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儿童期 LGBTQ+身份相关虐待与抑郁和自杀行为的关联:成年顺性别异性恋主义和表达抑制的作用。

LGBTQ+ identity-related abuse during childhood and associations with depression and suicide behavior: Role of adulthood cisheterosexism and expressive suppression.

机构信息

Department of Psychological Science, The University of Texas Rio Grande Valley, Edinburg, TX, USA.

Department of Psychological Science, The University of Texas Rio Grande Valley, Edinburg, TX, USA.

出版信息

Child Abuse Negl. 2023 Nov;145:106433. doi: 10.1016/j.chiabu.2023.106433. Epub 2023 Sep 1.

DOI:10.1016/j.chiabu.2023.106433
PMID:37660426
Abstract

BACKGROUND

Exposure to minority stressors specific to LGBTQ+ individuals, such as heterosexism and cissexism (or cisheterosexism) is not covered under the traditional adverse childhood experiences framework. This is important because childhood identity-related abuse by a parent/caregiver can lead to mental health challenges in later life through the adoption of maladaptive coping mechanisms.

OBJECTIVE

The present study aimed to examine the role of cisheterosexism and expressive suppression as serial mediators in the associations between identity-related abuse and depressive symptoms and suicide behavior.

PARTICIPANTS AND SETTING

Participants included 563 LGBTQ+ identifying adults between 18 and 64 years (M = 30.02, SD = 9.05) from different regions of Spain and were recruited through social media (e.g., Twitter, Facebook, and Instagram).

METHOD

A serial mediation model was conducted with cisheterosexism and expressive suppression as the mediators in the associations between LGBTQ+ identity-related childhood abuse and depressive symptoms and suicide behavior.

RESULTS

Findings indicated a positive indirect effect of identity-related abuse on depressive symptoms through cumulative cisheterosexism (B = 0.628, p < .01), and via cumulative cisheterosexism and suppression (B = 0.146, p < .05). No significant indirect effect was found for identity-related abuse on depressive symptoms via suppression (B = 0.086). An indirect effect was found for identity-related abuse on suicide behavior via cumulative cisheterosexism (B = 0.250, p < .01).

CONCLUSIONS

Findings reveal that LGBTQ+ identity-related cisheterosexist experiences perpetrated by parents or caregivers are associated with harmful, long-term impacts on symptoms of depression and suicide behavior via experiences of cisheterosexism and expressive suppression.

摘要

背景

LGBTQ+ 个体所经历的少数群体应激源,如异性恋和性别歧视(或顺性别异性恋歧视),并未涵盖在传统的不良童年经历框架内。这一点很重要,因为父母/照顾者对孩子身份相关的虐待会导致他们在以后的生活中出现心理健康问题,其原因是他们采用了适应不良的应对机制。

目的

本研究旨在探讨顺性别异性恋歧视和表达抑制作为连续中介,在身份相关虐待与抑郁症状和自杀行为之间的关系中的作用。

参与者和设置

参与者包括来自西班牙不同地区的 563 名 18 至 64 岁的 LGBTQ+ 认同成年人(M=30.02,SD=9.05),他们是通过社交媒体(如 Twitter、Facebook 和 Instagram)招募的。

方法

采用序列中介模型,以顺性别异性恋歧视和表达抑制作为 LGBTQ+身份相关儿童期虐待与抑郁症状和自杀行为之间关系的中介。

结果

研究结果表明,身份相关虐待对抑郁症状的正向间接影响,是通过累积的顺性别异性恋歧视(B=0.628,p<.01),以及通过累积的顺性别异性恋歧视和抑制(B=0.146,p<.05)实现的。身份相关虐待对抑郁症状的间接影响,通过抑制(B=0.086)并不显著。身份相关虐待对自杀行为的间接影响,是通过累积的顺性别异性恋歧视(B=0.250,p<.01)实现的。

结论

研究结果表明,父母或照顾者对 LGBTQ+ 身份的顺性别异性恋歧视经历与抑郁症状和自杀行为的长期不良影响有关,这种影响是通过顺性别异性恋歧视和表达抑制体验产生的。

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