A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men's Syndemic Health Conditions
A Transdiagnostic Minority Stress Treatment Approach for Gay and Bisexual Men's Syndemic Health Conditions
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DOI：
10.1007/s10508-015-0480-x
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发表时间：
2015-10-01
影响因子：
3.8
通讯作者：
Pachankis, John E.
中科院分区：
文献类型：
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作者：
Pachankis, John E.
针对不同的情况开发和部署单独的治疗方法似乎不适合干预男同性恋者和双性恋者面临的共同发生的、可能在功能上相似的心理社会状况。本文认为有必要创建跨诊断干预措施，以减少同性恋和双性恋男性在少数民族应激途径中共同来源的水平上面临的多种共同性疾病。本文首先回顾了影响同性恋和双性恋男性的心理社会合并症，然后根据情绪科学、精神病学和认知-情感神经科学的最新进展，提出了可能将少数民族压力与心理社会合并症联系起来的途径，最后提出了交叉的心理社会治疗原则，以减少同性恋和双性恋者之间的少数民族压力合并症途径。由于少数族裔压力是所有心理社会综合征的共同基础，找出少数族裔压力产生心理社会综合征的途径，并采用能够同时缓解这些途径的总体治疗原则，最终将创造一种改善同性恋和双性恋男性健康的跨诊断方法。建议临床研究和培训方法进一步验证本文建议的途径，建立与这些途径相关的治疗方法的有效性，并产生有效的方法，为同性恋和双性恋男子的心理社会综合健康传播跨诊断少数群体应激治疗方法。
Developing and deploying separate treatments for separate conditions seems ill-suited to intervening upon the co-occurring, and possibly functionally similar, psychosocial conditions facing gay and bisexual men. This article argues for the need to create transdiagnostic interventions that reduce multiple syndemic conditions facing gay and bisexual men at the level of their shared source in minority stress pathways. This article first reviews psychosocial syndemic conditions affecting gay and bisexual men, then suggests pathways that might link minority stress to psychosocial syndemics based on recent advancements in emotion science, psychiatric nosology, and cognitive-affective neuroscience, and finally suggests cross-cutting psychosocial treatment principles to reduce minority stress-syndemic pathways among gay and bisexual men. Because minority stress serves as a common basis of all psychosocial syndemic conditions reviewed here, locating the pathways through which minority stress generates psychosocial syndemics and employing overarching treatment principles capable of simultaneously alleviating these pathways will ultimately create a transdiagnostic approach to improving gay and bisexual men's health. Clinical research and training approaches are suggested to further validate the pathways suggested here, establish the efficacy of treatment approaches tied to those pathways, and generate effective methods for disseminating a transdiagnostic minority stress treatment approach for gay and bisexual men's psychosocial syndemic health.