Wang Peng-Wei, Chang Yu-Ping, Tsai Ching-Shu, Yen Cheng-Fang
Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.
Department of Psychiatry, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Front Psychiatry. 2023 May 15;14:1163032. doi: 10.3389/fpsyt.2023.1163032. eCollection 2023.
Sexual stigma causes psychological distress among lesbian, gay, and bisexual (LGB) individuals. LGB individuals are more likely to exhibit both problematic Internet use (PIU) and significant depression than are heterosexual individuals. Whether the severities of sexual stigma varied among LGB individuals with various statuses of comorbid PIU and depression warrants study. The present study aimed to investigate the differences in the experiences of familial sexual stigma (FSS), internalized sexual stigma (ISS), and sexual orientation microaggressions (SOMs) among LGB individuals with various statuses of comorbid PIU and depression.
In total, 1,000 self-identified LGB young adult individuals participated in the study. The level of PIU was assessed using the Chen Internet Addiction Scale, depression was assessed using the Center for Epidemiological Studies-Depression Scale, the experience of FSS was assessed using the Homosexuality-Related Stigma Scale, the experience of ISS was assessed using the Measure of Internalized Sexual Stigma for Lesbians and Gay Men, and the experience of sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory. The differences in the levels of FSS, ISS, and SOMs among the four groups [i.e., the groups with both PIU and depression (comorbid group), only depression, only PIU, and neither PIU nor depression (neither group)] were investigated using multivariate analysis of covariance.
The results indicated that LGB individuals with comorbid PIU and depression reported higher levels of ISS and SOMs than did those with depression only and PIU only, respectively. Moreover, LGB individuals with PIU or significant depression had higher levels of FSS and SOMs than did those with neither PIU nor depression.
The results of this study supported that the experiences of FSS, ISS, and SOMs were significantly associated with various levels of PIU and depression in LGB individuals.
性污名给女同性恋、男同性恋和双性恋(LGB)者带来心理困扰。LGB者比异性恋者更有可能表现出网络使用问题(PIU)和严重抑郁。性污名的严重程度在同时患有PIU和抑郁症的LGB者中是否存在差异值得研究。本研究旨在调查在同时患有PIU和抑郁症的不同状态的LGB者中,家庭性污名(FSS)、内化性污名(ISS)和性取向微侵犯(SOMs)经历的差异。
共有1000名自我认定为LGB的年轻成年人参与了该研究。使用陈氏网络成瘾量表评估PIU水平,使用流行病学研究中心抑郁量表评估抑郁程度,使用同性恋相关污名量表评估FSS经历,使用男女同性恋内化性污名量表评估ISS经历,使用性取向微侵犯量表评估性取向微侵犯经历。使用多变量协方差分析研究四组[即同时患有PIU和抑郁症的组(共病组)、仅患有抑郁症的组、仅患有PIU的组以及既无PIU也无抑郁症的组(既无组)]之间FSS、ISS和SOMs水平的差异。
结果表明,同时患有PIU和抑郁症的LGB者报告的ISS和SOMs水平分别高于仅患有抑郁症和仅患有PIU的LGB者。此外,患有PIU或严重抑郁症的LGB者的FSS和SOMs水平高于既无PIU也无抑郁症的LGB者。
本研究结果支持FSS、ISS和SOMs经历与LGB者不同程度的PIU和抑郁症显著相关。