Kent State University, 600 Hilltop Drive, Kent, OH 44242, USA.
Kent State University, 600 Hilltop Drive, Kent, OH 44242, USA.
Clin Psychol Rev. 2022 Feb;91:102113. doi: 10.1016/j.cpr.2021.102113. Epub 2021 Dec 24.
Minority stress theory posits that transgender and gender diverse (TGD) individuals exhibit greater rates of depression and suicidality due to internal (proximal) and external (distal) stressors related to their TGD identity. Yet, the magnitude of the relationship between minority stress processes and mental health outcomes has not been quantitatively summarized. The current research meta-analyzed the relationship between minority stress constructs and depression, suicidal ideation, and suicide attempt. Results from 85 cross-sectional quantitative studies indicate that distal stress, expectations of rejection, internalized transphobia, and concealment are significantly associated with increased depression, suicidal ideation, and suicide attempt. Greater effect sizes were observed for expectations of rejection and internalized transphobia when compared to distal stress and concealment. Future research on the relationship between minority stress, depression, and suicide would benefit from longitudinal designs and more diverse and representative samples of TGD individuals.
少数群体压力理论认为，跨性别和性别多样化（TGD）个体由于与 TGD 身份相关的内部（近端）和外部（远端）压力源，表现出更高的抑郁和自杀率。然而，少数群体压力过程与心理健康结果之间的关系的大小尚未被定量总结。本研究对少数群体压力结构与抑郁、自杀意念和自杀企图之间的关系进行了元分析。来自 85 项横断面定量研究的结果表明，远端压力、被拒绝的预期、内化的跨性别恐惧症和隐瞒与抑郁、自杀意念和自杀企图的增加显著相关。与远端压力和隐瞒相比，被拒绝的预期和内化的跨性别恐惧症的效应量更大。关于少数群体压力、抑郁和自杀之间关系的未来研究将受益于纵向设计以及更多样化和更具代表性的 TGD 个体样本。
