Center for Research in Neuropsychology and Cognitive Behavioral Intervention (CINEICC), Faculty of Psychology and Educational Sciences, University of Coimbra, Coimbra, Portugal.
HEI-Lab: Digital Human-Environment Interaction Lab, School of Psychology and Life Sciences, Lusófona University, Lisbon, Portugal.
LGBT Health. 2022 Jul;9(5):287-302. doi: 10.1089/lgbt.2021.0434. Epub 2022 Mar 29.
Literature shows that sexual and gender minority (SGM) individuals are at higher risk of developing minority stress-related mental health problems. Recently, it has been suggested that promoting self-compassion through affirmative mental health care for SGM people can be beneficial. However, no systematic analysis has been published exploring the relationship between self-compassion and mental health indicators in SGM individuals. We aim to fill this gap by synthesizing and meta-analyzing studies that focus on the relationship between self-compassion and mental health in SGM people. After registering in PROSPERO (CRD42021254774), PubMed, PsycINFO, CENTRAL, and Web of Knowledge were systematically searched to identify studies assessing the association between self-compassion and mental health and/or minority stress indicators in SGM individuals. All screening steps and data extraction were performed independently by the two researchers. The quality of each study was assessed with the National Heart, Lung and Blood Institute tool, and meta-analysis was performed on R software. Twenty-one studies were included in the meta-analysis, corresponding to a total of 6573 nonheterosexual and/or noncisgender participants. All meta-analytic models were significant: higher levels of self-compassion were associated with less depression, anxiety, psychological distress, suicidal ideation, internalized homophobia/transphobia, and stigma, and with more well-being, outness, and social support. This meta-analysis suggests that self-compassion is significantly associated with mental health indicators in SGM people, and this relationship is especially strong with internalized homophobia/transphobia in older SGM adults, and with suicidal ideation in younger SGM individuals. Results suggest that affirmative mental health care may benefit from promoting self-compassion.
文献表明，性少数群体和性别少数群体（SGM）个体面临更高的发展与少数群体压力相关的心理健康问题的风险。最近，有人提出，通过为 SGM 人群提供肯定性心理健康护理来促进自我同情可能是有益的。然而，目前尚未发表系统分析来探讨 SGM 个体的自我同情与心理健康指标之间的关系。我们旨在通过综合和荟萃分析专注于 SGM 人群的自我同情与心理健康之间关系的研究来填补这一空白。在 PROSPERO（CRD42021254774）中注册后，我们系统地检索了 PubMed、PsycINFO、CENTRAL 和 Web of Knowledge，以确定评估自我同情与 SGM 个体的心理健康和/或少数群体压力指标之间关联的研究。所有筛选步骤和数据提取均由两位研究人员独立进行。使用美国国立心肺血液研究所工具评估每项研究的质量，并在 R 软件上进行荟萃分析。 荟萃分析纳入了 21 项研究，共涉及 6573 名非异性恋和/或非顺性别参与者。所有荟萃分析模型均具有统计学意义：自我同情水平越高，抑郁、焦虑、心理困扰、自杀意念、内化的同性恋/跨性别恐惧症和污名感越低，幸福感、出柜和社会支持越高。 这项荟萃分析表明，自我同情与 SGM 人群的心理健康指标显著相关，与老年 SGM 成年人的内化同性恋/跨性别恐惧症和年轻 SGM 个体的自杀意念的相关性尤其强烈。结果表明，肯定性心理健康护理可能受益于促进自我同情。
