White Hughto Jaclyn M, Pachankis John E, Willie Tiara C, Reisner Sari L
The Fenway Institute, Fenway Health.
Department of Chronic Disease Epidemiology, Yale School of Public Health.
J Couns Psychol. 2017 Jan;64(1):41-51. doi: 10.1037/cou0000184.
Victimization and depressive distress symptoms represent serious and interconnected public health problems facing transgender communities. Avoidant coping is hypothesized to temporarily alleviate the stress of victimization, but has potential long-term mental and behavioral health costs, such as increasing the probability of depressive symptoms. A community sample of 412 transgender adults (M age = 32.7, SD = 12.8) completed a one-time survey capturing multiple forms of victimization (i.e., everyday discrimination, bullying, physical assault by family, verbal harassment by family, childhood sexual abuse, intimate partner violence), avoidant coping, and past-week depressive symptomology. Structural equation modeling examined the mediating role of avoidant coping in the association between victimization and depressive symptomology. A latent victimization variable comprised of 6 measures of victimization was positively associated with avoidant coping, which in turn was positively associated with depressive symptoms. Victimization was also positively associated with depressive symptomology both directly and indirectly through avoidant coping. Avoidant coping represents a potentially useful intervention target for clinicians aiming to reduce the mental health sequelae of victimization in this highly stigmatized and vulnerable population. (PsycINFO Database Record
受害经历和抑郁困扰症状是跨性别群体面临的严重且相互关联的公共卫生问题。回避应对被认为可以暂时减轻受害压力，但可能会带来长期的心理和行为健康代价，比如增加出现抑郁症状的可能性。对412名跨性别成年人（年龄中位数 = 32.7，标准差 = 12.8）的社区样本进行了一项一次性调查，该调查涵盖了多种受害形式（即日常歧视、欺凌、来自家人的身体攻击、来自家人的言语骚扰、童年性虐待、亲密伴侣暴力）、回避应对以及过去一周的抑郁症状。结构方程模型检验了回避应对在受害经历与抑郁症状之间关联中的中介作用。由6种受害经历测量指标组成的潜在受害变量与回避应对呈正相关，而回避应对又与抑郁症状呈正相关。受害经历通过回避应对直接和间接地与抑郁症状也呈正相关。对于旨在减少这一高度污名化且易受伤害群体中受害经历所致心理健康后果的临床医生而言，回避应对是一个潜在有用的干预靶点。（《心理学文摘数据库记录》 ）
