Purpose

There is a lack of research on the association between identity concealment and mental health among sexual and gender minority (SGM) adolescents and how social support may attenuate this association. Furthermore, research typically neglects the day-to-day variability in concealment experiences of SGM adolescents. Therefore, we examined the association between daily sexual orientation and gender identity concealment and positive and negative affect and the moderating role of family and peer support on this association among SGM adolescents.

Methods

A 21-day daily diary study among 94 SGM adolescents (mean [M] age = 16.10, standard deviation [SD] = 1.50; 31.9% gender minority; 44.7% youth of color) was conducted. Multilevel regression analyses tested the association between daily concealment and positive and negative affect and a cross-level interaction was used to assess the moderating effects of social supports.

Results

Daily concealment was associated with higher negative but not with positive affect. Family support was associated with lower daily negative affect but not with positive affect. Peer support was not significantly associated with negative or positive affect. Moderation results indicated that the association between daily concealment and negative affect was significant for adolescents who reported low or average levels of family support but was no longer significant for adolescents who reported high levels of family support.

Discussion

Daily identity concealment was positively associated with negative affect and this association was attenuated by family support. Future research and interventions should target families to improve the lives of SGM adolescents and to help reduce and eliminate mental health disparities.

中文翻译：

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性和性别少数青少年的日常隐瞒与情感之间的关联：家庭和同伴支持的调节作用

目的

性与性别少数群体 (SGM) 青少年的身份隐瞒与心理健康之间的关联以及社会支持如何削弱这种关联，目前缺乏相关研究。此外，研究通常忽略了 SGM 青少年隐藏经历的日常变化。因此，我们研究了 SGM 青少年的日常性取向和性别身份隐藏与积极和消极影响之间的关联，以及家庭和同伴支持对这种关联的调节作用。

方法

对 94 名 SGM 青少年（平均 [M] 年龄 = 16.10，标准差 [SD] = 1.50；31.9% 性别少数；44.7% 有色人种青年）进行了为期 21 天的每日日记研究。多层次回归分析测试了日常隐藏与积极和消极情绪之间的关联，并使用跨层次交互来评估社会支持的调节作用。

结果

每日隐瞒与更高的消极情绪相关，但与积极情绪无关。家庭支持与较低的日常负面影响相关，但与正面影响无关。同伴支持与消极或积极影响没有显着相关性。调节结果表明，对于报告家庭支持水平较低或一般的青少年，日常隐瞒和负面情绪之间的关联显着，但对于报告家庭支持水平较高的青少年则不再显着。

讨论

日常身份隐瞒与负面影响呈正相关，并且这种关联因家庭支持而减弱。未来的研究和干预措施应针对家庭，以改善 SGM 青少年的生活，并帮助减少和消除心理健康差异。