Schürmann-Vengels Jan, Pirke Jan, Troche Stefan J, Budge Stephanie L, Flückiger Christoph, Willutzki Ulrike
School of Psychology and Psychotherapy, Witten/Herdecke University.
Department of Psychology, University of Bern.
J Couns Psychol. 2025 Jan;72(1):92-102. doi: 10.1037/cou0000769. Epub 2024 Dec 12.
Although studies on the dual-continua model have demonstrated that distress and well-being are two separate but interrelated factors of mental health, only limited research exists regarding these concepts for lesbian, gay, bisexual, transgender, queer, intersex, asexual+ (LGBTQIA+) individuals. The present study aimed to investigate the factor structure of mental health in the LGBTQIA+ community. The second aim was to investigate whether different correlates are relevant for the prediction of well-being and psychological distress in LGBTQIA+ individuals when these mental health outcomes are considered separately. LGBTQIA+ individuals from Germany, Austria, and Switzerland were recruited via collaborating organizations and social media to participate in a cross-sectional survey. Participants ( = 1,686, = 27.74) completed self-report measures of well-being and psychological distress. Included correlates were self-esteem, social support, resilience, and various minority stress factors. Data were analyzed using structural equation modeling and latent regression analyses. A very strong correlation at the latent level ( = -.82) suggested that well-being and psychological distress refer to opposite poles of mental health in the LGBTQIA+ sample. Different minority stress factors were relevant for the prediction of well-being and distress when these factors were disentangled. The present study highlights the close inverse relation between well-being and distress in LGBTQIA+ individuals. Several correlates were found that could inform tailored counseling for LGBTQIA+ community members, irrespective of whether the focus is on positive or negative aspects of mental health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
尽管对双连续体模型的研究表明，痛苦和幸福感是心理健康的两个独立但相互关联的因素，但关于女同性恋、男同性恋、双性恋、跨性别者、酷儿、双性人、无性恋者+（LGBTQIA+）群体的这些概念，仅有有限的研究。本研究旨在调查LGBTQIA+群体心理健康的因素结构。第二个目标是，当分别考虑这些心理健康结果时，调查不同的相关因素是否与预测LGBTQIA+个体的幸福感和心理痛苦相关。通过合作组织和社交媒体招募了来自德国、奥地利和瑞士的LGBTQIA+个体参与一项横断面调查。参与者（n = 1686，M = 27.74）完成了幸福感和心理痛苦的自我报告测量。纳入的相关因素包括自尊、社会支持、复原力和各种少数群体压力因素。使用结构方程模型和潜在回归分析对数据进行了分析。潜在水平上的非常强的相关性（r = -.82）表明，在LGBTQIA+样本中，幸福感和心理痛苦代表心理健康的相反两极。当对这些因素进行分解时，不同的少数群体压力因素与幸福感和痛苦的预测相关。本研究强调了LGBTQIA+个体中幸福感和痛苦之间紧密的反向关系。发现了几个相关因素，可为LGBTQIA+群体成员的定制咨询提供参考，无论关注的是心理健康的积极还是消极方面。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
