Brown Andre L, Matthews Derrick D, Meanley Steven, Brennan-Ing Mark, Haberlen Sabina, D'Souza Gypsyamber, Ware Deanna, Egan James, Shoptaw Steve, Teplin Linda A, Friedman Mackey, Plankey Michael
Department of Behavioral and Community Health Sciences, University of Pittsburgh.
Department of Health Behavior, University of North Carolina at Chapel Hill.
Stigma Health. 2022 Feb;7(1):113-121. doi: 10.1037/sah0000327. Epub 2021 Jul 22.
This study investigated if homophobic and racist discrimination increased depressive symptoms among 960 middle-aged and older men who have sex with men (MSM) and how resilience moderated these relationships. We used five waves of longitudinal data from the sub-study of the . We used linear regression analyses to model depressive symptoms as a function of discrimination. We used linear mixed analyses to model changes in mean resilience scores across visits. We used linear regression analyses to model depressive symptoms as a function of changes in resilience and to test the moderation effects of resilience on the relationship between discrimination and depressive symptoms. The models accounted for repeated measures of resilience. Men who experienced external and internal homophobia had greater depressive symptoms (β: 2.08; 95% Confidence Interval: 0.65, 3.51; β: 1.60; 95% Confidence Interval: 0.76, 2.44). Men experienced significant changes in mean resilience levels across visits (F = 2.84, p = 0.02). Men with a greater positive change in resilience had lower depressive symptoms (β: -0.95; 95% Confidence Interval: -1.47, -0.43). Men with higher average resilience levels had lower depressive symptoms (β: -5.08; 95% Confidence Interval: -5.68, -4.49). Men's resilience did not moderate the relationship between homophobia and depressive symptoms. Significant associations of external and internal homophobia with greater depressive symptoms present targets for future research and interventions among middle-aged and older MSM. Significant associations of average and positive changes in resilience with lower depressive symptoms provide aims for future research and interventions with this population.
本研究调查了恐同和种族歧视是否会增加960名男男性行为者（MSM）中的中年及老年男性的抑郁症状，以及心理韧性如何调节这些关系。我们使用了……子研究的五波纵向数据。我们使用线性回归分析将抑郁症状建模为歧视的函数。我们使用线性混合分析对各次访视期间平均心理韧性得分的变化进行建模。我们使用线性回归分析将抑郁症状建模为心理韧性变化的函数，并检验心理韧性对歧视与抑郁症状之间关系的调节作用。这些模型考虑了心理韧性的重复测量。经历过外部和内部恐同的男性有更严重的抑郁症状（β：2.08；95%置信区间：0.65，3.51；β：1.60；95%置信区间：0.76，2.44）。男性在各次访视期间平均心理韧性水平有显著变化（F = 2.84，p = 0.02）。心理韧性有更大正向变化的男性抑郁症状较轻（β：-0.95；95%置信区间：-1.47，-0.43）。平均心理韧性水平较高的男性抑郁症状较轻（β：-5.08；95%置信区间：-5.68，-4.49）。男性的心理韧性并未调节恐同与抑郁症状之间的关系。外部和内部恐同与更严重抑郁症状之间的显著关联为未来针对中年及老年男男性行为者的研究和干预提供了目标。心理韧性的平均变化和正向变化与较低抑郁症状之间的显著关联为针对该人群的未来研究和干预提供了方向。
