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童年时期传统和网络恐同欺凌对台湾男同性恋者和双性恋者成年早期抑郁、焦虑和身体疼痛的影响以及社会支持的调节作用

Effects of traditional and cyber homophobic bullying in childhood on depression, anxiety, and physical pain in emerging adulthood and the moderating effects of social support among gay and bisexual men in Taiwan.

作者信息

Wang Chien-Chuan, Lin Huang-Chi, Chen Mu-Hong, Ko Nai-Ying, Chang Yu-Ping, Lin I-Mei, Yen Cheng-Fang

机构信息

Zuoying Branch of Kaohsiung Armed Forces General Hospital, Kaohsiung, Taiwan.

Department of Psychiatry, Graduate Institute of Medicine and Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.

出版信息

Neuropsychiatr Dis Treat. 2018 May 22;14:1309-1317. doi: 10.2147/NDT.S164579. eCollection 2018.

Abstract

OBJECTIVE

This study examined the differences in the current levels of depression, anxiety, and physical pain in emerging adulthood among gay and bisexual men with various experiences of traditional and cyber homophobic bullying based on gender role nonconformity and sexual orientation and the moderating effects of family and peer support.

METHODS

A total of 500 gay or bisexual men (age 20-25 years) in Taiwan were recruited from August 2015 to July 2017. The levels of depression, anxiety, and physical pain among gay or bisexual men who had experienced both traditional and cyber homophobic bullying (n=109), only traditional or cyber bullying (n=173), and neither traditional nor cyber bullying during childhood (n=218) were compared. The moderating effects of family and peer support on the effects of homophobic bullying victimization on depression, anxiety, and physical pain were also examined.

RESULTS

Victims of any type of homophobic bullying in childhood had more severe depression, anxiety, and physical pain in emerging adulthood than nonvictims. Victims of both traditional and cyber homophobic bullying had more severe anxiety in adulthood than victims of only traditional or cyber homophobic bullying. Family but not peer support in childhood moderated the effects of homophobic bullying victimization on current levels of anxiety and physical pain in emerging adulthood among gay and bisexual men.

CONCLUSION

The results of the present study support that early prevention and intervention for homophobic bullying and enhancement of family support are essential to reduce mental health problems in emergent adults among gay and bisexual men.

摘要

目的

本研究探讨了基于性别角色不符合和性取向,有不同传统和网络恐同欺凌经历的男同性恋者和双性恋者在成年早期的抑郁、焦虑和身体疼痛当前水平的差异,以及家庭和同伴支持的调节作用。

方法

2015年8月至2017年7月,在台湾招募了500名年龄在20 - 25岁的男同性恋者或双性恋者。比较了经历过传统和网络恐同欺凌(n = 109)、仅经历过传统或网络欺凌(n = 173)以及童年时期既未经历过传统也未经历过网络欺凌(n = 218)的男同性恋者或双性恋者的抑郁、焦虑和身体疼痛水平。还研究了家庭和同伴支持对恐同欺凌受害经历对抑郁、焦虑和身体疼痛影响的调节作用。

结果

童年时期遭受任何类型恐同欺凌的受害者在成年早期的抑郁、焦虑和身体疼痛比未受害者更严重。同时遭受传统和网络恐同欺凌的受害者在成年期的焦虑比仅遭受传统或网络恐同欺凌的受害者更严重。童年时期的家庭支持而非同伴支持调节了恐同欺凌受害经历对男同性恋者和双性恋者成年早期当前焦虑和身体疼痛水平的影响。

结论

本研究结果支持,对恐同欺凌进行早期预防和干预以及加强家庭支持对于减少男同性恋者和双性恋者成年期出现的心理健康问题至关重要。

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