An Evaluation of Resilience as a Protective Factor for Mental Health Among Sexual and Gender Minority Young People.

IF 3.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH LGBT health Pub Date : 2024-10-28 DOI:10.1089/lgbt.2024.0135
Charlie Giraud, Michael E Newcomb, Sarah W Whitton
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Abstract

Purpose: Sexual and gender minority (SGM) individuals often face minority stressors that negatively affect their mental health, making it important to identify protective factors against the adverse psychological effects of minority stress. We investigated the potential protective effect of trait resilience in SGM individuals assigned female at birth (SGM-AFAB), who are understudied despite being at particularly high risk for mental health problems. Methods: As part of an ongoing longitudinal cohort study, 452 SGM-AFAB young people (age 16-31 years) completed measures of resilience, minority stressors (victimization, microaggressions, internalized heterosexism, and cisgenderism), and mental health (depression, anxiety, suicidal ideation) in 2017-2018. Moderating effects of resilience on associations between the minority stressors and mental health outcomes were tested using regression analyses. Results: Resilience attenuated the positive associations of microaggressions with both depression and anxiety and of internalized cisgenderism with depression (in transgender and gender-diverse participants), suggesting protective effects. Resilience did not moderate any other associations. Conclusion: These findings suggest that resilience serves as a protective factor against depressive and anxiety symptoms following experiences of microaggressions and against depressive symptoms following internalized cisgenderism among diverse SGM-AFAB individuals. These results underscore the importance of identifying factors that bolster resilience and developing intervention strategies aimed at promoting resilience within SGM-AFAB individuals, especially following experiences of microaggressions and internalized cisgenderism.

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对作为性与性别少数群体年轻人心理健康保护因素的复原力进行评估。
目的:性少数群体和性别少数群体(SGM)经常面临少数群体压力,这些压力会对他们的心理健康产生负面影响,因此确定保护因素以防止少数群体压力对心理产生不良影响非常重要。我们研究了特质复原力对出生时被指派为女性的 SGM 群体(SGM-AFAB)的潜在保护作用。研究方法作为一项正在进行的纵向队列研究的一部分,452名SGM-AFAB年轻人(16-31岁)在2017-2018年完成了对复原力、少数群体压力源(受害、微侵害、内化异性恋主义和顺性别主义)和心理健康(抑郁、焦虑、自杀意念)的测量。通过回归分析检验了复原力对少数群体压力因素和心理健康结果之间关联的调节作用。结果显示复原力减弱了微侵害与抑郁和焦虑之间的正相关,以及内化顺性别主义与抑郁之间的正相关(在变性人和性别多元化参与者中),这表明复原力具有保护作用。复原力并没有缓和任何其他关联。结论这些研究结果表明,抗逆力是一种保护性因素,可防止不同性别的 SGM-AFAB(跨性别者和异性恋者)在遭受微侵害后出现抑郁和焦虑症状,以及在内化顺性别主义后出现抑郁症状。这些结果表明,确定增强抗逆力的因素并制定旨在促进 SGM-AFAB 人员抗逆力的干预策略非常重要,尤其是在经历微观诽谤和内化的顺性别主义之后。
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来源期刊
LGBT health
LGBT health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH -
CiteScore
6.60
自引率
6.20%
发文量
80
期刊介绍: LGBT Health is the premier peer-reviewed journal dedicated to promoting optimal healthcare for millions of sexual and gender minority persons worldwide by focusing specifically on health while maintaining sufficient breadth to encompass the full range of relevant biopsychosocial and health policy issues. This Journal aims to promote greater awareness of the health concerns particular to each sexual minority population, and to improve availability and delivery of culturally appropriate healthcare services. LGBT Health also encourages further research and increased funding in this critical but currently underserved domain. The Journal provides a much-needed authoritative source and international forum in all areas pertinent to LGBT health and healthcare services. Contributions from all continents are solicited including Asia and Africa which are currently underrepresented in sex research.
期刊最新文献
Comparing Behavioral Health of Lesbian, Gay, Bisexual, Questioning, and Heterosexual Middle School Students. An Evaluation of Resilience as a Protective Factor for Mental Health Among Sexual and Gender Minority Young People. Gender Nonconformity, Minority Stress, and Psychological Distress Among Sexual Minority Adolescents. Navigating Stigma Against At-Risk Sexual and Gender Minority Populations to End the HIV Epidemic in Sub-Saharan Africa. Sexual and Gender Identity-Associated Disparities in University Students' Experiences with Inappropriate, Disrespectful, and Coercive Health Care.
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