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心理化污名:反思功能作为跨性别和性别非规范人群预防抑郁和焦虑的保护因素。

Mentalizing stigma: Reflective functioning as a protective factor against depression and anxiety in transgender and gender-nonconforming people.

机构信息

Department of Neuroscience, Reproductive Sciences and Dentistry, University of Naples Federico II, Napoli, Italy.

Department of Public Health, University of Naples Federico II, Napoli, Italy.

出版信息

J Clin Psychol. 2020 Sep;76(9):1613-1630. doi: 10.1002/jclp.22951. Epub 2020 Mar 28.

DOI:10.1002/jclp.22951
PMID:32222104
Abstract

OBJECTIVE

The current study examined the role of internalized transphobia (IT) as a mediator between gender-related rejection and mental health, and reflective functioning (or mentalization) as a resilience factor moderating the relationship between both rejection and IT with mental health.

METHOD

This online study included 203 Italian transgender and gender-nonconforming (TGNC) individuals ranged in age from 18 to 66 years old (M = 30.70; standard deviation = 10.79). Moderated-mediation analysis was performed using a structural equation modeling approach.

RESULTS

Both rejection and IT were positively associated with mental health, and IT mediated the relationship between rejection and mental health. Mentalization moderated the relationship between rejection and IT with mental health. The indirect effect of rejection on mental health through IT was moderated by mentalization.

CONCLUSIONS

Findings highlight psychological paths that may inform individual- and group-level mentalization-based interventions to reduce minority stress in TGNC individuals.

摘要

目的

本研究考察了内化的跨性别恐惧(IT)作为性别相关排斥与心理健康之间的中介,以及反思功能(或心理化)作为缓冲因素,调节排斥与 IT 与心理健康之间关系的作用。

方法

本在线研究包括 203 名意大利跨性别和性别不符合(TGNC)的个体,年龄在 18 至 66 岁之间(M=30.70;标准差=10.79)。使用结构方程建模方法进行了调节中介分析。

结果

排斥和 IT 均与心理健康呈正相关,IT 介导了排斥与心理健康之间的关系。心理化调节了排斥与 IT 与心理健康之间的关系。通过 IT 对心理健康的排斥间接影响受到心理化的调节。

结论

研究结果强调了可能为基于心理化的个体和群体干预提供信息的心理途径,以减少 TGNC 个体的少数群体压力。

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