Department of Psychology, University of Miami, Coral Gables, FL, USA.
Department of Psychiatry, Massachusetts General Hospital, Boston, MA, USA.
J Trauma Dissociation. 2020 May-Jun;21(3):365-375. doi: 10.1080/15299732.2020.1719263. Epub 2020 Jan 28.
Men who have sex with men (MSM) are at high risk for physical and mental health conditions and are often discussed in the health literature as "at risk" versus "at promise". However, there is an ongoing need to examine factors that place MSM "at promise" for optimal well-being. This manuscript examines correlates of resilience, the ability to "bounce back" and function adaptively after adversities, among MSM. One hundred and five MSM with a history of childhood sexual abuse, who were enrolled in a randomized control trial were recruited for a supplemental study assessing resilience and other psychosocial factors. Participants completed measures assessing resilient trait and coping (i.e. "I am able to adapt" and "I tend to bounce back"), symptoms of trauma, trauma-related thoughts, and distress tolerance (ability to regulate unpleasant feelings). Findings from multivariable linear regressions controlling for covariates (age, education, race/ethnicity, and income) indicated that higher resilience was associated with (a) lower trauma scores on reexperiencing severity ( = -1.41, = .53, = .01) and avoidance severity ( = -1.61, = .67, = .02), (b) lower post-traumatic cognitions ( = -11.39, = 5.08, = .03) especially negative cognitions about the self ( = -.44, = .16, = .007), and (c) higher distress tolerance ( = .26, = .10, = .01). Our preliminary findings suggest that resilient coping/traits are important to research after childhood sexual abuse among MSM, potentially assess in clinical settings, and address in interventions.
男男性行为者（MSM）面临较高的身心健康风险，在健康文献中常被描述为“处于风险中”与“充满希望”。然而，仍需不断探究能使 MSM 保持“充满希望”以实现最佳健康状态的因素。本研究旨在探讨 MSM 韧性（逆境后“反弹”和适应性功能的能力）的相关因素。105 名曾遭受过儿童期性虐待的 MSM 参与了一项随机对照试验，他们被招募参加一项补充研究，以评估韧性和其他心理社会因素。参与者完成了评估韧性特质和应对方式（即“我能够适应”和“我倾向于反弹”）、创伤症状、与创伤相关的想法和痛苦耐受力（调节不愉快感觉的能力）的量表。在控制协变量（年龄、教育、种族/族裔和收入）的多变量线性回归分析中发现，较高的韧性与以下因素呈正相关：（a）再体验严重程度（ = -1.41， =.53， =.01）和回避严重程度（ = -1.61， =.67， =.02）创伤评分降低，（b）创伤后认知减少（ = -11.39， = 5.08， =.03），尤其是自我负面认知（ = -.44， =.16， =.007），（c）痛苦耐受力提高（ =.26， =.10， =.01）。我们的初步研究结果表明，韧性应对/特质对于研究 MSM 儿童期性虐待后具有重要意义，可能在临床环境中进行评估，并在干预中加以解决。
