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A Prospective Examination of Sexual Orientation and Suicidal and Nonsuicidal Self-Injurious Thoughts and Behaviors Among a Diverse Sample of At-risk Young Adult Women. 一项前瞻性研究,对不同样本的高危年轻成年女性的性取向、自杀和非自杀自残思想和行为进行了研究。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-06-01 Epub Date: 2022-08-18 DOI: 10.1037/sgd0000593
Sarah L Brown, Qi Chen, Evelyn M Hernandez Valencia, Sarah E Victor, Lori N Scott

Minoritized sexual orientation is an established correlate for suicide ideation (SI) and nonsuicidal self-injury (NSSI); however, prospective associations between sexual orientation and SI and NSSI is limited. The current study builds on existing literature by examining sexual orientation as a prospective distal risk factor for SI and NSSI risk among a diverse sample of young women after adjusting for histories of SI and/or NSSI and empirically supported correlates and risk factors. Participants were 135 young adult women (aged 18-24), who were predominately Black with approximately half of the sample experiencing poverty. Participants completed an interview that assessed SI and NSSI at baseline and 6- and 12-month follow-ups. A single item was used to collect participants' self-identified sexual orientation at baseline. Minoritized sexual orientation was strongly associated with NSSI history and future SI and NSSI, adjusting for baseline correlates and predictors of interest. Psychological and physical victimization, race, and poverty were non-significant prospective predictors of SI and NSSI. Race and poverty did not moderate the associations between sexual orientation and follow-up SI and NSSI. These findings suggest young adult women who self-identify as lesbian, gay, bisexual, queer, or questioning (LGBQ) are more likely than those who identify as heterosexual to experience both SI and NSSI in the following year. Sexual orientation should be part of a culturally-informed comprehensive risk assessment. A culturally-informed intersectionality approach may be necessary to identify culturally-specific risk and resiliency factors for SI and NSSI that can guide effective prevention and intervention strategies for LGBQ individuals.

未成年性取向是自杀意念(SI)和非自杀性自伤(NSSI)的既定相关因素;然而,性取向与 SI 和 NSSI 之间的前瞻性关联却很有限。本研究在现有文献的基础上,在对 SI 和/或 NSSI 历史以及经验支持的相关因素和风险因素进行调整后,对性取向作为 SI 和 NSSI 风险的前瞻性远端风险因素进行了研究。参与者为 135 名年轻成年女性(18-24 岁),她们主要是黑人,约有一半的样本经历过贫困。参与者在基线以及 6 个月和 12 个月的随访中完成了评估 SI 和 NSSI 的访谈。在基线调查中,我们使用了一个单项来收集参与者自我认定的性取向。在对基线相关因素和相关预测因素进行调整后,未成年性取向与 NSSI 历史以及未来的 SI 和 NSSI 密切相关。心理和身体伤害、种族和贫困是预测 SI 和 NSSI 的非显著前瞻性因素。种族和贫困并不影响性取向与后续 SI 和 NSSI 之间的关联。这些研究结果表明,自我认同为女同性恋、男同性恋、双性恋、同性恋或质疑者(LGBQ)的年轻成年女性比认同为异性恋的女性更有可能在接下来的一年中经历 SI 和 NSSI。性取向应该成为有文化背景的综合风险评估的一部分。可能有必要采用一种具有文化信息的交叉性方法,以确定针对 SI 和 NSSI 的特定文化风险和复原因素,从而指导针对 LGBQ 个人的有效预防和干预策略。
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引用次数: 0
Psychometric Assessment of a Homophobia Management Scale Among Cisgender Sexual Minority Men in Midlife and Older Adulthood. 中、老年顺性少数男性同性恋恐惧症管理量表的心理测量评估。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-06-01 Epub Date: 2022-09-15 DOI: 10.1037/sgd0000600
Steven Meanley, Mark Brennan-Ing, Judith A Cook, Andre L Brown, Sabina A Haberlen, Frank J Palella, Steven J Shoptaw, Deanna Ware, James E Egan, Mackey R Friedman, Michael W Plankey

Interpersonal management of homophobic stigma (e.g., selectively constructing one's social network; confronting stigma) is an understudied area of resilience among sexual minority people. Among a sample of cisgender sexual minority men (SMM; N = 798) in midlife and older adulthood, we assessed the psychometric properties and characterized the sociodemographic differences of our newly developed, theory-informed homophobia management scale. Data come from the Healthy Aging substudy of the Multicenter AIDS Cohort Study, which is a prospective longitudinal study implemented to evaluate the natural trajectories of HIV risk and treatment among sexual minority men. Guided by the proactive coping processes model, the Healthy Aging team proposed eight items to measure homophobia management, which were included at four waves of survey data collection completed at semiannual study visits. Using factor analyses and linear regressions, we assessed our scale's construct validity, convergent validity, and internal consistency, and characterized scores by age, race/ethnicity, sexual orientation, and HIV status. Factor analyses yielded a six-item scale with adequate construct validity and acceptable internal consistency (Cronbach's alpha = .69). Our final scale exhibited convergent validity given its statistically significant inverse association with internalized homophobia and positive association with psychological connections to the gay community. Bivariate differences in homophobia management emerged by age, race/ethnicity, and sexual orientation but were not statistically significant in multivariable analyses. Our study provides a validated, unidimensional scale to assess homophobia management among SMM in midlife and older adulthood. We provide recommendations to improve the implementation of our scale in future surveillance.

对恐同污名的人际管理(例如,有选择地构建自己的社交网络;直面污名)是性少数群体复原力中一个未得到充分研究的领域。在中年和老年期的顺性别性少数群体男性(SMM;N = 798)样本中,我们评估了新开发的、以理论为依据的恐同管理量表的心理测量特性和社会人口学差异。数据来自多中心艾滋病队列研究的健康老龄化子研究,该研究是一项前瞻性纵向研究,旨在评估性少数群体男性艾滋病风险和治疗的自然轨迹。在前瞻性应对过程模型的指导下,健康老龄化研究小组提出了八个项目来测量恐同症管理,这些项目包括在每半年一次的研究访问中完成的四波调查数据收集。通过因子分析和线性回归,我们评估了量表的建构效度、收敛效度和内部一致性,并根据年龄、种族/民族、性取向和 HIV 感染状况对得分进行了特征描述。因子分析得出的六项量表具有充分的建构效度和可接受的内部一致性(Cronbach's alpha = .69)。我们的最终量表具有收敛效度,因为它与内化恐同症之间具有显著的统计学反相关性,而与同性恋群体的心理联系之间则具有正相关性。不同年龄、种族/民族和性取向的人在恐同症管理方面存在双变量差异,但在多变量分析中没有统计学意义。我们的研究提供了一个经过验证的单维度量表,用于评估中老年男同性恋的恐同管理。我们为在今后的监测中更好地实施我们的量表提供了建议。
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引用次数: 0
Out of the Closet, but Not Out of the Woods: The Longitudinal Associations Between Identity Disclosure, Discrimination, and Nonsuicidal Self-Injury Among Sexual Minoritized Young Adults. 出柜,但还没有走出困境:性少数年轻人中身份披露、歧视和非自杀性自残之间的纵向联系。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-06-01 Epub Date: 2022-08-11 DOI: 10.1037/sgd0000597
Benjamin F Shepherd, Cindy J Chang, Christina Dyar, Paula M Brochu, Edward A Selby, Brian A Feinstein

Sexual minoritized individuals engage in non-suicidal self-injury (NSSI) at higher rates than their heterosexual peers. Disclosing one's sexual minoritized identity can put one at risk for experiencing discrimination, which is linked to greater engagement in NSSI. However, discrimination has yet to be tested as a mechanism linking sexual identity disclosure to NSSI. Understanding how sexual identity disclosure impacts NSSI has the potential to inform interventions to reduce sexual orientation disparities in NSSI. To address this gap, the current study examined sexual orientation-based discrimination as a mediator of the longitudinal association between sexual identity disclosure and NSSI among 792 sexual minoritized young adults. Higher levels of disclosure at baseline were associated with greater likelihood of NSSI at two-month follow-up via greater discrimination at one-month follow-up, even after controlling for baseline levels of depression and demographic characteristics. The indirect effect became non-significant after controlling for previous levels of discrimination and NSSI. Findings provide partial support for the hypothesis that identity disclosure may precede exposure to discrimination and, in turn, engagement in NSSI. However, identity disclosure does not appear to predict acute increases in discrimination. Future research is encouraged to examine these prospective associations with longer intervals between assessments, as the indirect effect of identity disclosure on NSSI via discrimination may continue to accumulate over time. Findings highlight the need to reduce discrimination following sexual identity disclosure through the implementation of equitable and affirmative practices in school, healthcare, and other settings to improve the well-being of sexual minoritized young adults.

与异性恋同龄人相比,性取向未成年者进行非自杀性自我伤害(NSSI)的比例更高。披露自己的性取向未成年化身份会使自己面临遭受歧视的风险,而歧视与更多的非自杀性自伤行为有关。然而,歧视作为一种将性身份披露与 NSSI 联系起来的机制还有待检验。了解性身份披露如何影响 NSSI 有可能为减少 NSSI 中性取向差异的干预措施提供依据。为了填补这一空白,本研究将基于性取向的歧视作为 792 名性取向未成年者中性身份公开与 NSSI 之间纵向联系的中介因素进行了研究。即使在控制了基线抑郁水平和人口特征之后,基线披露水平越高,在两个月的随访中发生 NSSI 的可能性就越大,因为在一个月的随访中受到的歧视越严重。在控制了之前的歧视和 NSSI 水平后,间接效应变得不显著。研究结果为以下假设提供了部分支持:身份披露可能先于遭受歧视,进而导致参与 NSSI。然而,身份披露似乎并不能预测歧视的急剧增加。由于身份披露通过歧视对 NSSI 产生的间接影响可能会随着时间的推移而不断累积,因此鼓励未来的研究以更长的评估间隔时间来检验这些前瞻性关联。研究结果强调,有必要通过在学校、医疗保健和其他环境中实施公平、平等的做法来减少性身份披露后的歧视,从而改善性取向未成年的年轻人的福祉。
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引用次数: 0
The Relationship between Serving as a Mentor and Depressive Symptoms among Sexual Minority Men in the MACS Healthy Aging Study. MACS健康老龄化研究中性少数群体男性担任导师与抑郁症状之间的关系。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-06-01 Epub Date: 2022-09-29 DOI: 10.1037/sgd0000605
Aruna Chandran, Sabina Haberlen, Deanna Ware, Steven Meanley, Mark Brennan-Ing, Andre L Brown, Linda A Teplin, James E Egan, Matthew J Mimiaga, M Reuel Friedman, Michael Plankey

Sexual minority men (SMM) in the US are twice as likely to experience mental health challenges, including depressive symptoms, compared with their heterosexual counterparts. Having a like-mentor, or a sexual minority mentor, is associated with improved mental well-being among SMM mentees. However, few studies have explored the potential benefits to mentors. Using confirmatory factor analysis, we calculated a perceptions of mentoring score that encompasses experiences and beliefs regarding mentoring of SMM from the Healthy Aging Substudy of the Multicenter AIDS Cohort Study. We used a generalized estimating equations model to assess associations between perceptions of mentoring and clinically significant depressive symptoms adjusted for key covariates; models were also stratified by HIV serostatus. Among 1,246 men aged 40+ years, the strongest agreement was with the statement "I have encouraged people to be proud of their sexual orientation," for which 770 individuals (72%) indicated "Agree" or "Strongly Agree." Each unit increase in the mean perceptions of mentoring score was associated with 8% decreased odds of having clinically significant depressive symptoms (adjusted odds ratio: 0.92; 95% CI: 0.85-0.99). We show that SMM reported like-mentoring experiences and had positive mentoring beliefs, and that these were associated with a decreased odds of having depressive symptoms. Encouraging SMM to serve as like-mentors could be a way to counter depressive symptoms among this key population. There is a need for increased research regarding how mentoring programs can best be designed to benefit sexual minority mentees and mentors.

在美国,性少数群体男性(SMM)遭遇心理健康挑战(包括抑郁症状)的可能性是异性恋男性的两倍。在性少数群体的被指导者中,有一个与自己相似的指导者或性少数群体指导者,与改善他们的心理健康有关。然而,很少有研究探讨指导者的潜在益处。通过确认性因子分析,我们计算出了指导感知得分,该得分包含了多中心艾滋病队列研究健康老龄化子研究中有关指导 SMM 的经验和信念。我们使用了一个广义估计方程模型来评估指导感知与具有临床意义的抑郁症状之间的关系,并对主要协变量进行了调整;模型还根据 HIV 血清状态进行了分层。在 1,246 名 40 岁以上的男性中,对 "我曾鼓励人们为自己的性取向感到自豪 "这句话的认同度最高,有 770 人(72%)表示 "同意 "或 "非常同意"。对指导的平均看法得分每增加一个单位,临床上出现明显抑郁症状的几率就会降低 8%(调整后的几率比:0.92;95% CI:0.85-0.99)。我们的研究表明,SMM 报告了类似的指导经历,并具有积极的指导信念,而这些都与抑郁症状发生几率的降低有关。在这一关键人群中,鼓励 SMM 担任志同道合的指导者可能是消除抑郁症状的一种方法。有必要加强研究,探讨如何设计指导计划,使性少数群体的被指导者和指导者从中受益。
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引用次数: 0
Mental Health Care Use among Adolescent Sexual Minority Males Before and During COVID-19. 新冠肺炎前和期间青少年性少数群体男性的心理健康护理使用情况。
IF 3.6 2区 心理学 Q1 PSYCHOLOGY Pub Date : 2024-06-01 Epub Date: 2022-06-16 DOI: 10.1037/sgd0000592
Nicholas S Perry, Kimberly M Nelson

Adolescent (cisgender) sexual minority males (ASMM) face multiple mental health disparities. Yet surprisingly little is known about use of mental health care among ASMM. The current study examined mental health care use among ASMM, both lifetime use and during the COVID-19 pandemic. ASMM (N=154, ages 14-17 years) enrolled in Spring 2020 for a pilot randomized controlled trial of an online sexual health intervention. Participants were assessed at baseline and 3-month follow-up. Participants reported lifetime (at baseline) and recent (at follow-up) mental health care use. Anxiety and depressive symptoms were assessed at both timepoints. Differences in care use by sociodemographics, healthcare access, and mental health symptoms were established. More than half of participants reported clinically significant anxiety and depressive symptoms at baseline and at follow-up. Of those youth, fifty-three percent reported lifetime mental health care use, while only 28% reported recent care at follow-up. Being out to an accepting guardian (aOR=4.0, 95% CI: 1.9-8.4), having a primary care physician (aOR=2.6, 95% CI: 1.0-6.7), and having clinically significant symptoms (aOR=3.1, 95% CI: 1.5-6.5) were each independently associated with a greater odds of having received lifetime mental health care. Findings indicate that many ASMM in the sample received mental health care in their lifetimes. However, more participants endorsed clinically significant anxiety/depressive symptoms than received care at both timepoints. This disparity was even more pronounced approximately five months into the COVID-19 pandemic. Research and practice efforts must reduce care barriers and augment facilitators for all ASMM, with particular urgency during COVID-19 and its aftermath.

青少年(顺性别)性少数男性(ASMM)面临多重心理健康差异。然而,令人惊讶的是,人们对ASMM中精神卫生保健的使用知之甚少。目前的研究调查了ASMM的精神卫生保健使用情况,包括终身使用情况和COVID-19大流行期间。ASMM (N = 154,年龄14-17岁)于2020年春季参加了一项在线性健康干预的随机对照试验。参与者在基线和3个月随访时进行评估。参与者报告了一生(基线时)和最近(随访时)的精神卫生保健使用情况。在两个时间点评估焦虑和抑郁症状。确定了社会人口统计学、卫生保健可及性和心理健康症状在护理使用方面的差异。超过一半的参与者在基线和随访时报告了临床显著的焦虑和抑郁症状。在这些年轻人中,53%的人报告终生使用精神卫生保健,而只有28%的人报告最近在随访中接受过治疗。有接受性取向的监护人(aOR = 4.0, 95% CI[1.9, 8.4])、有初级保健医生(aOR = 2.6, 95% CI[1.0, 6.7])和有临床显著症状(aOR = 3.1, 95% CI[1.5, 6.5])分别与接受终身精神卫生保健的较高几率独立相关。研究结果表明,样本中的许多ASMM在其一生中接受过精神卫生保健。然而,在这两个时间点,更多的参与者承认有临床显著的焦虑/抑郁症状,而不是接受治疗。这种差异在COVID-19大流行大约5个月后更加明显。研究和实践工作必须减少护理障碍,增加所有ASMM的便利条件,在COVID-19及其后果期间尤其紧迫。(心理信息数据库记录(c) 2022 APA,保留所有权利)影响声明性少数群体青少年的心理健康差异有据可查,尽管对他们使用心理保健的情况知之甚少。我们发现,许多青春期性少数男性使用精神卫生保健,但更多的年轻人报告心理困扰而不是接受护理,并且在COVID-19大流行期间,护理的使用率有所下降。(PsycInfo数据库记录(c) 2022 APA,版权所有)
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引用次数: 0
Pronouns and experiences of misgendering among nonbinary Black womxn. 非二元黑人妇女中的代词和误称经历。
IF 3.8 2区 心理学 Q1 Social Sciences Pub Date : 2024-05-23 DOI: 10.1037/sgd0000735
Monyae A. Kerney, Anneliese Singh, Kasey Vigil, C. Hargons, N. Malone
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引用次数: 0
Understanding the impact of gender identity nonaffirmation: The mediating role of psychological needs thwarting. 了解不确认性别认同的影响:心理需求阻挠的中介作用。
IF 3.8 2区 心理学 Q1 Social Sciences Pub Date : 2024-05-16 DOI: 10.1037/sgd0000740
Joda Lloyd, Keely J. Frasca, Miles Thompson, Jay Stewart, Cara English
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引用次数: 0
Supplemental Material for Pronouns and Experiences of Misgendering Among Nonbinary Black Womxn 非二元黑人女性中的代词和被误认的经历》补充材料
IF 3.8 2区 心理学 Q1 Social Sciences Pub Date : 2024-05-16 DOI: 10.1037/sgd0000735.supp
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引用次数: 0
The role of language in nonbinary identity construction: Gender words matter. 语言在非二元身份构建中的作用:性别词汇很重要
IF 3.8 2区 心理学 Q1 Social Sciences Pub Date : 2024-05-16 DOI: 10.1037/sgd0000729
M. Mirabella, Claudia Mazzuca, Chiara De Livio, B. Di Giannantonio, Fau Rosati, M. Lorusso, Vittorio Lingiardi, Anna M. Borghi, G. Giovanardi
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引用次数: 0
Breaking the binary mold: Understanding social representations of nonbinary gender identities among the LGBTQIA+ Italian population. 打破二元模式:了解意大利 LGBTQIA+ 人口中对非二元性别身份的社会表述。
IF 3.8 2区 心理学 Q1 Social Sciences Pub Date : 2024-05-16 DOI: 10.1037/sgd0000734
F. Rosati, M. Lorusso, Cinzia Albanesi, R. Baiocco, J. Pistella, Christian Compare
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引用次数: 0
期刊
Psychology of Sexual Orientation and Gender Diversity
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