Department of Medicine, UCSF School of Medicine, Center for AIDS Prevention Studies, San Francisco, CA, USA.
Health Equity Institute (HEI), San Francisco State University, San Francisco, CA, 94132, USA.
Arch Sex Behav. 2020 Jan;49(1):249-265. doi: 10.1007/s10508-019-01487-y. Epub 2019 Sep 24.
Existing social stress frameworks largely conceive of stress as emanating from individual experience. Recent theory and research concerning minority stress have focused on same-sex couples' experiences of both eventful and chronic stressors associated with being in a stigmatized relationship, including having ongoing or episodic fears of discrimination, and experiencing actual acts of discrimination. Such couple-level minority stressors represent a novel domain of social stress affecting minority populations that is only beginning to become a focus in empirical investigations testing minority stress theory. This article presents the results of psychometric analyses of dyadic data from 106 same-sex couples from across the U.S., introducing the Couple-Level Minority Stress (CLMS) scale featuring eight new couple-level minority stress factors: (1) Couple-Level Stigma; (2) Couple-Level Discrimination; (3) Seeking Safety as a Couple; (4) Perceived Unequal Relationship Recognition; (5) Couple-Level Visibility; (6) Managing Stereotypes about Same-Sex Couples; (7) Lack of Integration with Families of Origin; and (8) Lack of Social Support for Couples. The CLMS demonstrated a clear factor structure with satisfactory model-data fit and subscale reliabilities. The CLMS also exhibited validity as a correlate of one indicator of relationship quality (relationship satisfaction) and three indicators of mental health (nonspecific psychological distress, depressive symptomatology, and problematic drinking) when controlling for individual-level minority stressors and has great potential to extend and enrich minority stress research, particularly studies that deepen understandings of longstanding health inequities based on sexual orientation.
现有的社会压力框架在很大程度上认为压力源自个人经历。最近有关少数群体压力的理论和研究集中在同性伴侣经历的与处于污名化关系相关的重大和慢性压力源上,包括持续或间歇性地担心受到歧视,以及实际遭受歧视行为。这种伴侣层面的少数群体压力源代表了一个影响少数群体的新的社会压力领域,这一领域才刚刚开始成为检验少数群体压力理论的实证研究的焦点。本文介绍了对来自美国各地的 106 对同性伴侣的对偶数据进行心理计量分析的结果,介绍了具有八个新的伴侣层面少数群体压力因素的伴侣层面少数群体压力(CLMS)量表:(1)伴侣层面污名化;(2)伴侣层面歧视;(3)作为伴侣寻求安全;(4)感知关系识别不平等;(5)伴侣层面可见性;(6)管理关于同性伴侣的刻板印象;(7)与原生家庭缺乏融合;(8)伴侣缺乏社会支持。CLMS 表现出清晰的因素结构,模型数据拟合度良好,分量表信度也令人满意。当控制个体层面的少数群体压力源时,CLMS 还表现出与关系质量的一个指标(关系满意度)和心理健康的三个指标(非特异性心理困扰、抑郁症状和问题性饮酒)相关的有效性,这为扩展和丰富少数群体压力研究提供了巨大潜力,特别是那些加深基于性取向的长期健康不平等理解的研究。
Arch Sex Behav. 2019-9-24
J Health Soc Behav. 2017-10-16
J Marriage Fam. 2015-2
J Couns Psychol. 2013-7-1
Int J Transgend Health. 2024-7-12
Psychol Sex Orientat Gend Divers. 2024-8-12
Prof Psychol Res Pr. 2025-4
Eur J Investig Health Psychol Educ. 2024-6-21
J Marriage Fam. 2018-4
J Health Soc Behav. 2017-10-16
Curr Opin Psychol. 2017-2
Adv Life Course Res. 2017-6
Psicothema. 2017-5
Multivariate Behav Res. 1997-10-1
Multivariate Behav Res. 2011-4-11
J Marriage Fam. 2015-2