Liu Fangsong, Chong Eddie S K
School of Psychology, Jiangxi Normal University, Nanchang, China.
Center of Mental Health Education and Research, Jiangxi Normal University, Nanchang, China.
Fam Process. 2024 Dec;63(4):2416-2433. doi: 10.1111/famp.13012. Epub 2024 May 24.
Experiencing prejudice and discrimination from family has been found to be positively associated with mental health problems among sexual minorities. Emerging evidence also shows the value of contextualizing the internalization of minority stress by considering individual cultural factors, such as filial piety. We examined whether authoritarian filial piety (AFP) and reciprocal filial piety (RFP) moderated the link between distal stressors in one's family and mental health outcomes. A total of 362 (56.9% male; age: M = 24.55, SD = 6.60) Chinese lesbian, gay, bisexual, queer/questioning, and other non-heterosexual (LGBQ+) individuals participated in this study. They provided demographic information and completed a battery of measures for AFP and RFP, sexual orientation-based prejudice and discrimination in family of origin (SOPDF), depressive symptoms, and life satisfaction. Structural equation modeling results showed that SOPDF had a positive and negative link with depressive symptoms and life satisfaction, respectively. In addition, we identified AFP and RFP as significant moderators for the association between SOPDF and depressive symptoms, and the association between SOPDF and life satisfaction, respectively. Specifically, the positive effect of SOPDF on depressive symptoms was greater for participants with higher levels of AFP; the negative effect of SOPDF on life satisfaction was greater for participants who endorsed higher levels of RFP. Our findings corroborated past studies' conclusion about the detrimental impact of familial sexual stigma on LGBQ+ people's mental health. Furthermore, such impact on negative and positive mental health outcomes are respectively conditioned by the degree to which LGBQ+ individuals endorse AFP and RFP. These findings underscore the importance for therapists who endorse family therapy to help LGBQ+ clients navigate familial sexual stigma and consider the role of filial piety beliefs in shaping the impact of familial sexual stigma on these clients' mental health.
研究发现,性少数群体遭受来自家庭的偏见和歧视与心理健康问题呈正相关。新出现的证据还表明,通过考虑个人文化因素(如孝道)来将少数群体压力的内化情境化具有重要意义。我们研究了专制孝道(AFP)和互惠孝道(RFP)是否调节了个人家庭中的远端压力源与心理健康结果之间的联系。共有362名(56.9%为男性;年龄:M = 24.55,SD = 6.60)中国女同性恋、男同性恋、双性恋、酷儿/疑问者及其他非异性恋(LGBQ+)个体参与了本研究。他们提供了人口统计学信息,并完成了一系列关于AFP和RFP、原生家庭中基于性取向的偏见和歧视(SOPDF)、抑郁症状及生活满意度的测量。结构方程模型结果显示,SOPDF分别与抑郁症状和生活满意度呈正相关和负相关。此外,我们确定AFP和RFP分别是SOPDF与抑郁症状之间关联以及SOPDF与生活满意度之间关联的显著调节因素。具体而言,对于AFP水平较高的参与者,SOPDF对抑郁症状的正向影响更大;对于认可较高水平RFP的参与者,SOPDF对生活满意度的负向影响更大。我们的研究结果证实了过去研究关于家庭性污名对LGBQ+人群心理健康的有害影响的结论。此外,这种对负面和正面心理健康结果的影响分别取决于LGBQ+个体认可AFP和RFP的程度。这些发现强调了支持家庭治疗的治疗师帮助LGBQ+客户应对家庭性污名并考虑孝道信念在塑造家庭性污名对这些客户心理健康影响方面的作用的重要性。