Clark Kirsty A, Dyar Christina, Bränström Richard, Pachankis John E
Department of Medicine, Health, and Society, Vanderbilt University.
College of Nursing, Ohio State University.
Clin Psychol Sci. 2025 May;13(3):489-505. doi: 10.1177/21677026241286875. Epub 2025 May 19.
Bisexual people report greater mental-health problems (i.e., depression, anxiety, suicidality) compared with their monosexual (i.e., gay or lesbian) peers. Yet existing studies often use nonprobability samples, analyze few psychosocial stressors, and overlook bisexual people's considerable diversity. We analyzed data from a population-based study of sexual-minority young adults in Sweden ( = 748) that assessed identity-related stressors (e.g., family rejection) and general life stressors (e.g., financial loss). Bisexual respondents reported more mental-health problems and general life stressors, but fewer identity-related stressors, than monosexual respondents. Latent class analysis revealed three distinct bisexual subgroups with varying patterns of gender-based sexual attractions, gender of sexual partners, gender conformity, and sexual-identity centrality that were associated with unique patterns of psychosocial stressors and mental health. Findings show that general life stressors play an important role in bisexual people's mental health. Future research is needed, especially on the role these stressors play during critical developmental periods such as young adulthood.
与单一性取向（即男同性恋或女同性恋）的同龄人相比，双性恋者报告的心理健康问题（如抑郁、焦虑、自杀倾向）更多。然而，现有研究通常使用非概率样本，分析的心理社会压力源较少，并且忽视了双性恋者的显著多样性。我们分析了瑞典一项基于人群的性少数年轻成年人研究（n = 748）的数据，该研究评估了与身份认同相关的压力源（如家庭排斥）和一般生活压力源（如经济损失）。与单一性取向的受访者相比，双性恋受访者报告的心理健康问题和一般生活压力源更多，但与身份认同相关的压力源更少。潜在类别分析揭示了三个不同的双性恋亚组，它们在基于性别的性吸引力、性伴侣的性别、性别一致性和性身份中心性方面存在不同模式，这些模式与独特的心理社会压力源和心理健康模式相关。研究结果表明，一般生活压力源在双性恋者的心理健康中起着重要作用。未来需要开展研究，特别是关于这些压力源在诸如青年期等关键发育阶段所起的作用。
