Objective Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals disproportionately face exposure to potentially traumatic events-adverse experiences that may have a traumatizing effect-and experience shame as a common consequence. Previous research demonstrates associations between shame and psychological and physical health issues among those with exposure to potentially traumatic events in general, with limited attention among LGBTQ individuals specifically. This study determined whether shame partially mediated the relationship between potentially traumatic events exposure and self-reported mental and physical health symptoms among LGBTQ individuals. Method Participants were 218 self-identified LGBTQ individuals who reported experiencing at least one potentially traumatic event (e.g., childhood sexual abuse). Online surveys assessed the type and frequency of potentially traumatic events exposure, shame, self-reported mental health (depression symptoms, posttraumatic stress disorder symptoms, and substance use), and physical health symptoms (sexual risk behavior, somatic symptoms, and chronic health conditions). Results Greater potentially traumatic events exposure was associated with greater shame, and greater shame was associated with worse self-reported mental and physical health. Potentially traumatic events exposure had a direct effect on self-reported mental and physical health, and shame partially mediated this relationship. Conclusion Shame represents an important and modifiable factor that relates to poor health and may be amenable to change through psychosocial interventions. Given the prevalence of negative self-attribution stemming from potentially traumatic events exposure, in addition to the internalization of stigma among this population, practitioners need to uncover interventions specifically targeting shame when working with LGBTQ individuals.

中文翻译：

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女同性恋、男同性恋、双性恋、跨性别者和酷儿个体自我报告的精神和身体健康症状以及潜在的创伤事件：羞耻的作用。

客观 女同性恋、男同性恋、双性恋、跨性别者和酷儿 (LGBTQ) 个体不成比例地面临潜在的创伤性事件（可能产生创伤性影响的不良经历），并且通常会经历羞耻。之前的研究表明，羞耻感与那些经历过潜在创伤事件的人的心理和身体健康问题之间存在关联，但对 LGBTQ 人群的关注却有限。这项研究确定了羞耻感是否部分调节了 LGBTQ 个体中潜在的创伤事件暴露与自我报告的精神和身体健康症状之间的关系。方法 参与者是 218 名自称 LGBTQ 的个体，他们报告说经历过至少一次潜在的创伤事件（例如，童年性虐待）。在线调查评估了潜在创伤事件暴露、羞耻、自我报告的心理健康（抑郁症状、创伤后应激障碍症状和药物使用）和身体健康症状（性危险行为、躯体症状和慢性健康状况）的类型和频率）。结果 接触更多的潜在创伤事件与更大的羞耻感相关，而更大的羞耻感与自我报告的心理和身体健康状况更差相关。潜在的创伤事件暴露对自我报告的心理和身体健康有直接影响，而羞耻感在一定程度上调节了这种关系。结论 羞耻感是与健康状况不佳相关的一个重要且可改变的因素，并且可以通过心理社会干预来改变。鉴于潜在的创伤性事件暴露导致的负面自我归因普遍存在，除了该人群中耻辱的内化之外，从业者在与 LGBTQ 个体合作时还需要发现专门针对羞耻感的干预措施。