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描述性少数青少年的生活压力暴露情况:时间性、内容和心理健康差异中的中介作用。

Characterizing Life Stress Exposure Among Sexual Minority Adolescents: Temporality, Content, And Mediating Role in Mental Health Disparities.

机构信息

Department of Psychology, University of Rochester, Rochester, NY, USA.

出版信息

Res Child Adolesc Psychopathol. 2024 Jun;52(6):851-863. doi: 10.1007/s10802-023-01165-7. Epub 2024 Jan 12.

DOI:10.1007/s10802-023-01165-7
PMID:38214850
Abstract

Though sexual minority adolescents face a wide array of deleterious stressors, few studies have examined the role of specific types of stress exposure (i.e., chronic vs. episodic, interpersonal vs. non-interpersonal) on mental health disparities. This study utilizes a contextual threat-based assessment to (a) compare levels of stress exposure types between sexual minority and non-sexual minority adolescents, and (b) examine stress type as a mediator between sexual orientation and two outcomes: depressive symptoms and emotion dysregulation. Data comes from a longitudinal sample (14-17 years-old, N = 241; 17.6% sexual minority; 54% assigned female at birth; 73.9% White), with two time-points (T1 and T2) utilized. Sexual minority adolescents reported higher chronic interpersonal stress, but no differences in non-interpersonal chronic or episodic stress, relative to non-sexual minority adolescents. Chronic interpersonal stress exposure mediated the link between membership in an oppressed group (i.e., sexual minority teens) and the primary outcomes (emotion dysregulation and depressive symptoms) at both T1 and T2. Findings demonstrate the utility of contextual threat-based assessments within sexual minority research.

摘要

尽管性少数青少年面临着各种各样的有害压力源,但很少有研究探讨特定类型的压力暴露(即慢性与偶发性、人际与非人际)对心理健康差异的影响。本研究利用基于情境威胁的评估方法:(a) 比较性少数和非性少数青少年的压力暴露类型水平;(b) 研究压力类型在性取向与两个结果(抑郁症状和情绪失调)之间的中介作用。数据来自一个纵向样本(14-17 岁,N=241;17.6%的性少数;54%出生时被指定为女性;73.9%为白人),使用了两个时间点(T1 和 T2)。与非性少数青少年相比,性少数青少年报告了更高的慢性人际间压力,但在非人际间慢性或偶发性压力方面没有差异。在 T1 和 T2 两个时间点,慢性人际间压力暴露都在被压迫群体(即性少数青少年)与主要结果(情绪失调和抑郁症状)之间起到了中介作用。研究结果表明,基于情境威胁的评估方法在性少数研究中具有实用性。

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本文引用的文献

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Anti-LGBT Victimization, Fear of Violence at School, and Suicide Risk Among Adolescents.青少年中的反同性恋、双性恋和跨性别者(LGBT)受害情况、对校园暴力的恐惧及自杀风险
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