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Rumination longitudinally mediates the association of minority stress and depression in sexual and gender minority individuals.
Journal of Psychopathology and Clinical Science ( IF 4.6 ) Pub Date : 2020-05-01 , DOI: 10.1037/abn0000508
Elissa L Sarno 1 , Michael E Newcomb 1 , Brian Mustanski 1
Affiliation  

Minority stress theory describes the excess stressors to which individuals from stigmatized groups are exposed as a result of their marginalized status(es), which can contribute to higher rates of depression among sexual and gender minority (SGM) individuals. The psychological mediation framework expanded on minority stress theory by proposing that rumination may link minority stressors to depression. Although previous studies have shown that rumination mediates associations between minority stressors and psychological distress among SGM individuals, many have done so using cross-sectional data, despite mediation being a process that occurs over time. To address this limitation, the present longitudinal study examined rumination as a mediator of the associations of three minority stressors (i.e., victimization, microaggressions, and internalized stigma) with depressive symptoms among 1,130 young men who have sex with men (YMSM) and young transgender women (YTW). The data were taken from baseline, 6-month, and 1-year assessments from a large cohort of YMSM and YTW. Consistent with hypotheses, rumination at 6-month follow-up fully longitudinally mediated associations between victimization, microaggressions, and internalized stigma at baseline and depression at 1-year follow-up. Results suggest that rumination is an important area of intervention for clinicians treating SGM individuals who experience symptoms of depression. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译:

反思在纵向上调节了性少数和性别少数群体中少数群体的压力和沮丧的联系。

少数群体压力理论描述了被污名化群体的个人由于其边缘化状态而遭受的过度压力,这可能导致性少数和性别少数群体(SGM)个体的抑郁症发病率更高。心理调解框架通过提出反刍可能将少数群体压力源与抑郁联系起来而扩展了少数群体压力理论。尽管先前的研究表明,沉思是调解少数性别压力者与SGM个人之间的心理困扰之间的联系,但尽管调解是一个随时间而发生的过程,但许多人还是使用横断面数据来完成的。为了解决这一局限性,目前的纵向研究考察了反刍作为三个少数族裔应激源(即受害,微侵略,和内化的耻辱感)在1,130名与男人发生性关系的年轻男性(YMSM)和年轻变性女性(YTW)中出现抑郁症状。数据来自大量YMSM和YTW队列的基线,6个月和1年评估。与假设一致的是,在6个月的随访中反刍是受害,微攻击和基线时的内部污名与1年随访中的抑郁之间的完全纵向介导的关联。结果表明,反刍是治疗患有抑郁症症状的SGM个人的重要干预措施。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。和大量YMSM和YTW队列的1年评估。与假设一致的是,在6个月的随访中进行反刍,受害,微攻击和基线时的内在污名与1年随访中的抑郁之间完全纵向介导的关联。结果表明,反刍是治疗患有抑郁症症状的SGM个人的重要干预措施。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。和大量YMSM和YTW队列的1年评估。与假设一致的是,在6个月的随访中进行反刍,受害,微攻击和基线时的内在污名与1年随访中的抑郁之间完全纵向介导的关联。结果表明,反刍是治疗患有抑郁症症状的SGM个人的重要干预措施。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。结果表明,反刍是治疗患有抑郁症症状的SGM个人的重要干预措施。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。结果表明,反刍是治疗患有抑郁症症状的SGM个人的重要干预措施。(PsycINFO数据库记录(c)2020 APA,保留所有权利)。
更新日期:2020-05-01
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