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Prospective examination of mechanisms linking minority stress and anxious/depressed affect at the event level: The roles of emotion regulation strategies and proximal minority stressors.
Journal of Psychopathology and Clinical Science ( IF 3.1 ) Pub Date : 2023-12-14 , DOI: 10.1037/abn0000882
Christina Dyar 1
Affiliation  

BACKGROUND While studies have linked sexual minority stress with anxious/depressed affect, few studies have prospectively examined how mechanistic processes linking minority stress and anxious/depressed affect unfold in near-real time. Furthermore, studies of mechanisms have focused exclusively on rumination and proximal minority stressors (e.g., internalized stigma). This limits our understanding of other potential mechanisms, such as decreases in the use of reappraisal and reflection, strategies associated with reducing anxious/depressed affect. METHOD We used data from a 30-day ecological momentary assessment study with 429 sexual minority women and gender diverse sexual minorities assigned female at birth to determine whether concurrent and prospective event-level associations between minority stress and anxious/depressed affect were mediated by changes in six emotion regulation strategies, perceived coping efficacy, and proximal stressors. RESULTS In partially lagged analyses, when individuals experienced enacted or internalized stigma, they reported increased rumination and expressive suppression on the same day, which predicted increases in anxious/depressed affect into the next day. Decreases in reappraisal also mediated partially lagged associations between internalized stigma and anxious/depressed affect. Fully lagged mediation was only demonstrated for rumination as a mechanism linking internalized stigma with anxious/depressed affect. We found concurrent evidence for other mechanisms (i.e., perceived coping efficacy, reflection, internalized stigma, and rejection sensitivity). CONCLUSIONS Results provided support for the roles of rumination and expressive suppression as mechanisms of linking minority stress and anxious/depressed affect. The concurrent evidence for other mechanisms suggests that future research with more temporal resolution is necessary to determine the temporality and directionality of these associations. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


在事件层面对少数群体压力与焦虑/抑郁情绪之间的联系机制进行前瞻性研究:情绪调节策略和近端少数群体压力源的作用。



背景虽然研究将性少数压力与焦虑/抑郁情绪联系起来,但很少有研究前瞻性地研究了少数群体压力与焦虑/抑郁情绪之间联系的机制过程如何近乎实时地展开。此外,机制研究仅集中于沉思和近端少数压力源(例如,内在的耻辱)。这限制了我们对其他潜在机制的理解,例如减少重新评估和反思的使用,以及与减少焦虑/抑郁情绪相关的策略。方法 我们使用了一项为期 30 天的生态瞬时评估研究的数据,该研究涉及 429 名性少数群体女性和出生时指定为女性的性别多样化性少数群体,以确定少数群体压力与焦虑/抑郁情绪之间的并发和前瞻性事件水平关联是否是由六种情绪调节策略、感知应对效能和近端压力源。结果在部分滞后的分析中,当个体经历了上演或内化的耻辱时,他们报告在同一天的沉思和表达抑制增加,这预示着第二天的焦虑/抑郁情绪会增加。重新评估的减少也介导了内在耻辱与焦虑/抑郁情绪之间的部分滞后关联。完全滞后的中介仅在沉思中被证明是一种将内在耻辱与焦虑/抑郁情绪联系起来的机制。我们发现了其他机制的同时证据(即感知的应对功效、反思、内在的耻辱和拒绝敏感性)。结论 结果支持了沉思和表达抑制作为连接少数压力和焦虑/抑郁情绪的机制的作用。 其他机制的同时证据表明,未来需要更高时间分辨率的研究来确定这些关联的时间性和方向性。 (PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2023-12-14
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