The purpose of this study was to determine the association between religion, spirituality, and mental health among gay and bisexual men (GBM). A U.S. national sample of 1,071 GBM completed an online survey that measured demographic characteristics, religiosity, religious coping, spirituality, and four mental health constructs (i.e., depressive symptoms, rejection sensitivity, resilience, and social support). Hierarchal linear regressions determined the associations between each mental health construct, demographic variables, and the spirituality and religion variables. Controlling for demographic characteristics, spirituality was negatively associated with depression and rejection sensitivity, and positively associated with resilience and social support (all p < .001). Religiosity was positively associated with rejection sensitivity (p < .05) and negatively associated with resilience (p < .01). Religious coping was positively associated with depression (p < .001) and rejection sensitivity (p < .05) and negatively associated with resilience (p < .05) and social support (p < .05). The interaction of spirituality with religion was significantly associated with all mental health variables. In general, religious GBM with higher levels of spirituality had better mental health outcomes. Spirituality was significantly positively associated with positive mental health outcomes and negatively associated with negative ones. Religion-solely expressed through behaviors and lacking the functional components of spirituality such as meaning-making and connection to the sacred-was associated with mental health problems among GBM. Public health interventions and clinical practice aimed at decreasing negative mental health outcomes among GBM may find it beneficial to integrate spirituality into their work.

中文翻译：

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灵性和宗教的多个维度与男同性恋和双性恋男性的心理健康相关：来自一千个强大队列的结果。

本研究的目的是确定男同性恋和双性恋男性 (GBM) 的宗教、灵性和心理健康之间的关联。美国全国 1,071 名 GBM 样本完成了一项在线调查，该调查测量了人口特征、宗教信仰、宗教应对、灵性和四种心理健康结构（即抑郁症状、拒绝敏感性、适应力和社会支持）。分层线性回归确定了每个心理健康结构、人口统计变量以及灵性和宗教变量之间的关联。控制人口特征，灵性与抑郁和拒绝敏感性呈负相关，与韧性和社会支持呈正相关（所有 p < .001）。宗教信仰与拒绝敏感性呈正相关（p < . 05) 并与弹性负相关 (p < .01)。宗教应对与抑郁 (p < .001) 和拒绝敏感性 (p < .05) 呈正相关，与韧性 (p < .05) 和社会支持 (p < .05) 呈负相关。灵性与宗教的相互作用与所有心理健康变量显着相关。一般来说，具有较高灵性水平的宗教 GBM 具有更好的心理健康结果。灵性与积极的心理健康结果显着正相关，与消极的结果呈负相关。宗教——仅通过行为表达，缺乏灵性的功能成分，如意义创造和与神圣的联系——与 GBM 的心理健康问题有关。