Sexual identity fluidity, identity management stress, and depression among sexual minority adolescents.

Sexual identity fluidity, identity management stress, and depression among sexual minority adolescents.
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DOI:
10.3389/fpsyg.2022.1075815
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发表时间:
2022
影响因子:
3.8
通讯作者:
Goldbach, Jeremy T.
Goldbach, Jeremy T.
中科院分区:
心理学3区
文献类型:
--
作者:
Srivastava, Ankur;Hall, William J.;Krueger, Evan A.;Goldbach, Jeremy T.

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性别认同是可变的和不断发展的,尤其是在青春期。对一些青少年来说,性别认同的流动性可能会带来压力,而且可能因出生性别而异。有证据表明,长期压力会导致负面的心理健康结果。然而,目前尚不清楚这两个过程(压力和抑郁)是否因性别认同流动性而不同。本文采用多组自回归交叉滞后模型(n = 1077)对14-17岁性少数青少年(SMA)的纵向数据进行研究,通过性别认同流动性研究身份管理压力和抑郁之间的时间序列关系。在样本中,40%的SMA报告在18个月内至少有一次性别认同的改变。与男性相比,更多的顺性别女性报告了性别认同的流动性(46.9%对26.6%)。在报告性别认同流动性的顺性别女性中,抑郁和身份管理压力之间存在时间交叉滞后效应;在那些没有报告流动性的女性中没有交叉滞后效应的报道。然而,在顺性男性样本中,抑郁预测了随后的身份管理压力,无论他们的性别身份流动状态如何变化。公共卫生计划和实践必须对青少年的性身份流动过程作出反应,特别注意少数群体的压力和抑郁。此外,我们的研究结果表明,性别认同的发展和流动性过程在顺性别女性和男性之间存在差异;与这些变化过程相关的细微差别需要进一步研究。
Sexual identity is mutable and evolving, particularly during adolescence. Sexual identity fluidity could be stressful for some adolescents and may differ by birth-sex. Evidence suggests chronic stress can lead to negative mental health outcomes. However, it is unknown if these two processes (stress and depression) differ by sexual identity fluidity. This paper studied time-sequential associations between identity management stress and depression over time by sexual identity fluidity, in a national longitudinal data from sexual minority adolescents (SMA) aged 14–17 years using a multigroup autoregressive cross-lagged model (n = 1077). In the sample, 40% of SMA reported at least one change in sexual identity over 18-month period. Greater number of cisgender females reported sexual identity fluidity compared to their male counterparts (46.9% vs. 26.6%). A temporal cross-lagged effect was reported between depression and identity management stress among cisgender females who reported fluidity in sexual identity; and no cross-lagged effect was reported among those females who did not report fluidity. However, among cisgender male sample depression predicted subsequent identity management stress, irrespective of their change sexual identity fluidity status. Public health programs and practice must be responsive to the sexual identity fluidity processes among adolescents, with particular attention to minority stress and depression. In addition, our results indicate that sexual identity development and fluidity processes differ between cisgender females and males; and the nuances associated with these processes of change need further investigation.
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