A longitudinal and experience sampling investigation of rejection sensitivity and its role in sexual minority adolescents' mental health

拒绝敏感性及其在性少数青少年心理健康中的作用的纵向和经验抽样调查

• 批准号: 10656831
• 负责人: Brian Feinstein
• 金额: $ 80.04万
• 依托单位: ROSALIND FRANKLIN UNIV OF MEDICINE & SCI
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-05-01 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10656831
• 关键词: Adolescence; Adult; Affect; Age; Aggressive behavior; Anger; Anxiety; Attention; Clinical; Cross-Sectional Studies; Data; Development; Disparity; Emotions; Face; Feeling suicidal; Goals; Health; Heterosexuals; Individual; Intervention; Investigation; Lesbian Gay Bisexual; Life; Link; Mental Depression; Mental Health; Methods; Modeling; Participant; Personal Satisfaction; Play; Population; Public Health; Reaction; Reduce health disparities; Reporting; Research; Risk Factors; Role; Sampling; Sampling Studies; Sex Orientation; Sexual and Gender Minorities; Social support; Strategic Planning; Testing; Time; United States National Institutes of Health; Withdrawal; Work; anxious; cohort; depressive symptoms; early experience; expectation; experience; improved; novel; peer; protective factors; recruit; response; sexual minority; sexual minority group; sexual minority youth; sexual role; social; stressor; suicidal; theories

PROJECT SUMMARY Sexual minority adolescents (SMA) are disproportionately affected by mental health problems such as depression and suicidality relative to their heterosexual peers. These disparities are greatest during adolescence and persist into adulthood, and are generally attributed to the unique interpersonal stressors that they face (e.g., sexual orientation-related rejection). Given that rejection is a robust risk factor for mental health problems, especially during adolescence, it has historically been the focus of research on SM individuals' mental health. However, in addition to experiences of rejection, expectations of rejection and the emotions that accompany them also play important roles in mental health. The rejection sensitivity (RS) theory proposes that early experiences of rejection can lead to a disposition to anxiously expect, readily perceive, and intensely react to rejection, which can then compromise one's mental health. Despite evidence that RS is associated with a range of mental health problems among SM adults, our understanding of its development and role in SMA's mental health is limited in several important ways (e.g., nearly all prior studies have been cross- sectional studies of adults, and there has been a lack of attention to different emotions that can accompany expectations of rejection as well as underlying mechanisms and protective factors). Given these gaps, the goals of the proposed R01 are to determine the role of sexual orientation-related rejection in the development of different types of RS and their respective mental health consequences among SMA, to identify the mechanisms through which RS influences mental health in this population, and to identify protective factors in the development of RS. We will recruit a cohort of 500 SMA (ages 14-17) to participate in a longitudinal and experience-sampling study using methods established in our team's prior work. Data will be collected at four biannual assessments (baseline, 6-, 12-, 18-months) to determine the longitudinal relations among sexual orientation-related rejection, RS (anxious and angry), and mental health (depression symptoms and clinical elevations, suicidal ideation, and reactive aggression). In addition, participants will complete a 6- week experience-sampling study (4 assessments per day, administered in two 3-week bursts) to examine antecedents and consequences of RS as they occur in daily life. These data will be used to accomplish three specific aims: (1) Determine the longitudinal and daily relations among sexual orientation-related rejection, RS (anxious and angry), and mental health (depression, suicidal ideation, and reactive aggression); (2) Identify mechanisms (social withdrawal, self- and other-blame in response to rejection, and sexual orientation concealment) underlying the longitudinal and daily relations between RS and mental health problems; and (3) Examine sexual orientation-related social support and acceptance as protective factors in the development of RS. The proposed R01 will advance our understanding of the development of RS, its consequences, the underlying mechanisms, and protective factors, which will inform interventions to improve SMA's mental health.

项目摘要 性少数青少年（SMA）受到心理健康问题的影响不成比例 相对于其异性同龄人的抑郁和自杀性。这些差异是最大的 青春期并持续到成年，通常归因于独特的人际压力源 他们面对（例如，与性取向相关的拒绝）。鉴于拒绝是心理健康的强大风险因素 问题，尤其是在青春期，历史上一直是对SM个体的研究的重点 心理健康。但是，除了拒绝的经历，对拒绝的期望和情感 陪同他们也在心理健康中扮演重要角色。拒绝敏感性（RS）理论提出了 早期拒绝的经历会导致焦虑地期望，容易感知和强烈地倾向 对拒绝的反应，这可能会损害一个人的心理健康。尽管有证据表明RS是相关的 对于SM成年人中的一系列心理健康问题，我们对其发展和在 SMA的心理健康受到多种重要方式的限制（例如，几乎所有先前的研究都跨越 - 成人的分区研究，并且缺乏对可能伴随的不同情绪的关注 对排斥的期望以及潜在的机制和保护因素）。 鉴于这些差距，拟议的R01的目标是确定与性取向相关的作用 在开发不同类型的RS及其各自的心理健康后果方面的拒绝 SMA，以确定RS影响该人群心理健康的机制，并确定 卢比发展中的保护因素。我们将招募500 SMA（14-17岁）的队列参加 使用团队先前工作中建立的方法进行的纵向和经验采样研究。数据将是 在四次双年度评估中收集（基线，6个，12个月，18个月），以确定纵向关系 在与性取向相关的拒绝，RS（焦虑和愤怒）和心理健康（抑郁症状）中 以及临床高程，自杀意念和反应性攻击）。此外，参与者将完成6- 一周的经验采样研究（每天4次评估，分为两个3周的爆发），以检查 卢比在日常生活中发生的卢比的后果和后果。这些数据将用于完成三个 具体目的：（1）确定与性取向相关拒绝之间的纵向和每日关系，rs （焦虑和愤怒）和心理健康（抑郁，自杀念头和反应性侵略）； （2）识别 机制（响应拒绝和性取向的社交戒断，自我和其他模仿 隐藏）是卢比与心理健康问题之间的纵向和日常关系的基础； （3） 将与性取向相关的社会支持和接受作为发展的保护因素 卢比。拟议的R01将促进我们对Rs的发展的理解，其后果， 潜在的机制和保护因素将为您的干预措施提供改善SMA心理健康的信息。