社会支持缓冲了内化的同性恋消极情绪对侵入性思想/行为的影响。

IF 3.1 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2025-02-17 DOI:10.1037/hea0001468

Shayna Skakoon-Sparling, Susan Chow, Paolo A Palma, Barry Adam, Nicole Elkington, Milada Dvorakova, Douglas W Hanes, Terri H Zhang, Daniel Grace, Jody Jollimore, Darrell H S Tan, Trevor A Hart

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引用次数: 0

摘要

目的：在男同性恋、双性恋和其他与男性发生性关系的男性中，侵入性思想/行为（即对自己的性冲动或性行为感到痛苦）与抑郁和参与增加性传播感染风险的行为有关。本研究旨在探讨内化同性恋负性与侵入性思想/行为的关系、抑郁症状的干预作用以及社会支持的潜在缓冲作用。此外，我们通过检查侵入性思想/行为与近期细菌性传播感染诊断之间的关系，建立了与身体健康结果的后续联系。方法：使用来自三个时间点的参与者数据（n = 1,046），我们进行了有调节的中介分析和逻辑回归。结果：内化同性恋负性得分越高，有条件地预测1年后侵犯性思想/行为越严重；内化同性恋负性得分越高，社会支持越低，侵犯性思想/行为越严重，β = 0.08, SE = 0.02, p < 0.001, 95%可信区间（CI）[0.04, 0.13]。抑郁症状越严重，侵入性思想/行为越严重（β = 0.02, SE = 0.01, p = 0.011, 95% CI[0.01, 0.03]）。最后，侵入性思想/行为与近期细菌性性传播感染诊断之间存在显著关联（OR = 1.68, p < 0.001, 95% CI[1.30, 2.16]）。结论：鉴于社会支持减轻了内化同性恋负面情绪对侵入性思想/行为的影响，最终间接减少了该人群中细菌性传播感染的发生，这些研究结果表明，社会心理因素是改善同性恋、双性恋和其他男男性行为者健康的潜在干预目标。（PsycInfo Database Record (c) 2025 APA，版权所有）。

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Social-support buffers the effect of internalized homonegativity on intrusive sexual thoughts/behaviors.

Objective: Among gay, bisexual, and other men who have sex with men, intrusive sexual thoughts/behaviors (i.e., distress about one's sexual urges or behaviors) are associated with depression and engagement in behavior that increases the risk for sexually transmitted infections (STIs). The present study examines the association between internalized homonegativity and intrusive sexual thoughts/behaviors, the intervening effect of depression symptoms, and the potential buffering effect of social support. Furthermore, we establish the subsequent link with physical health outcomes by examining the association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis.

Method: Using participant data (n = 1,046) from three time points, we conducted a moderated mediation analysis and logistic regression.

Results: Higher internalized homonegativity scores conditionally predicted greater intrusive sexual thoughts/behaviors 1 year later: participants with higher internalized homonegativity scores reported more severe intrusive sexual thoughts/behaviors if they also had lower social support, β = .08, SE = 0.02, p < .001, 95% confidence interval (CI) [0.04, 0.13]. More severe depression symptoms were also directly associated with greater intrusive sexual thoughts/behaviors (β = .02, SE = 0.01, p = .011, 95% CI [0.01, 0.03]). Finally, there was a significant association between intrusive sexual thoughts/behaviors and recent bacterial STI diagnosis (OR = 1.68, p < .001, 95% CI [1.30, 2.16]).

Conclusion: Given that social support mitigated the impact of internalized homonegativity on intrusive sexual thoughts/behaviors, ultimately indirectly reducing the occurrence of bacterial STIs in this population, these findings demonstrate the utility of psychosocial factors as potential intervention targets for improving the health of gay, bisexual, and other men who have sex with men. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.