Department of Medicine, Health, & Society, Vanderbilt University, United States.
Department of Pediatrics, Keck School of Medicine of USC, United States; Division of Developmental-Behavioral Pediatrics, Children's Hospital Los Angeles, United States.
Psychiatry Res. 2024 Apr;334:115838. doi: 10.1016/j.psychres.2024.115838. Epub 2024 Mar 4.
This study examined the role of lifetime and past 30-day experiences of sexual and gender minority (SGM) stress on clinical symptom severity in 286 psychiatrically hospitalized adolescents. Participants completed measures of clinical symptoms, and SGM adolescents (n = 176, 61.5 %) reported on minority stress experiences across three domains (i.e., negative expectancies, internalized homonegativity, homonegative climate). SGM adolescents reported greater clinical symptom severity than non-SGM adolescents. Most SGM adolescents (77.3%) reported lifetime minority stress exposure, endorsing an average of 3.3 stressors (SD = 2.9). Among those endorsing lifetime minority stress history, 76.1% reported past 30-day minority stress exposure. Lifetime and recent minority stress exposure were positively associated with clinical symptom severity. Findings support the importance of assessing SGM identities and minority stress experiences in psychiatric settings and supporting youth in coping with these experiences.
本研究考察了性少数群体和跨性别者（SGM）一生中经历和过去 30 天经历的压力对 286 名住院治疗的青少年精神症状严重程度的影响。参与者完成了临床症状的测量，SGM 青少年（n = 176，61.5%）报告了三个领域的少数群体压力经历（即，负面期望、内化的同性恋憎恶、同性恋负面氛围）。SGM 青少年报告的临床症状严重程度高于非 SGM 青少年。大多数 SGM 青少年（77.3%）报告了一生中经历过少数群体压力，平均经历了 3.3 个压力源（SD = 2.9）。在报告有少数群体压力经历的人中，76.1%报告了过去 30 天的少数群体压力经历。一生中经历的和最近的少数群体压力经历与临床症状严重程度呈正相关。这些发现支持了在精神科环境中评估 SGM 身份和少数群体压力经历以及支持青少年应对这些经历的重要性。
