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性少数群体个体社交焦虑的风险和保护因素。

Risk and Protective Factors for Social Anxiety Among Sexual Minority Individuals.

机构信息

School of Psychology, Dublin City University, 620 Collins Ave Ext, Glasnevin, Dublin 9, D09 X984, Ireland.

Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, CT, USA.

出版信息

Arch Sex Behav. 2021 Apr;50(3):1015-1032. doi: 10.1007/s10508-020-01845-1. Epub 2021 Jan 4.

Abstract

Minority stress processes represent clear determinants of social anxiety among sexual minority populations. Yet sources of resilience to social anxiety are less explored as are stressors experienced from within sexual minority communities (i.e., intraminority stress). Based on minority stress theory and the psychological mediation framework, we hypothesized that experiences of discrimination and intraminority stress would predict proximal minority stress processes, including internalized homonegativity, sexual concealment behavior, and rejection sensitivity, as well as two resilience factors-sense of coherence and LGBTQ community connectedness-to explain social anxiety among sexual minority individuals. Self-identified cisgender sexual minority women (n = 245) and men (n = 256) residing in the Republic of Ireland completed an online survey. Results from a structural equation modeling analysis indicated that the data fit the hypothesized model well for both women and men. For both sexual minority women and men, experiences of discrimination and intraminority stress were indirectly associated with social anxiety via two paths (1) increased rejection sensitivity and (2) reduced sense of coherence. Intraminority stress was indirectly associated with social anxiety via increased concealment behavior for sexual minority men only. Experiences of discrimination were indirectly associated with social anxiety via a sequential pathway through increased proximal minority stress (i.e., concealment behavior and internalized homonegativity), and reduced LGBTQ community connectedness solely among sexual minority women. Findings are discussed in terms of implications for future research and clinical practice with sexual minority individuals who suffer from social anxiety.

摘要

少数群体压力过程是性少数群体中社交焦虑的明显决定因素。然而,对于社交焦虑的弹性来源的研究较少,而对于性少数群体内部(即群体内压力)经历的压力源的研究则更少。基于少数群体压力理论和心理中介框架,我们假设歧视和群体内压力会预测近端少数群体压力过程,包括内化的同性恋消极态度、性行为隐瞒和拒绝敏感性,以及两个弹性因素——意义感和 LGBTQ 社区联系,以解释性少数个体的社交焦虑。自我认同的顺性别性少数女性(n=245)和男性(n=256)居住在爱尔兰共和国,完成了一项在线调查。结构方程模型分析的结果表明,对于女性和男性,数据都很好地符合假设模型。对于性少数女性和男性,歧视和群体内压力通过两条路径间接与社交焦虑相关(1)增加拒绝敏感性和(2)降低意义感。群体内压力仅通过增加性行为隐瞒与性少数男性的社交焦虑间接相关。歧视的经验通过增加近端少数群体压力(即隐瞒行为和内化的同性恋消极态度)和仅在性少数女性中降低 LGBTQ 社区联系的顺序途径与社交焦虑间接相关。研究结果从未来研究和临床实践的角度讨论了与患有社交焦虑的性少数个体的相关性。

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