcomes of message acceptance, perceived message effectiveness, and reactance. It also backfired by reducing intentions to quit smoking and risk perceptions. Participants spent little time reading the health message, and those in the written self-affirmation condition infrequently provided detailed responses. Translating interventions developed and tested for efficacy in laboratory settings to “real-world” settings is necessary but challenging.