Journal of Gay & Lesbian Mental Health最新文献

英文中文

Preconscious categorization impacts how interracial same-sex couples are perceived by others: Implications for counseling and supervision 前意识分类影响跨种族同性伴侣如何被他人感知:对咨询和监督的影响

IF 1.6 Q3 PSYCHIATRY

Journal of Gay & Lesbian Mental Health

Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.2012732

Hunter Sully, Kristin Perrone, S. Barrera, S. Simon-Dack

Abstract Introduction In order to understand implicit biases, we examined participants’ preconscious neural activity when viewing photos of differing racial combinations of same-sex male couples. Method P200 amplitudes measured preconscious neural activity while viewing photo stimuli. Result Participants engaged in preconscious categorization of all three types of photo stimuli. The largest P200 amplitudes appeared when viewing photos of Black gay couples, followed by White-Black gay couples, then White gay couples. Conclusion Individuals begin to categorize same-sex couples by their racial makeup as early as 200 milliseconds. Evidence of preconscious categorization may be helpful in dispelling inaccuracies of using a colorblindness approach to counseling and supervision.

为了理解内隐偏见，我们研究了被试在观看不同种族的同性男性伴侣照片时的前意识神经活动。方法P200振幅测量观察光刺激时的前意识神经活动。结果被试对三种类型的照片刺激均有前意识分类。最大的P200振幅出现在黑人同性恋夫妇的照片上，其次是白人-黑人同性恋夫妇，然后是白人同性恋夫妇。个体早在200毫秒内就开始根据种族构成对同性伴侣进行分类。前意识分类的证据可能有助于消除使用色盲方法进行咨询和监督的不准确性。

引用次数: 0

“X” marks the transgressive gender: A qualitative exploration of legal gender-affirmation “X”标志着越界的性别:法律性别肯定的定性探索

IF 1.6 Q3 PSYCHIATRY

Journal of Gay & Lesbian Mental Health

Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.2008572

Teddy G. Goetz, Amanda C. Arcomano

Abstract Purpose: Gender affirmation for transgender, non-binary, and/or gender diverse (“trans”) persons can include legal name and/or gender marker changes. Gender marker choice has become more com plex with increasing availability of a gender-neutral “X” marker. Yet, little research has characterized trans persons’ perspectives on legal gender affirmation, and its mental health impacts. Methods: Here we present qualitative research exploring trans individuals’ goals for and barriers from seeking gender-affirming legal care and perspectives on the “X” gender marker. We conducted one-hour semi-structured interviews with 54 trans persons in the U.S. and Canada. Results: Almost all participants were interested in legal name (had: 54%, want: 33%) and gender marker (had: 46%, want: 46%) changes. Most common barriers included: logistics, fearing violence/discrimination, cost, and legality; 24% reported only updating some identification documents. While some sought an “X” gender marker (had: 11%, want: 19%), 32% considered the “X” harmful, fearing lack of compatibility with other documents and increasing risk of gender-based violence/discrimination. Most reported anxiety and isolation from concerns over mismatched or inaccurate identification documents. Conclusions: This work offers insight into how legal gender affirmation influences mental health for trans persons, highlighting the importance of mental health providers exploring legal gender affirmation when treating members of the trans community.

目的:跨性别者、非二元性别者和/或性别多样化者(“trans”)的性别确认可以包括法定姓名和/或性别标记的改变。随着性别中立的“X”标记越来越多，性别标记的选择变得越来越复杂。然而，关于跨性别者对法律性别肯定的看法及其对心理健康的影响的研究却很少。方法:通过定性研究，探讨跨性别者寻求性别确认法律服务的目标和障碍，以及对“X”性别标记的看法。我们对美国和加拿大的54名跨性别者进行了一小时的半结构化访谈。结果:几乎所有的参与者都对法定名称(有:54%，想要:33%)和性别标记(有:46%，想要:46%)的变化感兴趣。最常见的障碍包括:后勤、害怕暴力/歧视、成本和合法性;24%的人表示只更新了一些身份证明文件。虽然有些人寻求“X”性别标记(有:11%，希望:19%)，但32%的人认为“X”有害，担心与其他文件缺乏兼容性，并增加基于性别的暴力/歧视的风险。大多数人报告说，由于担心身份证件不匹配或不准确，他们感到焦虑和孤立。结论:这项工作提供了关于法律性别确认如何影响跨性别者心理健康的见解，强调了心理健康提供者在治疗跨性别群体成员时探索法律性别确认的重要性。

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引用次数: 1

An interview with Robert M. Kertzner, MD 对医学博士罗伯特·m·科茨纳的采访

IF 1.6 Q3 PSYCHIATRY

Journal of Gay & Lesbian Mental Health

Pub Date : 2022-01-10 DOI: 10.1080/19359705.2021.2015176

J. Drescher

引用次数: 0

Looking back, looking ahead 回顾过去，展望未来

IF 1.6 Q3 PSYCHIATRY

Journal of Gay & Lesbian Mental Health

Pub Date : 2022-01-02 DOI: 10.1080/19359705.2021.2013088

C. McIntosh

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

Journal of Gay & Lesbian Mental Health

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

Journal of Gay & Lesbian Mental Health

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。

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

Journal of Gay & Lesbian Mental Health

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。

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

Journal of Gay & Lesbian Mental Health

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。

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

Journal of Gay & Lesbian Mental Health

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

Journal of Gay & Lesbian Mental Health

Pub Date : 2021-10-02 DOI: 10.1080/19359705.2021.1994284

引用次数: 0

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