Department of Human Development and Family Science, University of Georgia, Athens, GA, USA.
Department of Health Promotion and Disease Prevention, Florida International University, Miami, FL, USA.
Fam Process. 2022 Dec;61(4):1541-1558. doi: 10.1111/famp.12746. Epub 2022 Jan 6.
The present study investigated the dyadic direct and indirect effects of enacted stigma on depressive symptoms via internalized homophobia and whether communal coping moderated the effects of enacted stigma on internalized homophobia and depressive symptoms. Hypotheses were tested using actor-partner interdependence models with a sample of 543 cisgender sexual minority male couples. Results showed both partners' enacted stigma experiences were associated with elevated levels of internalized homophobia via actor and partner effects. Internalized homophobia was only associated with elevated depressive symptoms via actor effects. Indirect effects analysis suggested that internalized homophobia mediated the actor and partner influence of enacted stigma on depressive symptoms. Communal coping moderated the direct effects of enacted stigma on internalized homophobia and attenuated the conditional indirect actor and partner effects of enacted stigma on depressive symptoms. Findings underscore the role of intimate relationship processes in understanding the impacts of enacted stigma on depressive symptoms.
本研究通过内化恐同和共同应对来检验实施污名对抑郁症状的双重直接和间接影响,以检验实施污名对内化恐同和抑郁症状的影响。采用了一种包含 543 名顺性别性少数男性伴侣的样本的演员-伙伴相互依存模型来检验假设。结果表明,通过演员和伙伴的影响,双方的实施污名经历与内化恐同水平的升高有关。内化恐同仅通过演员效应与抑郁症状的升高有关。间接效应分析表明,内化恐同在实施污名对抑郁症状的演员和伙伴影响中起中介作用。共同应对调节了实施污名对内化恐同的直接影响,并减弱了实施污名对抑郁症状的演员和伙伴条件间接影响。研究结果强调了亲密关系过程在理解实施污名对抑郁症状的影响中的作用。
J Psychiatr Ment Health Nurs. 2021-8