Department of Medical Research, E-Da Hospital, Kaohsiung 82445, Taiwan.
Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China.
Int J Environ Res Public Health. 2021 Dec 9;18(24):12981. doi: 10.3390/ijerph182412981.
The aims of this cross-sectional survey study were to examine the association between sexual orientation microaggression and anxiety and depression among young adult lesbian, gay, and bisexual (LGB) individuals in Taiwan, as well as to examine the mediating effect of self-identity disturbance and the moderating effect of gender. In total, 1000 self-identified LGB individuals participated in the study. The experience of sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory, self-identity disturbance was assessed using the Self-Concept and Identity Measure, anxiety was assessed using the State subscale on the Chinese version of the State-Trait Anxiety Inventory, and depression was assessed using the Center for Epidemiological Studies-Depression Scale. Structural equation modeling (SEM) was used to examine relationships between the variables. The SEM results demonstrated that sexual orientation microaggression was directly associated with increased anxiety and depression, as well as being indirectly associated with increased anxiety and depression via the mediation of self-identity disturbance among young adult LGB individuals. Gender did not moderate the relationships between any of the variables. Both sexual orientation microaggression and self-identity disturbance warrant program interventions for enhancing mental health among LGB individuals.
本横断面调查研究的目的是探讨性取向微侵犯与台湾地区年轻同性恋、双性恋和异性恋（LGB）个体焦虑和抑郁之间的关系，并检验自我认同困扰的中介作用和性别的调节作用。共有 1000 名自我认同的 LGB 个体参与了这项研究。性取向微侵犯的体验使用性取向微侵犯量表进行评估，自我认同困扰使用自我概念和身份测量表进行评估，焦虑使用状态特质焦虑量表中文版本的状态分量表进行评估，抑郁使用流行病学研究中心抑郁量表进行评估。结构方程模型（SEM）用于检验变量之间的关系。SEM 结果表明，性取向微侵犯与焦虑和抑郁的增加直接相关，并且通过自我认同困扰的中介作用与焦虑和抑郁的增加间接相关。性别的任何变量之间的关系都没有调节作用。性取向微侵犯和自我认同困扰都需要进行项目干预，以增强 LGB 个体的心理健康。
