Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan.
Int J Environ Res Public Health. 2022 Apr 14;19(8):4789. doi: 10.3390/ijerph19084789.
This study investigated (1) the associations of homophobic bullying victimization in childhood with borderline personality disorder (BPD) symptoms in early adulthood among gay and bisexual men; (2) the mediating effect of depressive symptoms on the association between homophobic bullying victimization and BPD symptoms, and (3) the moderating effects of perceived family support on the association between homophobic bullying victimization and BPD symptoms. A total of 500 gay or bisexual men aged between 20 and 25 years were recruited into this study. The experiences of physical, verbal and social relationship bullying victimization during childhood were evaluated using the Mandarin Chinese version of the School Bullying Experience Questionnaire. The experiences of cyberbullying victimization during childhood were evaluated using the Cyberbullying Experiences Questionnaire. BPD symptoms were assessed using the Borderline Symptom List. Depressive symptoms were examined using the Center for Epidemiologic Studies Depression Scale. Perceived family support was evaluated using the Family Adaptation, Partnership, Growth, Affection, and Resolve index. The results of mediation analyses demonstrated that all the types of homophobic bullying victimization in childhood were directly associated with BDP symptoms in young adulthood as well as indirectly associated with BPD symptoms through the mediation of depressive symptoms. The results of moderation analyses demonstrated that the association between homophobic bullying victimization and BPD symptoms decreased when the individuals had more family support. Intervention programs to reduce homophobic bullying victimization and enhance family support for gay and bisexual men and their families are necessary. Interventions to improve depressive and BPD symptoms among gay and bisexual men are also necessary, especially for those who experienced homophobic bullying victimization during childhood.
本研究调查了（1）童年时期受恐同欺凌与成年早期男同性恋和双性恋者边缘型人格障碍（BPD）症状之间的关联；（2）抑郁症状对恐同欺凌受害与 BPD 症状之间关联的中介作用；（3）感知到的家庭支持对恐同欺凌受害与 BPD 症状之间关联的调节作用。共招募了 500 名年龄在 20 至 25 岁之间的男同性恋或双性恋者参与本研究。使用中文版学校欺凌经历问卷评估童年时期身体、言语和社会关系欺凌受害经历。使用网络欺凌经历问卷评估童年时期网络欺凌受害经历。使用边缘症状清单评估 BPD 症状。使用流行病学研究抑郁量表评估抑郁症状。使用家庭适应、伙伴关系、成长、亲情和解决指数评估感知到的家庭支持。中介分析结果表明，童年时期所有类型的恐同欺凌受害均与成年早期的 BDP 症状直接相关，通过抑郁症状的中介作用与 BPD 症状间接相关。调节分析结果表明，当个体获得更多家庭支持时，恐同欺凌受害与 BPD 症状之间的关联减弱。有必要为男同性恋和双性恋者及其家庭提供减少恐同欺凌和增强家庭支持的干预计划。还需要干预措施来改善男同性恋和双性恋者的抑郁和 BPD 症状，特别是那些在童年时期经历过恐同欺凌受害的人。
