Orygen, Parkville, Melbourne, Australia; Centre for Youth Mental Health, The University of Melbourne, Melbourne, Australia.
Department of Psychiatry, University of British Columbia, Vancouver, Canada.
Psychiatry Res. 2021 Oct;304:114110. doi: 10.1016/j.psychres.2021.114110. Epub 2021 Jul 14.
The prevalence of male-type or externalising depression symptoms (e.g., anger, risk-taking, emotion suppression) were examined with cross-sectional online convenience sample of 1,277 help-seeking young men (M=23.64, SD=3.61 years). Almost a quarter (21.9%) of the sample reported childhood sexual abuse (CSA) exposure, and most (68.8%) endorsed past 2-week suicide ideation. All male-type depression symptoms were frequently (>30%) endorsed across the sample, and were positively correlated with past 2-week suicide ideation. An adjusted CSA exposure × alcohol risk interaction (p=.013) indicated elevated male-type depression scores for those with a CSA history and hazardous alcohol use. Results are interpreted in line with young men's adherence to masculine norms, which may be particularly complex for young men reporting a CSA exposure history. Findings support the need for enhanced screening efforts, especially among young men with a history of CSA and hazardous alcohol use, with a need to also improve gender-sensitive service offerings for young men with a CSA exposure history.
本研究使用横断面在线便利样本，对 1277 名寻求帮助的年轻男性（M=23.64，SD=3.61 岁）进行了男性型或外化型抑郁症状（如愤怒、冒险、情绪抑制）的流行情况调查。近四分之一（21.9%）的样本报告了童年性虐待（CSA）暴露，大多数（68.8%）报告了过去两周的自杀意念。所有男性型抑郁症状在样本中均有较高的频率（>30%），并与过去两周的自杀意念呈正相关。调整后的 CSA 暴露×酒精风险交互作用（p=.013）表明，有 CSA 史和危险饮酒史的个体男性型抑郁评分较高。研究结果与年轻男性对男性规范的坚持一致，对于报告 CSA 暴露史的年轻男性来说，这种坚持可能特别复杂。研究结果支持需要加强筛查工作，特别是在有 CSA 史和危险饮酒史的年轻男性中，同时也需要为有 CSA 暴露史的年轻男性提供更具性别敏感性的服务。
