Halkitis Perry N, Griffin-Tomas Marybec, Levy Michael D, Greene Richard E, Kapadia Farzana
a Center for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, and Department of Applied Psychology, Steinhardt School, and Department of Population Health , Langone School of Medicine, New York University , New York , USA.
b Center for Health, Identity, Behavior, and Prevention Studies, New York University , New York , USA.
J Homosex. 2017;64(11):1596-1616. doi: 10.1080/00918369.2016.1249734. Epub 2016 Dec 20.
Parental mental health may be a critical component in understanding the overlapping health burdens of mental health symptomatology and drug use in young men who have sex with men (YMSM), yet studies of YMSM have not fully examined these associations. To understand these relationships, data drawn from a study of gay, bisexual, and other YMSM were used to examine associations between perceived parental psychopathology and the health of YMSM. Findings suggest that YMSM reporting at least one parent with perceived depression, manic depression, schizophrenia, or antisocial behavior anytime during their childhoods were more likely to report higher levels of both depressive symptomatology and post-traumatic stress disorder (PTSD) than those reporting no perception of any of these psychopathologies in their parents. Number of different drugs used in one's life were higher among participants who perceived at least one parent as depressed. Mediation analyses indicated that the relationship between perceived parental depression and lifetime drug use of YMSM was mediated both by YMSM depression and YMSM PTSD. These results suggest that parental psychopathology plays an important role in the health of sexual minority men, a population with elevated levels of mental health burden and drug use across the lifespan.
父母的心理健康可能是理解男男性行为者（YMSM）心理健康症状与药物使用重叠的健康负担的关键因素，但针对YMSM的研究尚未充分考察这些关联。为了理解这些关系，研究使用了从一项针对男同性恋、双性恋及其他YMSM的研究中获取的数据，来检验父母心理病理学认知与YMSM健康之间的关联。研究结果表明，与那些表示父母不存在任何这些心理病理学问题的YMSM相比，那些报告在童年时期至少有一位父母被认为患有抑郁症、躁郁症、精神分裂症或反社会行为的YMSM，更有可能报告更高水平的抑郁症状和创伤后应激障碍（PTSD）。在那些认为至少有一位父母患有抑郁症的参与者中，其一生中使用过的不同药物的种类更多。中介分析表明，YMSM对父母抑郁症的认知与YMSM一生药物使用之间的关系，是由YMSM的抑郁症和YMSM的PTSD共同介导的。这些结果表明，父母的心理病理学在性少数男性的健康中起着重要作用，这一群体在整个生命周期中都承受着较高的心理健康负担和药物使用水平。
