隐藏的隐藏：内化的异性恋主义在女同性恋、男同性恋和双性恋老年人心理困扰中的中介作用。
Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian, Gay, and Bisexual Older Adults.
作者信息
Hoy-Ellis Charles P
机构信息
a College of Social Work , University of Utah , Salt Lake City , Utah , USA.
出版信息
J Homosex. 2016;63(4):487-506. doi: 10.1080/00918369.2015.1088317. Epub 2015 Aug 31.
Abstract
Recent population-based studies indicate that sexual minorities aged 50 and older experience significantly higher rates of psychological distress than their heterosexual age-peers. The minority stress model has been useful in explaining disparately high rates of psychological distress among younger sexual minorities. The purpose of this study is to test a hypothesized structural relationship between two minority stressors--internalized heterosexism and concealment of sexual orientation--and consequent psychological distress among a sample of 2,349 lesbian, gay, and bisexual adults aged 50 to 95 years old. Structural equation modeling indicates that concealment has a nonsignificant direct effect on psychological distress but a significant indirect effect that is mediated through internalized heterosexism; the effect of concealment is itself concealed. This may explain divergent results regarding the role of concealment in psychological distress in other studies, and the implications will be discussed.
摘要
近期基于人群的研究表明，50岁及以上的性少数群体经历心理困扰的比率显著高于同龄异性恋者。少数群体压力模型有助于解释年轻性少数群体中心理困扰发生率异常高的现象。本研究的目的是检验两个少数群体压力源——内化的异性恋主义和性取向隐瞒——与2349名年龄在50至95岁之间的女同性恋、男同性恋和双性恋成年人样本中随之产生的心理困扰之间的假设结构关系。结构方程模型表明，隐瞒对心理困扰没有显著的直接影响，但有通过内化的异性恋主义介导的显著间接影响；隐瞒的影响本身被掩盖了。这可能解释了其他研究中关于隐瞒在心理困扰中的作用的不同结果，并将讨论其影响。
相似文献
1
Concealing Concealment: The Mediating Role of Internalized Heterosexism in Psychological Distress Among Lesbian, Gay, and Bisexual Older Adults.隐藏的隐藏：内化的异性恋主义在女同性恋、男同性恋和双性恋老年人心理困扰中的中介作用。
J Homosex. 2016;63(4):487-506. doi: 10.1080/00918369.2015.1088317. Epub 2015 Aug 31.
2
Locus of control, minority stress, and psychological distress among lesbian, gay, and bisexual individuals.性少数群体的控制源、少数群体应激与心理困扰。
J Couns Psychol. 2014 Jan;61(1):169-175. doi: 10.1037/a0034593. Epub 2013 Nov 4.
3
A relational model of sexual minority mental and physical health: The negative effects of shame on relationships, loneliness, and health.性少数群体身心健康的关系模型：羞耻感对人际关系、孤独感和健康的负面影响。
J Couns Psychol. 2015 Jul;62(3):425-437. doi: 10.1037/cou0000088. Epub 2015 May 25.
4
Minority stress in lesbian, gay, and bisexual young adults in Australia: associations with psychological distress, suicidality, and substance use.澳大利亚女同性恋、男同性恋和双性恋青少年的少数群体压力：与心理困扰、自杀倾向和物质使用的关联。
Arch Sex Behav. 2014 Nov;43(8):1571-8. doi: 10.1007/s10508-014-0266-6. Epub 2014 Feb 27.
5
Lesbian, gay, & bisexual older adults: linking internal minority stressors, chronic health conditions, and depression.女同性恋、男同性恋和双性恋老年人：内在少数群体压力源、慢性健康状况与抑郁之间的联系。
Aging Ment Health. 2016 Nov;20(11):1119-1130. doi: 10.1080/13607863.2016.1168362. Epub 2016 Apr 6.
6
Bisexual-Specific Minority Stressors, Psychological Distress, and Suicidality in Bisexual Individuals: the Mediating Role of Loneliness.双性恋者中的双性恋特异性少数群体压力源、心理困扰与自杀倾向：孤独感的中介作用
Prev Sci. 2017 Aug;18(6):716-725. doi: 10.1007/s11121-017-0804-2.
7
Contemporary heterosexism on campus and psychological distress among LGBQ students: the mediating role of self-acceptance.当代校园中的异性恋至上主义与LGBQ学生的心理困扰：自我接纳的中介作用
Am J Orthopsychiatry. 2014 Sep;84(5):519-29. doi: 10.1037/ort0000015. Epub 2014 Aug 11.
8
Comparison of Health and Health Risk Factors Between Lesbian, Gay, and Bisexual Adults and Heterosexual Adults in the United States: Results From the National Health Interview Survey.美国女同性恋、男同性恋和双性恋成年人与异性恋成年人的健康和健康风险因素比较：来自国家健康访谈调查的结果。
JAMA Intern Med. 2016 Sep 1;176(9):1344-51. doi: 10.1001/jamainternmed.2016.3432.
9
Visibility and coping with minority stress: a gender-specific analysis among lesbians, gay men, and bisexuals in Flanders.可见性与应对少数群体压力：弗拉芒地区女同性恋者、男同性恋者和双性恋者的性别特异性分析。
Arch Sex Behav. 2014 Nov;43(8):1601-14. doi: 10.1007/s10508-014-0380-5. Epub 2014 Sep 5.
10
Sexual Orientation Identity in Relation to Minority Stress and Mental Health in Sexual Minority Women.性少数女性的性取向认同与少数群体压力和心理健康的关系。
LGBT Health. 2016 Oct;3(5):350-6. doi: 10.1089/lgbt.2015.0088. Epub 2016 Jul 6.
引用本文的文献
1
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.走出困境，但尚未脱离险境：性少数青年成年人身份披露、歧视与非自杀性自伤之间的纵向关联
Psychol Sex Orientat Gend Divers. 2024 Jun;11(2):294-304. doi: 10.1037/sgd0000597. Epub 2022 Aug 11.
2
Initial Development and Validation of the Brief Internalized Heterosexist Racism Scale for Gay and Bisexual Black Men: A Measure of Internalized Heterosexist Racism.《用于男同性恋和双性恋黑人男性的简短内化异性恋种族主义量表的初步编制和验证：一种内化异性恋种族主义的测量工具》
Arch Sex Behav. 2024 Apr;53(4):1307-1325. doi: 10.1007/s10508-023-02805-1. Epub 2024 Feb 22.
3
The impact of social connectedness on mental health in LGBTQ + identifying individuals during the COVID-19 pandemic in Germany.社交联系对德国 COVID-19 大流行期间 LGBTQ+ 个体心理健康的影响。
BMC Psychol. 2023 Aug 29;11(1):252. doi: 10.1186/s40359-023-01265-5.
4
Psychosocial challenges and coping strategies among people with minority gender and sexual identities in Zambia: health promotion and human rights implications.赞比亚少数性别和性取向人群面临的社会心理挑战及应对策略：对健康促进和人权的影响
Health Psychol Behav Med. 2023 Feb 6;11(1):2173201. doi: 10.1080/21642850.2023.2173201. eCollection 2023.
5
A Comparative Analysis of Family Quality of Life Between Heterosexual and Sexual Minority Caregivers of People with Dementia.异性恋和性少数群体照顾者的家庭生活质量比较分析：痴呆症患者。
J Appl Gerontol. 2022 Jun;41(6):1576-1584. doi: 10.1177/07334648221079496. Epub 2022 Mar 26.
6
Subjective cognitive decline higher among sexual and gender minorities in the United States, 2015-2018.2015 - 2018年美国性少数群体和性别少数群体中主观认知能力下降情况更为严重。
Alzheimers Dement (N Y). 2021 Jul 28;7(1):e12197. doi: 10.1002/trc2.12197. eCollection 2021.
7
Sexual orientation concealment and mental health: A conceptual and meta-analytic review.性取向隐瞒与心理健康：概念与元分析综述。
Psychol Bull. 2020 Oct;146(10):831-871. doi: 10.1037/bul0000271. Epub 2020 Jul 23.
8
Gay-Specific and General Stressors Predict Gay Men's Psychological Functioning Over Time.特定于同性恋者的压力源和一般压力源可预测男同性恋者的心理健康随时间的变化。
Arch Sex Behav. 2020 Jul;49(5):1755-1767. doi: 10.1007/s10508-020-01672-4. Epub 2020 Mar 7.
9
Risk of dementia and mild cognitive impairment among older adults in same-sex relationships.老年同性伴侣群体的痴呆和轻度认知障碍风险。
Int J Geriatr Psychiatry. 2019 Jun;34(6):828-835. doi: 10.1002/gps.5092. Epub 2019 Apr 22.
10
Behavioral Health Treatment Patterns Among Employer-Insured Adults in Same- and Different-Gender Marriages and Domestic Partnerships.在同性婚姻和异性婚姻及同性伴侣关系中，受雇于同一雇主的成年人的行为健康治疗模式。
Psychiatr Serv. 2018 May 1;69(5):572-579. doi: 10.1176/appi.ps.201700331. Epub 2018 Feb 1.
本文引用的文献
1
Minority Stress and Physical Health Among Sexual Minorities.少数群体压力与性少数群体的身体健康
Perspect Psychol Sci. 2013 Sep;8(5):521-48. doi: 10.1177/1745691613497965.
2
The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities.健康公平促进模式：对女同性恋、男同性恋、双性恋和跨性别者（LGBT）健康差异的重新概念化。
Am J Orthopsychiatry. 2014 Nov;84(6):653-63. doi: 10.1037/ort0000030.
3
Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study.女同性恋、男同性恋和双性恋老年群体中的健康差异：基于人群的研究结果。
Am J Public Health. 2013 Oct;103(10):1802-9. doi: 10.2105/AJPH.2012.301110. Epub 2013 Jun 13.
4
Stigma as a fundamental cause of population health inequalities.污名化是造成人口健康不平等的根本原因。
Am J Public Health. 2013 May;103(5):813-21. doi: 10.2105/AJPH.2012.301069. Epub 2013 Mar 14.
5
The physical and mental health of lesbian, gay male, and bisexual (LGB) older adults: the role of key health indicators and risk and protective factors.老年男女同性恋、双性恋者的身心健康：关键健康指标以及风险和保护因素的作用。
Gerontologist. 2013 Aug;53(4):664-75. doi: 10.1093/geront/gns123. Epub 2012 Oct 3.
6
Association between psychological distress and mortality: individual participant pooled analysis of 10 prospective cohort studies.心理困扰与死亡率的关联：10 项前瞻性队列研究的个体参与者汇总分析。
BMJ. 2012 Jul 31;345:e4933. doi: 10.1136/bmj.e4933.
7
Validating a shortened depression scale (10 item CES-D) among HIV-positive people in British Columbia, Canada.在加拿大不列颠哥伦比亚省，对 HIV 阳性人群进行简化的抑郁量表（10 项 CES-D）验证。
PLoS One. 2012;7(7):e40793. doi: 10.1371/journal.pone.0040793. Epub 2012 Jul 19.
8
Mental illness surveillance among adults in the United States.美国成年人中的精神疾病监测。
MMWR Suppl. 2011 Sep 2;60(3):1-29.
9
The health of aging lesbian, gay and bisexual adults in California.加利福尼亚州老年女同性恋、男同性恋和双性恋成年人的健康状况。
Policy Brief UCLA Cent Health Policy Res. 2011 Mar(PB2011-2):1-8.
10
Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation.荷兰女同性恋、男同性恋和双性恋者的少数群体压力与心理健康：性别和性取向差异的检验。
J Couns Psychol. 2011 Apr;58(2):222-233. doi: 10.1037/a0022688.
Zotero 插件