Trans-diagnostic Psychopathology Factors and Sexual Minority Mental Health: Evidence of Disparities and Associations with Minority Stressors.
Trans-diagnostic Psychopathology Factors and Sexual Minority Mental Health: Evidence of Disparities and Associations with Minority Stressors.
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跨诊断精神病理学因素和性少数心理健康：差异的证据以及与少数压力源的关联。
DOI：
10.1037/sgd0000048
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发表时间：
2014
影响因子：
3.8
通讯作者：
Eaton,NicholasR
中科院分区：
文献类型：
--
作者：
Eaton,NicholasR
关于性少数个体和异性恋者之间心理健康差异的研究传统上采取了逐障碍的方法。最近开发的transdiagnosis方法提供了一种新的方法来框架这样的调查，然而，transdiagnosis因素尚未被应用到性少数心理健康差异的研究。目前的研究应用这种方法来调查心理健康的差异女同性恋，男同性恋，双性恋和异性恋个体在一个大的国家概率样本（N= 34，653）。对13种常见的情绪、焦虑、物质使用和人格障碍进行了为期10个月的诊断，并进行了建模，多组分析表明，性取向不变的跨诊断潜在结构。在潜在的transdiagnosis因素水平的显着差异进行了观察，这些因素水平的差异表现为观察到的精神障碍的差异。在跨诊断研究中常见的性别差异在性少数女性和男性之间并不存在。跨诊断的内化和外化因素，然后被用来作为少数民族压力框架的结果，并积极预测性取向相关的少数民族压力源（即歧视和受害）的一生的历史。讨论了使用跨诊断方法来框架干预工作、补充逐个疾病差异方法以及综合零碎差异文献的意义。（PsycINFO数据库记录（c）2019阿帕，保留所有权利）
Research on mental health disparities between sexual minority individuals and heterosexuals has traditionally taken a disorder-by-disorder approach. Recently developed transdiagnostic approaches provide a new method to frame such investigations; however, transdiagnostic factors have yet to be applied to sexual minority mental health disparities research. The current study applied this methodology to investigate mental health disparities between lesbian, gay, bisexual, and heterosexual individuals in a large national probability sample (N= 34,653). Twelve-month diagnoses of 13 common mood, anxiety, substance use, and personality disorders were modeled, and multigroup analysis indicated a sexual orientation-invariant transdiagnostic latent structure. Significant disparities at the latent transdiagnostic factor level were observed; these factor-level disparities are manifested as observed mental disorder disparities. Gender differences typically seen in transdiagnostic research were not present between sexual minority women and men. Transdiagnostic internalizing and externalizing factors were then used as outcomes in a minority stress framework and were positively predicted by lifetime history of sexual orientation-related minority stressors (ie, discrimination and victimization). Implications for using transdiagnostic approaches to frame intervention efforts, supplement disorder-by-disorder disparities methodologies, and synthesize piecemeal disparities literatures are discussed.(PsycINFO Database Record (c) 2019 APA, all rights reserved)
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影响因子：
4.6
作者：
Eaton NR;Keyes KM;Krueger RF;Balsis S;Skodol AE;Markon KE;Grant BF;Hasin DS
通讯作者：
Hasin DS
影响因子：
6.9
作者：
Slade, Tim;Watson, David
通讯作者：
Watson, David
影响因子：
4.6
作者：
Eaton, Nicholas R.;Krueger, Robert F.;Markon, Kristian E.;Keyes, Katherine M.;Skodol, Andrew E.;Wall, Melanie;Hasin, Deborah S.;Grant, Bridget F.
通讯作者：
Grant, Bridget F.
主要精神病学诊断之间的关联。
影响因子：
5.9
作者：
Abraham W. Wolf;Daniel S.P. Schubert;Marian B. Patterson;Thomas P. Grande;K. Brocco;Linda Pendleton
通讯作者：
Linda Pendleton
影响因子：
2.5
作者：
N. Eaton;Susan C. South;R. Krueger
通讯作者：
R. Krueger