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Looking back, looking ahead 回顾过去,展望未来
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-02 DOI: 10.1080/19359705.2021.2013088
C. McIntosh
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引用次数: 0
Identity and Relationship-Based Discrimination, and Mental Health in a Sample of Sexual Minority Male Couples. 性少数男性伴侣的身份、关系歧视与心理健康
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.1080/19359705.2021.1926389
Gabriel Robles, Trey V Dellucci, Sugandha K Gupta, Lisa Rosenthal, Tyrel J Starks

Purpose: The study explored the unique associations of individual identity-based discrimination and relationship-based discrimination with mental health among sexual minority male couples. It also examined whether couples' relationship functioning moderated associations between relationship-based discrimination, the experience of one's romantic relationship being devalued, and mental health outcomes.

Methods: Baseline dyadic data drawn from a clinical trial involving 70 couples (N= 140) were analyzed using Actor-Partner Interdependence Modeling. The sample consisted of sexual minority men, of which 54.3% identified as a person of color. Each partner completed the computerized survey independently. Data were collected using the Relationship Marginalization Scale, Dyadic Adjustment Scale, Generalized Anxiety Disorder-7, and Center for Epidemiologic Studies Depression Scale-Revised scales.

Results: Dyadic adjustment moderated (i.e., buffered against) the association between relationship-based discrimination and depressive symptoms. The effects appeared to follow an intra-individual pattern (B ACTOR = -0.06, p = .048 and B PARTNER = -0.07, p = .030) indicating the lack of evidence for crossover effects. The interaction terms predicting anxiety yielded non-significant results.

Conclusions: The current research suggests that dyadic functioning buffers against the effects of stigma. These findings point to the potential utility of interventions to improve relationship functioning into interventions addressing stigma among partnered sexual minority men.

目的:探讨性少数男性伴侣个体身份歧视和关系歧视与心理健康的独特关联。它还研究了夫妻关系功能是否会缓和基于关系的歧视、浪漫关系被贬低的经历和心理健康结果之间的联系。方法:从一项涉及70对夫妇(N= 140)的临床试验中提取的基线二元数据使用行动者-伴侣相互依赖模型进行分析。样本由性少数男性组成,其中54.3%的人认为自己是有色人种。每个合作伙伴独立完成计算机调查。使用关系边缘化量表、二元调整量表、广泛性焦虑障碍-7和流行病学研究中心抑郁量表-修订版收集数据。结果:二元调整缓和了(即缓冲了)基于关系的歧视与抑郁症状之间的关联。这些效应似乎遵循个体内部模式(B ACTOR = -0.06, p = 0.048, B PARTNER = -0.07, p = 0.030),表明缺乏交叉效应的证据。预测焦虑的相互作用项产生了不显著的结果。结论:目前的研究表明,二元功能缓冲对柱头的影响。这些发现指出了干预的潜在效用,以改善关系功能,干预解决在性伴侣少数男性的耻辱。
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引用次数: 2
Same, opposite and both-sex attracted adolescents' mental health, safe-sex practices and substance use. 同性、异性和两性吸引青少年的心理健康、安全性行为和物质使用。
IF 1.6 Q3 PSYCHIATRY Pub Date : 2022-01-01 DOI: 10.1080/19359705.2021.1967826
Elon Gersh, Laura P Richardson, Tumaini R Coker, David J Inwards-Breland, Carolyn A McCarty

This study examined mental health, substance use, and sexual health across sexual attraction groups. 428 adolescents recruited from school-based health centers completed self-report measures. 72% were only opposite-sex attracted, 19% both-sex attracted, 3% same-sex attracted, 4% not sure. Reported partners did not always align with reported attraction. Compared to opposite-sex attracted youth, 1) both-sex attracted youth had significantly higher rates of marijuana use (OR=1.75, p=.04), depressive symptoms (OR=2.62, p=.001) and inconsistent condom use (OR=1.71, p=.05); 2) the "not sure" group had higher anxiety symptoms (OR=4, p=.01). This study highlights the importance of considering sexual attraction in providing quality care to young people.

这项研究调查了性吸引力群体的心理健康、物质使用和性健康。从学校保健中心招募的428名青少年完成了自我报告测量。72%的人只被异性吸引,19%被两性吸引,3%被同性吸引,4%不确定。报告中的伴侣并不总是与报告中的吸引力一致。与异性吸引的青少年相比,异性吸引的青少年吸食大麻(OR=1.75, p= 0.04)、抑郁症状(OR=2.62, p= 0.001)和不一致使用安全套(OR=1.71, p= 0.05)的比例显著高于异性吸引的青少年;2)“不确定”组有较高的焦虑症状(OR=4, p= 0.01)。这项研究强调了在为年轻人提供优质护理时考虑性吸引力的重要性。
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引用次数: 0
Married gay Asian-American mens’ constructs of marriage 已婚同性恋亚裔美国人对婚姻的建构
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-12-23 DOI: 10.1080/19359705.2021.2008571
Jan Alfred B Valdes, Angela B. Kim, A. L. Hsieh, Gita Seshadri
Abstract Introduction: The increase of marriage in Asian-American men indicates a need to further explore the unique cultural characteristics of this population. Method: The present study (n = 14) utilized transcendental phenomenology to explore how Asian-American men organize their marital relationships. Result: Four themes emerged: (a) inapplicability of stereotypes, gender roles, and existing guidelines for marriage, (b) inclusion and normalcy, (c) rules and roles in marriage involve integrating Asian and American values, and (d) rules and roles are negotiated both through conversation and organically developed. Conclusion: Stereotypes, gender, social supports, cultural values, and implications were discussed.
摘要引言:亚裔美国男性结婚率的上升表明需要进一步探索这一人群独特的文化特征。方法:本研究(n = 14)运用先验现象学来探讨亚裔美国男性如何组织他们的婚姻关系。结果:出现了四个主题:(a)刻板印象、性别角色和现有婚姻准则的不适用性;(b)包容和常态化;(c)婚姻中的规则和角色涉及亚洲和美国价值观的融合;(d)规则和角色是通过对话协商和有机发展的。结论:探讨了刻板印象、性别、社会支持、文化价值观及其影响。
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引用次数: 0
Impact of COVID-19 restrictions on mental health and physical activity among LGBQAP and heterosexual adults COVID-19限制对LGBQAP和异性恋成年人心理健康和身体活动的影响
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-12-21 DOI: 10.1080/19359705.2021.1995097
Elizabeth M. Mullin, J. Hutchinson, Kathleen T. Mellano, Jonathan M. Bird, C. Karageorghis
Abstract Introduction We compared the impact of the COVID-19 lockdown on mental health (MH) and physical activity (PA) between US adults who identify as lesbian, gay men, bisexual, queer, asexual, and pansexual (LGBQAP) and heterosexual US adults. Method Participants completed online questionnaires to assess PA and MH. Results No difference in MH was identified between LGBQAP and heterosexual participants prior to lockdown, however LGBQAP participants reported significantly worse mental health during lockdown. No group differences were found in PA, but all participants exhibited a decline in PA during lockdown. Conclusion This study highlights the differential impact of social restrictions on marginalized populations.
我们比较了COVID-19封锁对美国女同性恋、男同性恋、双性恋、酷儿、无性恋和泛性恋(LGBQAP)和异性恋美国成年人心理健康(MH)和身体活动(PA)的影响。结果在封锁前,LGBQAP参与者和异性恋参与者之间的MH没有差异,但LGBQAP参与者在封锁期间报告的心理健康状况明显较差。在PA方面没有发现组间差异,但所有参与者在封锁期间都表现出PA下降。本研究突出了社会限制对边缘人群的不同影响。
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引用次数: 3
Examining depression care outcomes at community health centers serving larger lesbian, gay, and bisexual patient populations: Do rural vs. urban disparities exist? 在社区卫生中心为更大的女同性恋、男同性恋和双性恋患者群体服务的抑郁症治疗结果研究:农村和城市存在差异吗?
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-11-17 DOI: 10.1080/19359705.2021.1988025
Evan V. Goldstein
Abstract Introduction: Little is understood about the quality of services at community health centers (CHCs) serving larger lesbian, gay, and bisexual (LGB) patient populations. This study examined process of care outcomes for depression care among CHCs serving larger LGB patient populations, comparing rural and urban CHCs. Methods: Multivariate regression models were estimated on a propensity score matched analytic sample of 518 CHCs spanning 2016-2018. Results: CHCs serving larger LGB patient populations were more likely to have better process of care outcomes for depression care. However, among CHCs serving larger LGB patient populations, rural and urban CHCs provided functionally equivalent outcomes for depression screening and follow-up care. Conclusion: Among CHCs serving comparatively large LGB patient populations, traditional behavioral health care disparities based on patient population rurality may not exist for depression care.
摘要简介:社区卫生中心(CHCs)为较大的女同性恋、男同性恋和双性恋(LGB)患者群体提供的服务质量知之甚少。本研究考察了服务较大LGB患者群体的CHCs对抑郁症护理结果的过程,比较了农村和城市CHCs。方法:对2016-2018年518例CHCs的倾向得分匹配分析样本进行多元回归模型估计。结果:服务于较大LGB患者群体的CHCs更有可能在抑郁症护理中获得更好的护理结果。然而,在服务较大LGB患者群体的CHCs中,农村和城市CHCs在抑郁症筛查和随访护理方面提供了功能相同的结果。结论:在服务较大LGB患者群体的CHCs中,基于患者群体乡村性的传统行为卫生保健差异可能不存在。
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引用次数: 0
List of reviewers 审稿人名单
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-10-02 DOI: 10.1080/19359705.2021.1994284
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引用次数: 0
An interview with Lowell D. Tong, MD 对Lowell D. Tong医学博士的采访
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-10-01 DOI: 10.1080/19359705.2021.1982222
J. Drescher
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引用次数: 0
Suicidality and non-suicidal self-injury among transgender populations: A systematic review 跨性别人群的自杀倾向和非自杀性自残:一项系统综述
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-08-18 DOI: 10.1080/19359705.2021.1955195
M. Vigny-Pau, Nelson Pang, Hamad Alkhenaini, A. Abramovich
Abstract Introduction: Transgender individuals experience ongoing stigma, leading to a high mental health burden. This systematic review sought to identify risk and protective factors for suicidality and non-suicidal self-injury. Method: Three databases were searched and 52 articles selected. Risk and protective factors were categorized into discrimination, social support, comorbidities, medical transition status, and community and social policy factors. Result: Despite nearly all studies providing only cross-sectional or qualitative data, significant correlations were found between the categories of risk and protective factors and their respective outcomes. Conclusion: Future research should focus on prospective and longitudinal studies to further establish links of causality.
摘要简介:变性人经历了持续的耻辱,导致了很高的心理健康负担。本系统综述旨在确定自杀和非自杀性自伤的风险和保护因素。方法:检索3个数据库,选取52篇文献。风险和保护因素分为歧视、社会支持、合并症、医疗转型状况、社区和社会政策因素。结果:尽管几乎所有的研究都只提供了横断面或定性数据,但在风险和保护因素的类别及其各自的结果之间发现了显著的相关性。结论:未来的研究应侧重于前瞻性和纵向研究,以进一步建立因果关系。
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引用次数: 5
Loneliness in sexual minority and heterosexual individuals: A comparative meta-analysis 性少数群体和异性恋个体的孤独感:比较荟萃分析
IF 1.6 Q3 PSYCHIATRY Pub Date : 2021-08-05 DOI: 10.1080/19359705.2021.1957742
Paul Gorczynski, PhD, Fabio Fasoli, PhD
Abstract Introduction Despite the importance of better understanding how loneliness is associated with physical and mental health symptoms and disorders, and who is at greatest risk, demographic information pertaining to sexuality is often not collected. Although some studies evidence prevalence rates of loneliness amongst sexual minority individuals to be higher when compared to heterosexual individuals, no systematic approaches to examine and compare the literature have been taken. This comparative meta-analysis examined loneliness between sexual minority and heterosexual individuals. Method To identify studies, published studies were searched from the following databases MEDLINE, CINAHL, PsychINFO, Scopus, and Cochrane. Studies that were published in English, compared sexual minorities and heterosexuals; measured loneliness; and presented quantitative data were included. Result Four articles were included in the review, reporting data from 481 individuals who identified as sexual minorities and 4176 as heterosexuals. The 4 studies showed that individuals who identified as sexual minorities reported higher ratings of loneliness than heterosexuals (d = 0.352, p = 0.019). Conclusion Interventions are needed at the individual and societal level to decrease the loneliness experienced by sexual minorities. This is the first paper to provide aggregated data on loneliness that covers the life span amongst sexual minorities.
尽管更好地了解孤独与身心健康症状和障碍之间的关系以及谁处于最大风险中具有重要意义,但与性行为有关的人口统计信息往往没有被收集。尽管一些研究表明,与异性恋者相比,性少数群体的孤独感患病率更高,但没有采用系统的方法来检查和比较文献。这项比较荟萃分析研究了性少数群体和异性恋个体之间的孤独感。方法从MEDLINE、CINAHL、PsychINFO、Scopus和Cochrane等数据库中检索已发表的研究。用英语发表的研究比较了性少数群体和异性恋者;测量了孤独;并纳入定量资料。结果共纳入4篇文献,报告了481名性少数群体和4176名异性恋者的数据。这4项研究表明,性少数群体的孤独感评分高于异性恋群体(d = 0.352, p = 0.019)。结论需要在个体和社会层面采取干预措施来减少性少数群体的孤独感。这是第一篇提供涵盖性少数群体生命周期的孤独感汇总数据的论文。
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引用次数: 24
期刊
Journal of Gay & Lesbian Mental Health
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