The Rejection Sensitivity Model as a Framework for Understanding Sexual Minority Mental Health.

The Rejection Sensitivity Model as a Framework for Understanding Sexual Minority Mental Health.
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DOI:
10.1007/s10508-019-1428-3
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发表时间:
2020-10
影响因子:
3.8
通讯作者:
Feinstein BA
Feinstein BA
中科院分区:
法学2区
文献类型:
--
作者:
Feinstein BA

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性少数群体受到心理健康问题(例如抑郁、焦虑、药物滥用障碍、自杀)的影响尤为严重。少数群体压力理论和心理调解框架已成为用于解释这些差异的主要概念模型,并导致耻辱相关压力和心理健康研究取得实质性进展。然而,该领域对这些模型的依赖限制了其他理论被视为进一步推进我们对性少数心理健康的理解的潜在框架的程度。在本文中,我讨论了如何使用拒绝敏感性(RS)模型来补充和扩展少数群体压力理论和心理调解框架:(1)强调感知在耻辱相关经历中的作用; (2) 承认不同预期情绪的独特后果; (3) 描述将近端少数压力源与心理健康联系起来的其他机制; (4) 进一步明确这些过程的时间顺序。最后,我讨论了在性取向相关 RS 研究中关注发育过程的重要性,并描述了未来研究的重要方向。
Sexual minorities are disproportionately affected by mental health problems (e.g., depression, anxiety, substance use disorders, suicidality). Minority stress theory and the psychological mediation framework have become the predominant conceptual models used to explain these disparities, and they have led to substantial advances in research on stigma-related stress and mental health. However, the field’s reliance on these models has limited the extent to which other theories have been considered as potential frameworks for further advancing our understanding of sexual minority mental health. In this article, I discuss how the rejection sensitivity (RS) model can be used to complement and extend minority stress theory and the psychological mediation framework by: (1) emphasizing the role of perception in stigma-related experiences; (2) acknowledging the unique consequences of different anticipatory emotions; (3) describing additional mechanisms linking proximal minority stressors to mental health; and (4) further specifying the temporal order of these processes. I conclude by discussing the importance of attending to developmental processes in research on sexual orientation-related RS and describing important directions for future research.
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