在性和性别少数群体中,社会支持和内化心理病理:一个元分析
Benjamin A Katz1, Mertcan Mutlu2, Atulya Arya Kharbanda3
1School of Psychological Sciences, Haifa University, Israel; Department of Psychology, Stony Brook University, United States of America.
Clinical psychology review
|December 9, 2025
概括
社会支持与性和性别少数群体 (SGM) 个人更好的心理健康有关. 这次元分析发现,在SGM人群中,增加的社会支持与减少的内化精神病理,特别是抑郁症相关.
科学领域:
- 心理学 心理学 心理学
- 社会学 社会学 社会学
- 公共卫生 公共卫生
背景情况:
- 性和性别少数群体 (SGM) 个人因耻辱而面临重大的社会压力因素.
- 假设社会支持可以缓冲这些压力因素并增强心理性.
- 以前的研究表明,在SGM人群中,社会支持和心理健康结果之间存在联系.
研究的目的:
- 量化评估各种形式的社会支持与SGM个体内部化精神病理之间的关联.
- 检查这种关联的潜在调节者,包括SGM身份,研究地点和特定的精神病理措施.
主要方法:
- 一个预先注册的对253项研究的元分析,共有111,188名参与者.
- 包括报告社会支持 (家庭,同龄人,伴侣,学校,工作) 和内化精神病理 (抑郁,焦虑,自我伤害,自杀倾向) 之间的关联的研究.
- 分析了效果大小和探索了调节者,如样本人口统计和结构性耻辱.
主要成果:
- 在SGM个体中,在社会支持和内化心理病理之间发现了一个小的负面总体关联 (r = -0.26).
- 这种关联在抑郁症中最强 (r = -0.29),在自杀倾向中最弱 (r = -0.17).
- 在欧洲研究中,在结构性耻辱性较高的地区发现了更大的效应,而对于具有更多双性恋个体的样本或使用SGM特定措施时,效应较小.
结论:
- 所有形式的社会支持都与SGM个体的内化精神病理学水平较低有关,尽管程度较小.
- 社会支持在减少抑郁症状方面显得特别有益.
- 调查结果在人口因素和SGM身份方面是一致的,没有证据表明出版偏见.
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