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Native American Two Spirit and LGBTQ health: A systematic review of the literature 美国原住民两种精神与LGBTQ健康:文献系统回顾
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-08-02 DOI: 10.1080/19359705.2021.1913462
Morgan Thomas, T. McCoy, Itai Jeffries, Rick Haverkate, Elton Naswood, J. Leston, Laura Platero
Abstract Introduction Two Spirit and Native LGBTQ people have unique health risks and cultural strengths. Method This study analyzes 28 reports published since 1980 examining the health and identity–formation experiences of Two Spirit or Native LGBTQ individuals. Results The majority (68%) of the articles focus on urban populations. Few employ a strengths-based approach. Less than half capture information about gender identity. Conclusion Findings suggest that Two Spirit and Native LGBTQ individuals are underrepresented in current health research. Existing research prioritizes a disease-specific perspective. Future research focused on intersectional identity formation, connectedness, and culture as a protective factor is needed.
二灵和本土LGBTQ人群有着独特的健康风险和文化优势。方法本研究分析了1980年以来发表的28篇关于双灵或本土LGBTQ个体健康和身份形成经历的报告。结果绝大多数(68%)的文章集中在城市人群。很少有人采用基于优势的方法。只有不到一半的人能捕捉到有关性别认同的信息。结论研究结果表明,在当前的健康研究中,Two Spirit和Native LGBTQ个体的代表性不足。现有的研究优先考虑特定疾病的观点。未来的研究需要集中在交叉身份形成,连通性和文化作为保护因素。
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引用次数: 5
Perceptions of gay black men on the social construction of masculinity and its role in mental health 黑人男同性恋者对男子气概的社会建构及其在心理健康中的作用的看法
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-07-20 DOI: 10.1080/19359705.2021.1949422
Keith J. Watts, K. Bentley
Abstract Introduction: The meaning and experience of masculinity differs across people and groups, and previous research has demonstrated that such differences are reflected in mental health outcomes. For gay Black men situated at the intersection of identifying as both a sexual minority and a racial minority, navigating the norms and expectations associated with masculinity often presents many challenges. Methodology: This phenomenological study explored how 17 gay Black men ranging in age from 26 to 67 years, who live in a major city in the southeastern region of the United States, define, understand, and experience masculinity, as well as their perceptions about its connection to their mental health and well-being. Results: Participant narratives reflected a strong consensus that masculinity is a social construction that is associated with a range of both limiting and liberating characteristics and experiences, and that has strong implications for mental health. Conclusions: Increased awareness and understanding of the relevance of a masculine identity to the mental health and well-being of gay Black men can help provide more appropriate and more compassionate mental health programs and services that are likely to promote service utilization among members of this community.
摘要简介:男性气质的意义和体验在不同的人和群体中是不同的,以往的研究表明,这种差异反映在心理健康结果上。对于处于性少数群体和种族少数群体的十字路口的黑人同性恋男性来说,在与男子气概相关的规范和期望中导航通常会带来许多挑战。方法:这项现象学研究探讨了生活在美国东南部一个主要城市的17名年龄在26岁到67岁之间的黑人同性恋男性如何定义、理解和体验男性气概,以及他们对男性气概与心理健康和幸福的关系的看法。结果:参与者的叙述反映了一种强烈的共识,即男性气概是一种社会建构,与一系列限制和解放的特征和经历有关,并且对心理健康有很强的影响。结论:提高对男性身份与黑人男同性恋心理健康和福祉的相关性的认识和理解,有助于提供更合适、更富有同情心的心理健康项目和服务,从而可能促进该社区成员对服务的利用。
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引用次数: 2
Unique risk factors for suicide attempt among bisexual/pansexual versus gay/lesbian individuals 双性恋/泛性恋者与男同性恋/女同性恋者自杀企图的独特风险因素
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-07-18 DOI: 10.1080/19359705.2021.1943733
Cindy J. Chang, K. Fehling, Brian A. Feinstein, E. Selby
Abstract Introduction The present study examined whether sexual identity (bisexual/pansexual versus gay/lesbian) moderated associations between risk factors and lifetime suicide attempt (SA). Method Community/college adults who identified as sexual minorities (N = 231) completed a survey examining suicide-related risk factors. Results Greater discrimination and less social support from friends and significant others were associated with greater odds of lifetime SA for both groups, whereas greater emotion dysregulation and rumination were only associated with greater odds of lifetime SA for bisexual/pansexual individuals. Conclusion There are common and unique risk factors for SA among subgroups of sexual minorities, which may have intervention implications.
摘要:本研究探讨了性别认同(双性恋/泛性恋与同性恋/女同性恋)是否调节了危险因素与终生自杀企图(SA)之间的关联。方法231名性少数群体的社区/大学成年人完成了一项自杀相关风险因素的调查。结果在两组中,更大的歧视和更少的来自朋友和重要他人的社会支持与更大的终生SA几率相关,而更大的情绪失调和反刍仅与双性恋/泛性恋个体的终生SA几率相关。结论性少数人群发生SA的危险因素具有共性和独特性,可能具有干预意义。
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引用次数: 6
An interview with Philip A. Bialer, MD 接受医学博士菲利普·比亚勒的采访
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-06-15 DOI: 10.1080/19359705.2021.1932492
J. Drescher
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引用次数: 0
An interview with Jeffrey S. Akman, MD 对医学博士杰弗里·s·阿克曼的采访
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-06-04 DOI: 10.1080/19359705.2021.1932486
J. Drescher
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引用次数: 0
Especially for you 尤其是对你
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-06-01 DOI: 10.1080/19359705.2021.1937784
C. McIntosh
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引用次数: 0
Providing supportive transgender mental health care: A systemized narrative review of patient experiences, preferences, and outcomes 提供支持性跨性别精神卫生保健:对患者经历、偏好和结果的系统化叙述回顾
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-05-17 DOI: 10.1080/19359705.2021.1899094
Zoë Panchal, C. Piper, Charles A. Whitmore, R. Davies
Abstract Introduction Transgender populations have high rates of many mental health diagnoses, but often delay or avoid mental health care due to prior poor experiences or fear of discrimination. This indicates a need for supportive and effective transgender mental health care. We aim to identify the features of such care through a systemized narrative review of the literature. Methods Comprehensive searches of six databases were run using index terms and keywords. Searches were limited to English language studies published from 2000 to August 2019 and followed SANRA criteria. Identified records underwent title/abstract screen for relevance and then were assessed for inclusion using predetermined criteria. Included articles were tabulated and their results synthesized with attention to areas of thematic overlap. Results The search returned 1928 unique articles with 35 meeting inclusion criteria and a further one article identified on bibliography screen. Articles reported a range of experiences and preferences across mental health care settings, with common themes emerging. Several reported on retention in care, satisfaction with care, helpfulness of care, or change in symptom burden after receiving care. Discussion We discuss preliminary features of supportive transgender mental health care, recommendations for clinical practice, gaps in the literature, and areas for future research.
跨性别人群的心理健康诊断率较高,但由于先前的不良经历或害怕歧视,往往延迟或逃避心理健康护理。这表明需要支持性和有效的跨性别心理卫生保健。我们的目标是通过对文献的系统化叙述来确定这种护理的特征。方法利用检索词和关键词对6个数据库进行综合检索。搜索仅限于2000年至2019年8月期间发表的英语研究,并遵循SANRA标准。对确定的记录进行标题/摘要筛选以确定相关性,然后使用预定的标准评估是否纳入。将纳入的文章制成表格,并综合其结果,注意到专题重叠的领域。结果检索得到1928篇独特的文章,其中35篇符合纳入标准,另有1篇在参考书目屏幕上找到。文章报道了精神卫生保健机构的一系列经验和偏好,并出现了共同的主题。一些报告了护理的保留,护理的满意度,护理的有用性,或接受护理后症状负担的变化。我们讨论支持性跨性别心理健康护理的初步特征、临床实践的建议、文献中的空白以及未来研究的领域。
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引用次数: 3
Talking with Iranian trans women: Their experiences and identity development 与伊朗跨性别女性交谈:她们的经历与认同发展
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-05-12 DOI: 10.1080/19359705.2021.1923607
M. Yaghoubirad, P. Azadfallah, H. Farahani, C. Cameron
Abstract Introduction This research sought to discover the psychological experiences of trans women born and raised in Iran, which incorporates the cultural surround unique to Iran. Method Fourteen trans women aged from 18 to 48, narrated their lives through in-depth interviews. We applied Corbin and Strauss’ (2015) approach to analyze the data in developing a Grounded Theory. Results Confusing Gender Identity (the Core Category) and eight other categories, including macro- and micro-contextual factors, actions/interactions, and consequences, depicted the processes in trans women’s lives; namely Destructive Family Environments, Traumatic Backgrounds, Impediments in Legislative and Medical Systems, disturbed feelings about Masculine Violation, Insecure Relationships, Self-devaluation, Gray Fortunes, and Social Insecurity. A conceptual model is developed from the findings that represent their relationships most comprehensively. Conclusion Findings shed light on female trans individuals’ lives and clarifies the contextual factors in gender-related fields that need extra care from scientific, educational, legislative, and health care associations and professionals in Iran to enhance the overall health of the transgender community as well as the rest of the society. Also, as most findings of the transgender population result from western cultures, this research provided a comprehensive understanding of trans women in a different cultural and political climate.
本研究旨在探索在伊朗出生和长大的跨性别女性的心理体验,并融入伊朗独特的文化环境。方法对14名年龄在18 ~ 48岁的跨性别女性进行深度访谈,讲述她们的生活。我们应用了Corbin和Strauss(2015)的方法来分析发展扎根理论的数据。结果“性别认同困惑”(核心类别)和其他八个类别,包括宏观和微观环境因素、行为/互动和后果,描述了跨性别女性的生活过程;即破坏性的家庭环境、创伤性的背景、立法和医疗系统的障碍、对男性侵犯的不安情绪、不安全的关系、自我贬值、灰色财富和社会不安全感。从最全面地代表它们之间关系的发现中发展出一个概念模型。结论研究结果揭示了女性跨性别者的生活状况,并澄清了性别相关领域的背景因素,这些因素需要伊朗的科学、教育、立法和卫生保健协会和专业人员给予额外的关注,以提高跨性别群体和社会其他部分的整体健康水平。此外,由于大多数跨性别人群的研究结果来自西方文化,本研究提供了对不同文化和政治气候下跨性别女性的全面了解。
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引用次数: 3
A retrospective qualitative analysis of Christianity and its influence on gender identity development among transgender adults who were assigned female at birth 在出生时被指定为女性的跨性别成人中,基督教及其对性别认同发展的影响的回顾性定性分析
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-05-11 DOI: 10.1080/19359705.2021.1894297
Theresa Stueland Kay, J. Wolff, Heather L. Himes, Jennifer Alquijay
Abstract Purpose While many studies have addressed the intersection between sexual orientation and religious/spiritual identity development, few studies have explicitly explored the interaction between transgender and gender diverse (TGGD) identities and religious/spiritual identity development. As such, the role of religion in TGGD identity development is not well understood, particularly as to how experiences in childhood may shape current identities. Materials and methods The authors analyzed a series of semi-structured interviews with seven TGGD individuals. The participants were all assigned female at birth (AFAB) andhad been raised in the Christian faith. Interview questions focused on participants’ experiences with gender and religious identity development during childhood and adolescence. Results Four major themes emerged among participants: invisibility within faith communities, rejection, conflict/ambivalence about gender and religion, and intellectual curiosity (e.g., questioning religious doctrine). Conclusion Implications for identity development, clinical intervention, and faith community outreach are discussed regarding TGGD people who were AFAB.
虽然许多研究都探讨了性取向与宗教/精神认同发展之间的交叉关系,但很少有研究明确探讨跨性别者和性别多样性(TGGD)认同与宗教/精神认同发展之间的相互作用。因此,宗教在TGGD身份发展中的作用尚未得到很好的理解,特别是童年经历如何塑造当前的身份。材料与方法作者对7名TGGD个体进行了一系列半结构化访谈。参与者在出生时都被指定为女性(AFAB),并在基督教信仰中长大。访谈问题侧重于参与者在童年和青少年时期的性别和宗教认同发展经历。结果在参与者中出现了四个主要主题:在信仰群体中被忽视、被拒绝、关于性别和宗教的冲突/矛盾心理以及求知欲(例如质疑宗教教义)。结论探讨了TGGD患者的身份发展、临床干预和信仰社区外展的意义。
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引用次数: 0
Internalized stigma, adult attachment, relationship satisfaction, and depression in Italian gay and bisexual men: The mediating role of emotion regulation 意大利男同性恋和双性恋男性的内化污名、成人依恋、关系满意度和抑郁:情绪调节的中介作用
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-04-29 DOI: 10.1080/19359705.2021.1913463
M. Sommantico, S. Parrello
Abstract Introduction Internalized sexual stigma, adult attachment, relationship satisfaction, and emotion regulation pay a major role in predicting depression in minority populations. Method We examined the variables in a sample of 165 gay (64.8%) and bisexual men (35.2%), ages 19-68 years (M = 36.2; SD = 11.6). Results Internalized stigma, attachment insecurity, relationship satisfaction, and emotion dysregulation predicted depression; emotion regulation mediated the relationship between internalized stigma and depression, between attachment and depression, as well as between relationship satisfaction and depression. Conclusion Findings suggest the importance of improving educational community programs on sexual prejudices and on social homo and bi-negativity.
内化性耻感、成人依恋、关系满意度和情绪调节在少数群体抑郁的预测中起主要作用。方法对165名男同性恋者(64.8%)和双性恋者(35.2%)进行变量检验,年龄19-68岁(M = 36.2;sd = 11.6)。结果内化污名、依恋不安全感、关系满意度和情绪失调预测抑郁;情绪调节在内化污名与抑郁、依恋与抑郁、关系满意度与抑郁之间起中介作用。结论加强社区性别偏见教育、同性恋和双性恋教育具有重要意义。
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引用次数: 8
期刊
Journal of Gay & Lesbian Mental Health
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