Gender minority stress, mental health, and relationship quality: a dyadic investigation of transgender women and their cisgender male partners.

Gender minority stress, mental health, and relationship quality: a dyadic investigation of transgender women and their cisgender male partners.
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DOI:
10.1037/a0037171
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发表时间:
2014-08
影响因子:
2.7
通讯作者:
Operario, Don
Operario, Don
中科院分区:
心理学2区
文献类型:
--
作者:
Gamarel, Kristi E.;Reisner, Sari L.;Laurenceau, Jean-Philippe;Nemoto, Tooru;Operario, Don

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研究表明,歧视经历、人际关系质量和心理健康之间存在关联。然而,在二元层面上实施和经历的耻辱如何影响变性人妇女及其顺性(非变性人)男性伴侣的关系质量和心理健康,这些关键问题仍然没有得到回答。本研究试图考察与变性人相关的歧视(即不公平待遇、骚扰)和关系污名(即基于一个人的浪漫关系而对拒绝的真实或预期的恐惧)的经历如何与伴侣的关系质量和心理健康相关联。夫妇(N=191)参加横断面调查。演员-伴侣相互依赖模型(APIM)适用于考察少数民族应激源对临床显着抑郁困扰和关系质量的影响。对于双方来说,经济困难、歧视和关系污名与抑郁困扰的几率增加有关。对于双方来说,经济困难与较低的关系质量有关。在变性女性中,她们自己和她们的伴侣的关系污名得分较高与较低的关系质量相关;然而,在男性伴侣中,只有其伴侣的较高的关系污名得分与较低的关系质量相关。研究结果为关系污名对伴侣健康的双向交叉效应提供了初步支持。研究结果表明,少数民族压力和二元压力框架在理解和干预跨性别女性及其男性伴侣之间的心理健康差异方面具有重要意义。有必要采取以夫妇为基础的干预措施和治疗方法,帮助跨性别妇女及其男性伴侣应对少数群体的压力,以改善双方的健康和福祉。
Research has demonstrated associations between experiences of discrimination, relationship quality, and mental health. However, critical questions remain unanswered with regard to how stigma enacted and experienced at the dyadic-level influences relationship quality and mental health for transgender women and their cisgender (non-transgender) male partners. The present study sought to examine how experiences of transgender-related discrimination (i.e., unfair treatment, harassment) and relationship stigma (i.e., the real or anticipated fear of rejection based on one’s romantic affiliation), were associated with both partners relationship quality and mental health. Couples (N=191) were recruited to participate in cross-sectional survey. Actor-partner interdependence models (APIM) were fit to examine the influence of minority stressors on clinically significant depressive distress and relationship quality. For both partners, financial hardship, discrimination, and relationship stigma were associated with an increased odds of depressive distress. For both partners, financial hardship was associated with lower relationship quality. Among transgender women, their own and their partner’s higher relationship stigma scores were associated with lower relationship quality; however, among male partners, only their partner’s greater relationship stigma scores were associated with lower relationship quality. Findings provide preliminary support for dyadic crossover effects of relationship stigma on the health of partners. Findings illustrate the importance of minority stress and dyadic stress frameworks in understanding and intervening upon mental health disparities among transgender women and their male partners. Couples-based interventions and treatment approaches to help transgender women and their male partners cope with minority stressors are warranted to improve the health and well-being of both partners.
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