Comparing asexual with heterosexual, bisexual, and gay/lesbian individuals in common mental health problems: A multivariate meta-analysis

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL Clinical Psychology Review Pub Date : 2023-09-04 DOI:10.1016/j.cpr.2023.102334

Yin Xu , Yidan Ma , Qazi Rahman

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Abstract

We aimed to test whether asexual individuals were at increased risk of higher levels of depressive symptoms, self-harm attempts, and suicide attempts compared with heterosexual, bisexual, or gay/lesbian individuals using multivariate meta-analysis. Seventeen, five, and eight samples were included for depressive symptoms, self-harm attempts, and suicide attempts, respectively, reaching a total sample size of 125,675, 30,116, and 73,366, respectively. Asexual individuals reported higher levels of depressive symptoms than heterosexual individuals (Hedges' g = −0.44, 95%CI = [−0.61, −0.26]) but did not differ from heterosexual individuals in the risk of self-harm (odds ratio = 1.11, 95%CI = [0.88, 1.39]) and suicide attempts (odds ratio = 0.76, 95%CI = [0.56, 1.04]). Asexual individuals were at lower risk of self-harm and suicide attempts than bisexual and gay/lesbian individuals but did not differ from bisexual and gay/lesbian individuals in the levels of depressive symptoms. The greatest risk of higher levels of depressive symptoms was found in bisexual and asexual, followed by gay/lesbian individuals; the greatest risk of self-harm and suicide attempts was found in bisexual, followed by gay/lesbian individuals, and the lowest risk was found in asexual individuals. The magnitude of the disparities in the risk of poorer mental health among heterosexual, bisexual, gay/lesbian, and asexual individuals depended on the type of mental health outcomes.

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比较常见心理健康问题中的无性恋、异性恋、双性恋和男同性恋者：一项多变量荟萃分析。

我们旨在使用多元荟萃分析来测试无性恋者与异性恋、双性恋或男同性恋者相比，是否有更高水平的抑郁症状、自残企图和自杀企图的风险增加。抑郁症状、自残企图和自杀企图分别包括17个、5个和8个样本，总样本量分别为125675、30116和73366。无性恋者的抑郁症状水平高于异性恋者（Hedges’g=-0.44，95%CI=[-0.61，-0.26]），但在自残风险（比值比=1.11，95%CI=[0.88，1.39]）和自杀未遂风险（比值比=0.76，95%CI=[0.56，1.04]）方面与异性恋者没有差异。无性恋者自残和自杀风险较低尝试的次数比双性恋和男同性恋者多，但在抑郁症状水平上与双性恋和男女同性恋者没有差异。双性恋和无性恋者出现更高水平抑郁症状的风险最大，其次是男同性恋；自我伤害和自杀企图的风险最大的是双性恋，其次是男同性恋，无性恋的风险最低。异性恋、双性恋、男同性恋和无性恋者心理健康较差风险的差异程度取决于心理健康结果的类型。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.