Depression and anxiety in patients with and without same-sex attraction: differences in clinical expression, lifestyle factors, and vulnerability indicators.
Depression and anxiety in patients with and without same-sex attraction: differences in clinical expression, lifestyle factors, and vulnerability indicators.
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DOI：
10.1002/brb3.363
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发表时间：
2015-09
影响因子：
3.1
通讯作者：
Sandfort TG
中科院分区：
文献类型：
--
作者：
Bos HM;Boschloo L;Schoevers RA;Sandfort TG
本研究的目的是比较临床表现（严重性和孤独），生活方式因素（物质使用），和脆弱性指标（压力童年经历）在任何同性吸引与异性恋患者诊断为抑郁症和/或焦虑症。对此知之甚少，尽管现在有充分的证据表明，抑郁和焦虑在同性吸引力的人中更为普遍。来自荷兰抑郁和焦虑研究（NESDA）的数据使我们能够比较同性（n = 122）和完全异性（n = 1658）吸引的患者。具有同性吸引力的人包括同时被两种性别吸引的人。数据收集的手段，复合国际诊断访谈和纸笔问卷。7%的患者报告有同性取向。抑郁和焦虑的临床表现在性吸引方面没有差异。关于药物使用，同性吸引的女性比异性恋女性报告更多的药物使用（药物使用：用途：16.2%对6.6%，P = 0.003）。关于童年的压力经历，有同性吸引力的男性在童年时期报告的性虐待比异性恋取向的男性多（20.4%比8.5%，P = 0.005）。对于有同性吸引力的女性来说，使用药物（尤其是非法药物）可能是一种应对机制，以应对现有症状或他们必须应对的少数压力源;对于有同性吸引力的男性来说，童年的压力经历可能反映了病因学的一个方面。
The aim of this study was to compare clinical expressions (severity and loneliness), lifestyle factors (substance use), and vulnerability indicators (stressful childhood experiences) in patients with any same-sex attraction versus heterosexual patients diagnosed with depression and/or anxiety disorder. Little is known about this, even though it is now well documented that depression and anxiety are more prevalent among persons with same-sex attraction. Data, derived from the Netherlands Study of Depression and Anxiety (NESDA), allowed us to compare patients with a same-sex (n = 122) and an exclusively opposite-sex (n = 1658) attraction. Persons with same-sex attraction included persons who were attracted to both sexes. Data were collected by means of the Composite International Diagnostic Interview and paper-and pencil questionnaires. Seven percent of the patients reported any same-sex orientation. Clinical expression of depression and anxiety did not differ in relation to sexual attraction. Regarding substance use, same-sex attracted women reported more drug use than heterosexual women (drug use: 16.2% vs. 6.6%, P = 0.003). Regarding stressful childhood experiences, men with any same-sex attraction reported more sexual abuse during childhood than men with a heterosexual orientation (20.4% vs. 8.5%, P = 0.005). For women with same-sex attraction substance use (especially illicit drug use) might be a coping mechanism to deal with existing symptoms or with the minority stressors they have to deal with; for same-sex attracted men stressful childhood experiences might reflect an aspect of etiology.