Interpersonal Victimization, Substance Use, and Mental Health Among Sexual and Gender Minority Youth: The Role of Self-concept Factors.
Interpersonal Victimization, Substance Use, and Mental Health Among Sexual and Gender Minority Youth: The Role of Self-concept Factors.
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DOI：
10.1177/08862605211035868
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发表时间：
2022-10
影响因子：
2.5
通讯作者：
Watson RJ
中科院分区：
文献类型：
--
作者：
Scheer JR;Edwards KM;Sheinfil AZ;Dalton MR;Firkey MK;Watson RJ
减少性和性别少数青年（SGMY）之间的人际伤害的物质使用和消极的心理健康结果是一个关键的公共卫生优先事项。受害者往往发展认知图式，或组织的知识结构，包括特质，价值观和自我记忆，如自我概念因素，以应对人际受害。先前的研究证明了自我概念因素的作用（例如，掌握，控制和自尊）在解释受害和物质使用和心理健康之间的关系。然而，掌握，控制和自尊还没有被探索的中介人之间的SGMY的人际伤害和健康。这项研究是第一个应用认知图式模型的创伤相关的健康症状使用大样本的SGMY检查（a）人际受害是否与物质使用（即，酒精使用、大麻使用和香烟使用）和心理健康问题（即，抑郁症状、自我感知的压力、自我评估的健康问题）和（B）掌控感和控制感的减弱以及自尊心的降低是否可以部分解释该人群中药物使用率和心理健康问题的升高。我们利用美国-基于2017年LGBTQ全国青少年调查（n = 17，112;法师= 15.57，SD = 1.27）; 6，401（37.4%）被确定为男同性恋或女同性恋，7，396（43.2%）为顺性别女性，10，245（59.9%）为白色。物质使用和心理健康变量与人际伤害变量呈正相关，与自我概念因素呈负相关。自我概念因素在人际伤害与心理健康的关系中起部分中介作用。该模型解释了74.2%的心理健康方差和28.4%的物质使用方差。认知应对可能是一个重要的可修改的因素，可以有针对性的创伤为重点的干预措施，努力改善受害SGMY的心理健康。研究结果呼吁制定身份肯定的，以证据为基础的，以创伤为重点的干预措施，SGMY，以改善这一人群的整体健康。
Reducing substance use and negative mental health outcomes of interpersonal victimization among sexual and gender minority youth (SGMY) represents a critical public health priority. Victimized individuals often develop cognitive schemas, or organized knowledge structures consisting of traits, values, and memories about the self, such as self-concept factors, in response to interpersonal victimization. Prior studies demonstrate the role of self-concept factors (e.g., mastery, control, and self-esteem) in explaining the relationship between victimization and substance use and mental health. However, mastery, control, and self-esteem have not been explored as mediators of interpersonal victimization and health among SGMY. This study is among the first to apply cognitive schema models of trauma-related health symptoms using a large sample of SGMY to examine (a) whether interpersonal victimization is associated with substance use (i.e., alcohol use, cannabis use, and cigarette use) and mental health problems (i.e., depressive symptoms, self-perceived stress, self-rated health issues) and (b) whether diminished sense of mastery and control and lower self-esteem can partially explain elevated rates of substance use and mental health problems in this population. We used the U.S.-based 2017 LGBTQ National Teen Survey (n = 17,112; Mage = 15.57, SD = 1.27); 6,401 (37.4%) identified as gay or lesbian, 7,396 (43.2%) as cisgender women, and 10,245 (59.9%) as White. Substance use and mental health variables were positively associated with interpersonal victimization variables and negatively associated with self-concept factors. Self-concept factors partially mediated the relationship between interpersonal victimization and mental health. This model explained 74.2% of the variance in mental health and 28.4% of the variance in substance use. Cognitive coping may represent an important modifiable factor that can be targeted by trauma-focused interventions in efforts to improve victimized SGMY’s mental health. Findings call for the development of identity-affirmative, evidence-based, and trauma-focused interventions for SGMY to improve this populations’ overall health.
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影响因子：
4.4
作者：
Corliss, Heather L.;Rosario, Margaret;Wypij, David;Wylie, Sarah A.;Frazier, A. Lindsay;Austin, S. Bryn
通讯作者：
Austin, S. Bryn
DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
影响因子：
4.9
作者：
Dank, Meredith;Lachman, Pamela;Yahner, Jennifer
通讯作者：
Yahner, Jennifer
DOI：
10.1111/add.13896
发表时间：
2017-11
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Fish JN;Watson RJ;Porta CM;Russell ST;Saewyc EM
通讯作者：
Saewyc EM
影响因子：
2.5
作者：
Edwards, Katie M.;Sylaska, Kateryna M.;Ward, Sally K.
通讯作者：
Ward, Sally K.