Serpas Dylan G, Ignacio Daniel A, Gabbidon Kemesha, Cherry Barbara J
Department of Psychology, University of South Florida.
Semel Institute, University of California, Los Angeles.
Rehabil Psychol. 2025 Aug;70(3):267-277. doi: 10.1037/rep0000582. Epub 2024 Aug 29.
PURPOSE/OBJECTIVE: Experiences of disability-based discrimination among adults with disabilities (AWD) span individual, interpersonal, and structural domains that are implicated in mental health disparities. Ableist microaggressions, a subtle and contemporary form of disability-based discrimination, are positively associated with psychological distress. Additionally, disability characteristics may impact mental health outcomes differently. This study investigated (a) the association between lifetime experiences of ableist microaggressions and psychological distress and (b) the moderating effect of disability visibility.
RESEARCH METHOD/DESIGN: A cross-sectional survey-based online study through Amazon's Mechanical Turk was conducted among 995 AWD whose ages ranged from 18 to 70 ( = 34.73, = 9.45).
After adjusting for confounds linear regression analyses revealed a significant, positive relationship between ableist microaggressions and depressive, anxiety, and stress symptoms. Models explained approximately 18%-23% of the variance in psychological distress. Moderation analyses indicated that associations were stronger among participants with less visible disabilities.
CONCLUSIONS/IMPLICATIONS: Findings underscore disability visibility as an important correlate in AWD mental health disparities. Results should be interpreted within the scope of the sampling procedures and sample demographics. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的/目标：成年残疾人（AWD）基于残疾的歧视经历涵盖个体、人际和结构领域，这些领域与心理健康差异有关。能力主义微侵犯是一种微妙且现代的基于残疾的歧视形式，与心理困扰呈正相关。此外，残疾特征可能对心理健康结果产生不同影响。本研究调查了（a）能力主义微侵犯的终生经历与心理困扰之间的关联，以及（b）残疾可见性的调节作用。
研究方法/设计：通过亚马逊的Mechanical Turk进行了一项基于横断面调查的在线研究，研究对象为995名年龄在18至70岁之间的成年残疾人（平均年龄 = 34.73岁，标准差 = 9.45岁）。
在对混杂因素进行调整后，线性回归分析显示能力主义微侵犯与抑郁、焦虑和压力症状之间存在显著的正相关关系。模型解释了心理困扰中约18%-23%的变异。调节分析表明，在残疾不太明显的参与者中，这种关联更强。
结论/启示：研究结果强调残疾可见性是成年残疾人心理健康差异的一个重要相关因素。结果应在抽样程序和样本人口统计学的范围内进行解释。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
