Kittiteerasack Priyoth, Steffen Alana, Matthews Alicia K
Professor, Faculty of Nursing, Thammasat University, Thailand.
Senior Statistician, College of Nursing, The University of Illinois Chicago, Chicago, IL, USA.
J Res Nurs. 2024 Dec 14:17449871241276760. doi: 10.1177/17449871241276760.
Sexual and gender minority (SGM) individuals experience elevated rates of depression due to exposure to unique social stressors associated with membership in a stigmatised minority group. Coping style has been shown to buffer or exacerbate responses to stress. To date, little is known about the risk or protective influence of coping styles on the relationships between stressors and depression in SGM populations.
To examine the moderating effects of coping styles on the relationships between stressors and depression in Thai SGMs.
This cross-sectional descriptive survey was conducted between March and August 2018 using in-person and online surveys. Convenience and snowball recruitment strategies were used. Standardised measures were selected according to the Minority Stress Model. Bivariate and multivariate analyses were conducted. Hayes's PROCESS macro was used to test for significant interactions.
Of the 411 participants, 40% of the participants reported symptoms of depression that were associated with multiple stressors. Problem-focused coping was reported by most participants (95.8%), followed by social support (83.1%) and avoidance (49.1%) coping. Problem-focused coping weakened the relationships between stressors and depression, whereas avoidance coping strengthened the relationships between depression and stress, loneliness and discrimination. Social support coping was negatively related to depression, with no statistically significant moderating effects.
Problem-focused coping served to mitigate the influence of stressors on depression, whereas avoidance coping strategies exacerbated the impact. Nursing interventions aimed at improving problem-focused coping may reduce the negative consequences of stressors on the mental health of SGMs.
性取向和性别少数群体（SGM）个体因遭受与被污名化的少数群体成员身份相关的独特社会压力源而出现抑郁症的比率较高。应对方式已被证明可以缓冲或加剧对压力的反应。迄今为止，关于应对方式对SGM人群压力源与抑郁症之间关系的风险或保护作用知之甚少。
研究应对方式对泰国SGM人群压力源与抑郁症之间关系的调节作用。
本横断面描述性调查于2018年3月至8月进行，采用面对面和在线调查。使用了便利抽样和滚雪球抽样策略。根据少数群体压力模型选择标准化测量方法。进行了双变量和多变量分析。使用Hayes的PROCESS宏检验显著交互作用。
在411名参与者中，40%的参与者报告有与多种压力源相关的抑郁症状。大多数参与者（95.8%）报告采用以问题为中心的应对方式，其次是社会支持（83.1%）和回避（49.1%）应对方式。以问题为中心的应对方式减弱了压力源与抑郁症之间的关系，而回避应对方式则加强了抑郁症与压力、孤独和歧视之间的关系。社会支持应对方式与抑郁症呈负相关，无统计学意义的调节作用。
以问题为中心的应对方式有助于减轻压力源对抑郁症的影响，而回避应对策略则加剧了这种影响。旨在改善以问题为中心应对方式进行护理干预可能会减少压力源对SGM心理健康的负面影响。
