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遭受创伤的性少数女性、跨性别者及性别多样化人群的日常少数群体压力源、威胁评估与身份隐瞒

Daily minority stressors, threat appraisal, and identity concealment among trauma-exposed sexual minority women and transgender and gender-diverse people.

作者信息

Scheer Jillian R, Jackson Skyler D, Cascalheira Cory J, Behari Kriti, Helminen Emily C, Batchelder Abigail W, Sullivan Tami P

机构信息

Department of Psychology, University of Rhode Island.

Department of Social and Behavioral Sciences, Yale School of Public Health.

出版信息

J Couns Psychol. 2025 Apr;72(3):211-222. doi: 10.1037/cou0000782. Epub 2025 Feb 10.

DOI:10.1037/cou0000782
PMID:39928459
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11949702/
Abstract

Recent calls have been made to decolonize White-dominated, Western narratives around concealment (e.g., that disclosure should be prioritized) and instead to examine psychosocial factors associated with concealment. Existing literature lacks exploration into daily variations of sexual or gender identity concealment (hereafter, "concealment") among sexual and gender minority people, especially sexual minority women (SMW) and transgender and gender-diverse (TGD) individuals who have experienced trauma. Additionally, there is little research delving into individual characteristics, such as trait-based avoidance coping, and specific contexts, including daily minority stressors and threat appraisal, prompting trauma-exposed SMW and TGD people to conceal their identities. Addressing these gaps, we aimed to develop and test an innovative model that advances stress and coping frameworks by integrating minority stress and social safety theories. We used data from a 14-day intensive longitudinal study among 57 trauma-exposed SMW and TGD people. Minority stressors and threat appraisal were associated with concealment at both the within- and between-person levels, respectively. Trait-based general avoidance coping predicted identity concealment and moderated the link between daily minority stressors and concealment. Daily minority stressors were associated with greater concealment only among those who reported lower avoidance coping. Concealment may operate as an experiential avoidance behavior among those who habitually cope by using avoidance and as a goal-directed coping response among trauma-exposed SMW and TGD people who face acute minority stressors and report less avoidance coping. Counseling psychologists exploring the function of concealment with trauma-exposed SMW and TGD people should attend to stigma exposure, threat appraisal, and avoidance coping. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

最近有人呼吁,要消除以白人为主导的西方关于隐瞒(例如,应优先考虑披露)的叙述中的殖民化色彩,转而研究与隐瞒相关的心理社会因素。现有文献缺乏对性少数和性别少数群体,特别是经历过创伤的性少数女性(SMW)以及跨性别和性别多样化(TGD)个体中性取向或性别认同隐瞒(以下简称“隐瞒”)的日常变化的探索。此外,很少有研究深入探讨个体特征,如基于特质的回避应对,以及特定情境,包括日常的少数群体压力源和威胁评估,这些因素促使经历过创伤的SMW和TGD个体隐瞒自己的身份。为了填补这些空白,我们旨在开发并测试一个创新模型,该模型通过整合少数群体压力和社会安全理论来推进压力与应对框架。我们使用了对57名经历过创伤的SMW和TGD个体进行的为期14天的密集纵向研究的数据。少数群体压力源和威胁评估分别在个体内部和个体之间的层面上与隐瞒相关。基于特质的一般回避应对预测了身份隐瞒,并调节了日常少数群体压力源与隐瞒之间的联系。日常少数群体压力源仅在那些报告较低回避应对的人当中与更高程度的隐瞒相关。隐瞒可能在那些习惯性地通过回避来应对的人当中作为一种经验性回避行为起作用,而在面临急性少数群体压力源且报告较少回避应对的经历过创伤的SMW和TGD个体当中作为一种目标导向的应对反应起作用。探索与经历过创伤的SMW和TGD个体隐瞒功能的咨询心理学家应关注污名暴露、威胁评估和回避应对。(《心理学文摘数据库记录》(c)2025美国心理学会,保留所有权利)

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The Mediating Role of Avoidant and Facilitative Coping on the Relation Between Discrimination and Alcohol Use Among Transgender and Gender-Diverse Individuals.回避性应对和促进性应对在跨性别及性别多样化个体的歧视与饮酒关系中的中介作用。
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Expressive writing treatments to reduce PTSD symptom severity and negative alcohol-related outcomes among trauma-exposed sexual minority women and transgender/nonbinary people: Study protocol for a mixed-method pilot trial.表达性写作疗法以减轻遭受创伤的性少数女性和跨性别/非二元性别人群的创伤后应激障碍症状严重程度及与酒精相关的负面后果:一项混合方法试点试验的研究方案。
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Probable PTSD, PTSD symptom severity, and comorbid PTSD and hazardous drinking among sexual minority women compared to heterosexual women: A meta-analysis.性少数女性与异性恋女性相比,可能患有 PTSD、PTSD 症状严重程度以及共病 PTSD 和危险饮酒:一项荟萃分析。
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Toward a More Relational Model of Sexual Minority Identity Concealment.迈向性少数群体身份隐瞒的更具关系性的模型。
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