Shepherd Benjamin F, Rentería Roberto, Capielo Rosario Cristalís, Brochu Paula M
Department of Clinical and School Psychology, Nova Southeastern University.
Department of Psychology, Rosalind Franklin University of Medicine and Science.
Cultur Divers Ethnic Minor Psychol. 2025 Jan;31(1):138-150. doi: 10.1037/cdp0000621. Epub 2023 Sep 4.
People of color with minoritized sexual identities (e.g., lesbian, gay, bisexual, queer) experience identity-based challenges from outside and within their communities. Through the integrative lens of minority stress theory and intersectionality, the present study examined identity conflict, also known as conflicts in allegiances-the perceived incongruence between one's sexual and ethnic identities-as a statistical mediator of the association between intersectional discrimination (heterosexist discrimination experienced within the Latinx community and ethnic discrimination experienced within the lesbian, gay, bisexual, transgender, and queer [LGBTQ +] community) and mental health outcomes (depression and anxiety).
A cross-sectional sample of 452 Latinx sexual minoritized adults living in the United States participated in the study. The PROCESS macro (Model 4; Hayes, 2018) was used to test the hypothesis that heterosexist discrimination experienced within the Latinx community and ethnic discrimination experienced within the LGBTQ + community are associated with depression and anxiety indirectly through identity conflict. In each mediation model, outness to family was included as a covariate, along with participant age, education, generation status, and language preference.
Approximately 37% of participants had clinically significant depression scores and 54% had clinically significant anxiety scores. As expected, experiences of intersectional discrimination (i.e., Latinx heterosexist discrimination and LGBTQ + ethnic discrimination) were indirectly associated with depression and anxiety through higher levels of identity conflict.
Findings increase awareness of unique psychosocial factors that may underlie mental health inequities affecting Latinx adults with minoritized sexual identities. Such knowledge can facilitate the development of culturally responsive interventions that best support this diverse population by addressing intersectional minority stressors. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
具有少数性取向身份（如女同性恋、男同性恋、双性恋、酷儿）的有色人种在其社区内外都面临基于身份的挑战。本研究通过少数群体压力理论和交叉性的综合视角，考察了身份冲突，即忠诚冲突——性取向与种族身份之间的感知不一致——作为交叉性歧视（拉丁裔社区内经历的异性恋歧视以及女同性恋、男同性恋、双性恋、跨性别者和酷儿[LGBTQ +]社区内经历的种族歧视）与心理健康结果（抑郁和焦虑）之间关联的统计中介变量。
一项横断面研究，对452名居住在美国的拉丁裔性少数成年人群体进行了抽样调查。使用PROCESS宏程序（模型4；海斯，2018）来检验以下假设：拉丁裔社区内经历的异性恋歧视以及LGBTQ +社区内经历的种族歧视通过身份冲突间接与抑郁和焦虑相关。在每个中介模型中，将向家人公开性取向作为协变量，同时纳入参与者的年龄、教育程度、代际状况和语言偏好。
约37%的参与者有临床显著的抑郁得分，54%的参与者有临床显著的焦虑得分。正如预期的那样，交叉性歧视经历（即拉丁裔异性恋歧视和LGBTQ +种族歧视）通过更高水平的身份冲突与抑郁和焦虑间接相关。
研究结果提高了人们对可能影响具有少数性取向身份的拉丁裔成年人心理健康不平等现象背后独特心理社会因素的认识。这些知识有助于开发具有文化适应性的干预措施，通过解决交叉性少数群体压力源，为这一多样化群体提供最佳支持。（《心理学文摘数据库记录》（c）2025美国心理学会，保留所有权利）
