Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, 625 N. Michigan Ave., #14-047, Chicago, IL, 60611, USA.
Arch Sex Behav. 2020 Oct;49(7):2247-2258. doi: 10.1007/s10508-019-1428-3. Epub 2019 Jul 8.
Sexual minorities are disproportionately affected by mental health problems (e.g., depression, anxiety, substance use disorders, suicidality). Minority stress theory and the psychological mediation framework have become the predominant conceptual models used to explain these disparities, and they have led to substantial advances in research on stigma-related stress and mental health. However, the field's reliance on these models has limited the extent to which other theories have been considered as potential frameworks for further advancing our understanding of sexual minority mental health. In this article, I discuss how the rejection sensitivity (RS) model can be used to complement and extend minority stress theory and the psychological mediation framework by: (1) emphasizing the role of perception in stigma-related experiences; (2) acknowledging the unique consequences of different anticipatory emotions; (3) describing additional mechanisms linking proximal minority stressors to mental health; and (4) further specifying the temporal order of these processes. I conclude by discussing the importance of attending to developmental processes in research on sexual orientation-related RS and describing important directions for future research.
性少数群体受到心理健康问题（例如，抑郁、焦虑、物质使用障碍、自杀意念）的不成比例的影响。少数群体应激理论和心理中介框架已成为用于解释这些差异的主要概念模型，它们为与污名相关的应激和心理健康研究带来了重大进展。然而，该领域对这些模型的依赖限制了其他理论被视为进一步增进我们对性少数群体心理健康理解的潜在框架的程度。在本文中，我讨论了拒绝敏感性 (RS) 模型如何通过以下方式来补充和扩展少数群体应激理论和心理中介框架：(1) 强调感知在与污名相关的经历中的作用；(2) 承认不同预期情绪的独特后果；(3) 描述将近端少数群体应激源与心理健康联系起来的其他机制；(4) 进一步明确这些过程的时间顺序。最后，我讨论了关注性取向相关 RS 研究中的发展过程的重要性，并描述了未来研究的重要方向。
