期刊
JOURNAL OF COUNSELING PSYCHOLOGY
卷 62, 期 3, 页码 425-437出版社
AMER PSYCHOLOGICAL ASSOC
DOI: 10.1037/cou0000088
关键词
sexual minorities; minority stress; shame; mental health; physical health
资金
- Malyon-Smith Scholarship Award from the Society for the Psychological Study of Lesbian, Gay, Bisexual and Transgender Issues of the American Psychological Association
- Boston College Lynch School of Education Summer Dissertation Development Grant
- National Institute on Drug Abuse at the National Institutes of Health [T32DA016184]
Sexual minorities (e. g., lesbians, gay men, bisexual individuals) are at an increased risk for poorer mental and physical health outcomes than heterosexuals, and some of these health disparities relate to minority stressors such as discrimination. Yet, there is little research elucidating pathways that predict health or that promote resiliency among sexual minorities. Building on the minority stress model, the present study utilized relational cultural theory to situate sexual minority health within a relational framework. Specifically, the study tested mediators of the relationships between distal (i. e., discrimination, rejection, victimization) and proximal stressors (i. e., internalized homophobia, sexual orientation concealment) and psychological and physical distress for sexual minorities. Among 719 sexual minority adults, structural equation modeling analyses were used to test 4 models reflecting the mediating effects of shame, poorer relationships with a close peer and the lesbian/gay/bisexual/transgender (LGBT) community, and loneliness on the associations between minority stressors and psychological distress (i. e., depression and anxiety) and physical distress (i. e., distressing physical symptoms). As hypothesized, the associations between distal and proximal minority stressors and distress were mediated by shame, poorer relationships with a close peer and the LGBT community, and loneliness. Findings underscore the possible relational and interpersonal mechanisms by which sexual minority stressors lead to psychological and physical distress.
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