关键词: Depression Minority stress Non-binary Relationship involvement Suicidality Transgender

来  源:   DOI:10.1016/j.jad.2024.06.062

Abstract:
BACKGROUND: Transgender and non-binary (TNB) individuals are at greater risk of mental health concerns relative to their cisgender peers due to experiences of minority stress. Thus, it is critically important to identify factors that may be protective and buffer the effects of minority stress. This study examined whether romantic relationship involvement and quality buffered effects of TNB minority stress on depressive symptoms and suicidal ideation.
METHODS: A large international sample (n = 1156) of TNB adults (n = 654 partnered; n = 502 single) reported on minority stress experiences, relationship status and quality, and mental health outcomes (i.e., depressive symptoms and suicidal ideation).
RESULTS: The effects of victimization and rejection on depressive symptoms and suicidal ideation were attenuated among partnered individuals. However, once relationship quality was considered, the buffering effects of relationship involvement applied only to those in more satisfying relationships; the stress-buffering effects were not observed among those in distressed relationships. Of particular importance, general interpersonal satisfaction did not act as a minority stress buffer, suggesting there may be unique stress-buffering effects of being in a satisfying romantic relationship on depressive symptoms and suicidal ideation.
CONCLUSIONS: The cross-sectional nature of the current study precludes definitive conclusions regarding causation.
CONCLUSIONS: These findings suggest that romantic involvement may serve a stress-buffering role for TNB adults, but only when these relationships are satisfying. Our results have important theoretical and clinical implications, and further research is needed to investigate the utility of relationship interventions to buffer the effects of TNB minority stress on depressive symptoms and suicidality.
摘要:
背景:由于少数族裔压力的经历,变性人和非二元(TNB)个体相对于顺性人而言,面临更大的心理健康问题风险。因此,确定可能具有保护作用和缓冲少数群体压力影响的因素至关重要。这项研究检查了TNB少数民族压力对抑郁症状和自杀意念的浪漫关系参与和质量缓冲作用。
方法:大量国际样本(n=1156)的TNB成年人(n=654合作;n=502单)报告了少数民族压力经历,关系地位和质量,和心理健康结果(即,抑郁症状和自杀意念)。
结果:在伴侣个体中,受害和排斥对抑郁症状和自杀意念的影响减弱。然而,一旦考虑到关系质量,关系参与的缓冲作用仅适用于关系更令人满意的人;在陷入困境的关系中没有观察到压力缓冲作用。尤其重要的是,一般人际满意度并不充当少数人的压力缓冲,这表明在令人满意的浪漫关系中可能对抑郁症状和自杀意念有独特的压力缓冲作用。
结论:本研究的横断面性质排除了关于因果关系的明确结论。
结论:这些研究结果表明,浪漫的参与可能对成人TNB起到缓解压力的作用,但只有当这些关系令人满意时。我们的研究结果具有重要的理论和临床意义,需要进一步的研究来调查关系干预措施的效用,以缓冲TNB少数民族压力对抑郁症状和自杀倾向的影响。
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