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发展和初步验证对被吸引的未成年人的近因污名和歧视经历的衡量标准。

Development and Initial Validation of Measures of Proximal Stigmas and Experiences of Discrimination for Minor Attracted People.

机构信息

Department of Psychology, University of Saskatchewan, Saskatoon, SK, Canada.

Moore Center for the Prevention of Child Sexual Abuse, Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 600 N Wolfe St., Baltimore, MD, 21287, USA.

出版信息

Arch Sex Behav. 2024 Jun;53(6):2123-2139. doi: 10.1007/s10508-024-02842-4. Epub 2024 Apr 5.

Abstract

Stigma-related stressors are central to understanding psychopathology, distress, and coping in stigmatized groups; individuals who experience attractions to children are a highly stigmatized group. Currently, few validated self-report measures exist to assess stigma-related stressors in minor attracted people (MAPs) and the current research describes the development and initial validation of two measures of internalized stigma and experiences of discrimination. A sample of MAPs (n = 289; mean age = 31.8 years, SD = 12.2) was recruited online and completed a set of self-report measures assessing stigma-related stress, negative mental health outcomes, substance use, and coping. Exploratory factor analyses of the two newly developed stigma-related stress measures were conducted and convergent associations with other constructs were examined for validity evidence. Exploratory factor analyses indicated a two-factor solution to both the measure of internalized stigma and experiences of discrimination. The total scale scores and factors scores generally demonstrated the anticipated patterns of correlations with mental health concerns, distress, coping, and substance use. Clinical intervention with MAPs may benefit from an exploration of stigma-related stressors in clients' lives to improve mental health outcomes. The relatively large sample that was recruited from multiple online forums is a strength of the current study. The use of a self-report measurement modality for all measures used in the study weakens that strength of the validation evidence presented here. These results provide initial validity evidence for the measures of stigma-related stress in MAPs and the promise of stigma processes in understanding negative outcomes in this population.

摘要

与耻辱感相关的压力源是理解被污名化群体中的精神病理学、痛苦和应对方式的核心;对儿童有吸引力的人是一个高度污名化的群体。目前,很少有经过验证的自我报告测量工具来评估有儿童性吸引的人(MAPs)的与耻辱感相关的压力源,而当前的研究描述了两种内化耻辱感和歧视经历测量工具的开发和初步验证。通过在线招募了一组 MAPs(n=289;平均年龄 31.8 岁,SD=12.2),并完成了一系列自我报告的测量工具,评估与耻辱感相关的压力、负面心理健康结果、物质使用和应对方式。对两种新开发的与耻辱感相关的压力测量工具进行了探索性因素分析,并检验了与其他结构的收敛关联,以获得有效性证据。探索性因素分析表明,内化耻辱感和歧视经历的两个测量工具都存在两因素解决方案。总分和因子分通常表现出与心理健康问题、痛苦、应对方式和物质使用相关的预期关联模式。对 MAPs 进行临床干预可能受益于探索客户生活中的与耻辱感相关的压力源,以改善心理健康结果。从多个在线论坛招募的相对较大的样本是当前研究的优势。所有研究中使用的自我报告测量模式的使用削弱了这里提出的验证证据的强度。这些结果为 MAPs 中与耻辱感相关的压力测量工具提供了初步的有效性证据,并为理解该人群中的负面结果的耻辱感过程提供了希望。

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