Dellucci Trey V, Starks Tyrel J
Adolescent Behavioral Health Research Program, Indiana University School of Medicine.
Department of Psychology, Hunter College, City University of New York, New York, NY, USA.
Couple Family Psychol. 2025 Mar;14(1):80-91. doi: 10.1037/cfp0000264. Epub 2024 Aug 5.
Adolescent sexual minority males (ASMM) are three to four times more likely to experience depression or anxiety than their heterosexual peers. ASMM in romantic relationships may be at higher risk of developing anxiety and depression symptoms, yet studies examining relationship quality as a predictor of mental health ASMM is limited.
Partnered ASMM ( = 50) were recruited using online advertisements posted on social media and geo-dating mobile application. Linear regressions models were calculated to test associations between relationship quality, minority stress, and mental health (i.e.., depression, anxiety). Models adjusted for age, race, and relationship length.
Relationship quality and minority stressors predicted worse mental health outcomes. Specifically, relationship quality was positively associated with depression ( = .50, < .001) and anxiety ( = .26, = .038). Similarly, Social marginalization was associated with depression ( = .55, = < .001) and anxiety ( = .67, <.001), while family rejection was only associated with depression ( = .27 <.03).
This study demonstrates the relevance of relationship quality and minority stress to the mental health of partnered ASMM. Unlike the pattern seen in adults, relationship quality predicted worse depression. Future research is needed to understand the mechanism in which relationship characteristics influence mental health to inform future prevention and intervention efforts.
青少年性少数男性（ASMM）经历抑郁或焦虑的可能性是其异性恋同龄人三到四倍。处于恋爱关系中的ASMM出现焦虑和抑郁症状的风险可能更高，但将恋爱关系质量作为ASMM心理健康预测因素的研究有限。
通过在社交媒体和基于地理位置的约会移动应用程序上发布的在线广告招募有伴侣的ASMM（n = 50）。计算线性回归模型以检验恋爱关系质量、少数群体压力与心理健康（即抑郁、焦虑）之间的关联。模型对年龄、种族和恋爱时长进行了调整。
恋爱关系质量和少数群体压力源预示着更差的心理健康结果。具体而言，恋爱关系质量与抑郁呈正相关（β = 0.50，p < 0.001），与焦虑呈正相关（β = 0.26，p = 0.038）。同样，社会边缘化与抑郁（β = 0.55，p < 0.001）和焦虑（β = 0.67，p < 0.001）相关，而家庭排斥仅与抑郁相关（β = 0.27，p < 0.03）。
本研究证明了恋爱关系质量和少数群体压力与有伴侣的ASMM心理健康的相关性。与成年人的情况不同，恋爱关系质量预示着更严重的抑郁。需要进一步研究以了解恋爱关系特征影响心理健康的机制，为未来的预防和干预工作提供信息。
