Schaffner Brian F, Hershewe Thomas, Kava Zoe, Strell Jael
Department of Political Science/Tufts University, Medford, Massachusetts, United States of America.
Department of Political Science/Yale University, New Haven, Connecticut, United States of America.
PLoS One. 2025 Apr 30;20(4):e0321573. doi: 10.1371/journal.pone.0321573. eCollection 2025.
American conservatives tend to rate their mental health more positively than their liberal counterparts. One explanation for this finding is that conservatives may be more likely to justify existing inequalities in society, leading to a palliative effect on their mental health that does not happen for liberals. Conservatives also score higher on personality and attitude measures, such as religiosity, marital status, and patriotism, which are associated with better mental health. We examine whether this ideological mental health gap holds for a different facet of well-being that is closely related to mental health. Further, we suggest that the ideological mental health gap may have more to do with a stigmatized reaction to the term "mental health" which has become increasingly politicized in the US context since its introduction to literature in the early 20th century. First, we examine whether the conservative-liberal divide in self-assessments of mental health remains once we control for a wide variety of demographics, socioeconomic factors, and recent life experiences. We find that accounting for these alternative explanations reduces the gap by about 40%, but that ideology remains a strong predictor of mental health self-reports. Second, we conducted an experiment where we randomly assigned whether people were asked to evaluate their mental health or their overall mood. While conservatives report much higher mental health ratings, asking instead about overall mood eliminated the gap between liberals and conservatives. One explanation is that rather than a genuine mental health divide, conservatives may inflate their mental health ratings when asked, due to stigma surrounding the term. Another possibility is that ideological differences persist for some aspects of mental well-being, but not others.
美国保守派往往比自由派更积极地评价自己的心理健康状况。这一发现的一种解释是,保守派可能更倾向于为社会中现有的不平等现象辩护,从而对他们的心理健康产生一种缓和作用,而自由派则不会有这种情况。保守派在个性和态度指标上的得分也更高,比如宗教信仰、婚姻状况和爱国主义,这些都与更好的心理健康相关。我们研究这种意识形态上的心理健康差距在与心理健康密切相关的幸福的另一个方面是否依然存在。此外,我们认为这种意识形态上的心理健康差距可能更多地与对“心理健康”一词的污名化反应有关,自20世纪初该词被引入文献以来,在美国语境中它已变得越来越政治化。首先,我们研究在控制了各种人口统计学因素、社会经济因素和近期生活经历之后,保守派与自由派在心理健康自我评估方面的分歧是否仍然存在。我们发现,考虑到这些其他解释后,差距缩小了约40%,但意识形态仍然是心理健康自我报告的一个有力预测因素。其次,我们进行了一项实验,随机分配人们是被要求评估自己的心理健康状况还是整体情绪。虽然保守派报告的心理健康评分要高得多,但改为询问整体情绪消除了自由派和保守派之间的差距。一种解释是,保守派可能并非存在真正的心理健康差异,而是在被询问时由于该词所带来的污名而夸大了他们的心理健康评分。另一种可能性是,意识形态差异在心理健康的某些方面持续存在,但在其他方面则不然。