Sexual Identity Fluidity and Depressive Symptoms: Findings From a National Longitudinal Study of Sexual Minority Adolescents.
Sexual Identity Fluidity and Depressive Symptoms: Findings From a National Longitudinal Study of Sexual Minority Adolescents.
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性认同流动性和抑郁症状：全国性少数青少年纵向研究的结果。
DOI：
10.1016/j.jadohealth.2023.06.008
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Goldbach,JeremyT
中科院分区：
文献类型：
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作者：
Srivastava,Ankur;Hall,WilliamJ;Krueger,EvanA;Goldbach,JeremyT
目的性少数青少年 (SMA) 一致报告出现心理健康症状（包括抑郁症）的风险较高。性别身份可能会随着时间的推移而改变（称为性别身份流动性），特别是在青春期。这项研究探讨了随着时间的推移，性别认同的流动性对抑郁症状的影响。方法在为期 18 个月的青少年压力经历随时间变化的研究中，分析了 14-17 岁 SMA（N = 1,077）的全国纵向数据。采用多组时变协变量潜在生长模型来检验性别认同流动性对抑郁症状的影响。结果在样本中，40% 的 SMA 报告在 18 个月期间至少有 1 次性别认同变化。顺性别女性报告的性别认同流动性高于男性（分别为 46.9% 和 26.6%）。在我们的第一个模型（总样本）中，性别认同的变化与报告的抑郁症状较少相关（b = −0.591，p= .004）。在我们的多组模型中（按出生时指定的性别），性别认同的变化与顺性别女性报告的抑郁症状减少显着相关（b=-0.591，p<.01）。然而，在顺性别男性中没有发现显着的影响。这些模型控制了年龄和种族或民族。讨论结果增加了对青少年性别认同流动性与心理健康风险之间复杂关系的有限认识。我们的结果表明，顺性别女性和男性的性认同发展和变化过程不同。与这些性别认同过程相关的细微差别需要进一步调查。
PurposeSexual minority adolescents (SMAs) consistently report elevated risk of mental health symptoms, including depression. Sexual identities may change over time (referred assexual identity fluidity), particularly during adolescence. This study examined the effect of sexual identity fluidity on depressive symptoms over time.MethodsNational longitudinal data were analyzed from SMAs aged 14–17 years (N = 1,077) in the adolescent stress experiences over time study during an 18-month period. Multigroup time-varying covariate latent growth models were employed to examine the effect of sexual identity fluidity on depressive symptoms.ResultsIn the sample, 40% of SMAs reported at least 1 change in sexual identity during an 18-month period. Cisgender females reported sexual identity fluidity at a higher rate than their male counterparts (46.9% vs. 26.6%, respectively). In our first model (total sample), a change in sexual identity was associated with reporting fewer depressive symptoms (b = −0.591,p= .004). In our multigroup model (by sex assigned at birth), a change in sexual identity was significantly associated with reporting fewer depressive symptoms among cisgender females (b = −0.591,p< .01). However, there was no significant effect found among cisgender males. The models controlled for age and race or ethnicity.DiscussionThe results add to the limited knowledge on the complex relationship between sexual identity fluidity and mental health risks over time among adolescents. Our results indicate that sexual identity development and change processes differ between cisgender females and males. The nuances associated with these sexual identity processes need further investigation.