Sexual risk behavior among individuals seeking outpatient mental health services: Associations with childhood emotional neglect and identity dysfunction.

IF 1 4区 医学 Q4 PSYCHIATRY Bulletin of the Menninger Clinic Pub Date : 2023-01-01 DOI:10.1521/bumc.2023.87.1.6
Alicia Spidel, David Kealy
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Abstract

This study was developed to examine sexual risk behavior among patients seeking community-based mental health services, including associations with psychological distress, identity dysfunction, and childhood emotional neglect. A mediation model was examined regarding identity dysfunction mediating the link between emotional neglect and sexual risk behavior. A total of 245 outpatients completed questionnaires regarding perceived risky sexual behavior, psychological distress, identity dysfunction, and emotional neglect. Sexual risk behavior was found to be a prevalent issue among individuals seeking outpatient mental health services, with 13% reporting engagement in unsafe sexual practices at least some of the time. Mediation analysis revealed that childhood emotional neglect was indirectly linked with sexual risk behavior through the mediating effect of identity dysfunction. Thus, findings suggest a pathway to sexual risk behaviors through perceived childhood emotional neglect and identity dysfunction. Clinical attention to identity-related vulnerability among this population may be warranted in aiming to mitigate risk-taking associated with sexual practices.

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寻求门诊心理健康服务的个体的性风险行为:与儿童情感忽视和身份功能障碍的关系
本研究旨在调查寻求社区精神卫生服务的患者的性风险行为,包括与心理困扰、身份功能障碍和童年情感忽视的关系。研究了身份功能障碍在情绪忽视与性风险行为之间的中介作用。共有245名门诊患者完成了关于感知危险性行为、心理困扰、身份功能障碍和情感忽视的问卷调查。研究发现,在寻求门诊心理健康服务的个人中,性风险行为是一个普遍存在的问题,13%的人报告至少在某些时候从事不安全的性行为。中介分析发现,儿童情感忽视通过身份功能障碍的中介作用与性风险行为存在间接关联。因此,研究结果表明,儿童期情感忽视和身份功能障碍是性风险行为的途径。临床关注这一人群中与身份相关的脆弱性可能是有必要的,目的是减轻与性行为相关的风险。
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来源期刊
CiteScore
1.90
自引率
0.00%
发文量
30
期刊介绍: The Bulletin of the Menninger Clinic offers a psychodynamic perspective on the application of theory and research in outpatient psychotherapy, attachment theory, developments in cognitive neuroscience and psychopathologies, as well as the integration of different modes of therapy. This widely indexed, peer-reviewed journal has been published since 1936 by the Menninger Clinic. Topical issues focus on critical subjects such as disordered attachments, panic disorder, trauma, and evidence-based interventions.
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