ABSTRACT

Sexual minority men (SMM) are at increased risk for mental health problems due to effects of sexual minority stigma (e.g., internalized homonegativity (IH)). Both IH and emotion dysregulation are contributors to sexual compulsivity; however, the role of feelings of sexual shame have not been examined in this association. A sample of 982 HIV-negative SMM completed online surveys (Mage = 42.4, SD = 13.74). Path analyses indicated significant direct effects of IH on sexual shame (β = 0.44, p < .001), emotion dysregulation (β = 0.19, p < .001), and sexual compulsivity (β = 0.22, p < .001). Modeled simultaneously, the association between sexual shame and sexual compulsivity (β = 0.26, p < .001) was significant, as was the association between emotion dysregulation and sexual compulsivity (β = 0.27, p < .001). Finally, an indirect effect of IH on sexual compulsivity through both sexual shame (p < .001) and emotion dysregulation (p < .001) was significant, and the association between IH and sexual compulsivity was reduced to non-significant (β = 0.01, p = .74). Targeting feelings of sexual shame and emotion dysregulation in clinical interventions may help reduce the negative health impact of sexual compulsivity among SMM.

摘要

由于性少数耻辱感（例如，内化同性负性 (IH)），性少数男性 (SMM) 面临心理健康问题的风险增加。IH 和情绪失调都是性强迫症的促成因素；然而，性羞耻感的作用尚未在该协会中得到检验。982 名 HIV 阴性 SMM 的样本完成了在线调查（Mage  = 42.4，SD  = 13.74）。路径分析表明 IH 对性羞耻 ( β  = 0.44, p < .001)、情绪失调 ( β  = 0.19, p < .001) 和性强迫症 ( β  = 0.22, p<.001）。同时建模，性羞耻与性强迫症之间的关联 ( β  = 0.26, p < .001) 是显着的，情绪失调与性强迫症之间的关联也是如此 ( β  = 0.27, p < .001)。最后，IH 通过性羞耻 ( p < .001) 和情绪失调 ( p < .001) 对性强迫症的间接影响是显着的，并且 IH 和性强迫症之间的关联降低到不显着 ( β  = 0.01) ,磷=.74）。在临床干预中针对性羞耻感和情绪失调可能有助于减少 SMM 中性强迫症对健康的负面影响。