ParTy ’n’ Play: Associations Between Sex-Related Substance Use and the Disinhibited Externalizing Spectrum Among Gay and Bisexual Men

IF 4.8 2区医学 Q1 PSYCHIATRY

Clinical Psychological Science Pub Date : 2023-05-06 DOI:10.1177/21677026231158062

C. Rodriguez-Seijas, B. Rogers, Audrey Harkness, S. Safren, J. Pachankis

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引用次数: 2

Abstract

Research suggests sex-related substance use can be conceptualized within the disinhibited externalizing spectrum of psychopathology. However, this research has generally excluded sexual-minority samples. In the current study, we examined the associations between the disinhibited externalizing spectrum and several sex-related substance use domains (i.e., heavy drinking and poppers [alkyl nitrite], cannabis, cocaine, and methamphetamine use) in a clinical sample ( N = 254) of sexual-minority men. Disinhibited externalizing was significantly associated with reporting sex-related cannabis and methamphetamine use versus not and with frequency of sex-related alcohol and cocaine use. These results suggest few and generally weak associations—except for methamphetamine use—between the disinhibited externalizing spectrum and sex-related substance use. Implications for the applicability of dimensional models of psychopathology for sexual-minority populations, future directions for research on sexual behavior and substance use grounded in the specific sociocultural context in which sexual-minority men exist, and transdiagnostic interventions for sex-related substance use are discussed.

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派对和游戏:同性恋和双性恋男性中与性有关的物质使用与解除抑制的外化光谱之间的联系

研究表明，与性有关的物质使用可以在精神病理学的去抑制外化谱中概念化。然而，这项研究通常排除了性少数样本。在当前的研究中，我们在性少数男性的临床样本(N = 254)中检查了去抑制外化谱与几种与性有关的物质使用领域(即大量饮酒和poppers[烷基亚硝酸盐]，大麻，可卡因和甲基苯丙胺的使用)之间的关系。解除抑制的外化与报告是否使用与性有关的大麻和甲基苯丙胺以及使用与性有关的酒精和可卡因的频率显著相关。这些结果表明，除甲基苯丙胺使用外，去抑制外化谱与性相关物质使用之间的联系很少，而且通常很弱。本文讨论了性少数人群心理病理学维度模型适用性的意义，性少数男性存在的特定社会文化背景下性行为和物质使用研究的未来方向，以及性相关物质使用的跨诊断干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Psychological Science Psychology-Clinical Psychology

CiteScore

9.70

自引率

2.10%

发文量

期刊介绍： The Association for Psychological Science’s journal, Clinical Psychological Science, emerges from this confluence to provide readers with the best, most innovative research in clinical psychological science, giving researchers of all stripes a home for their work and a place in which to communicate with a broad audience of both clinical and other scientists.