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The effects of family support and smartphone-derived homestay on daily mood and depression among sexual and gender minority adolescents.
Journal of Psychopathology and Clinical Science ( IF 3.1 ) Pub Date : 2024-05-09 , DOI: 10.1037/abn0000917
Alma M Bitran 1 , Aishwarya Sritharan 1 , Esha Trivedi 1 , Fiona Helgren 2 , Savannah N Buchanan 2 , Katherine Durham 1 , Lilian Y Li 2 , Carter J Funkhouser 1 , Nicholas B Allen 3 , Stewart A Shankman 2 , Randy P Auerbach 1 , David Pagliaccio 1
Affiliation  

Sexual and gender minority (SGM) adolescents are at elevated risk for depression. This risk is especially pronounced among adolescents whose home environment is unsupportive or nonaffirming, as these adolescents may face familial rejection due to their identity. Therefore, it is critical to better understand the mechanisms underlying this risk by probing temporally sensitive associations between negative mood and time spent in potentially hostile home environments. The current study included adolescents (N = 141; 43% SGM; 13-18 years old), oversampled for depression history, who completed clinical interviews assessing lifetime psychiatric history and depression severity as well as self-report measures of social support. Participants also installed an app on their personal smartphones, which assessed their daily mood and geolocation-determined mobility patterns over a 6-month follow-up period. Over the 6-month follow-up period, SGM adolescents reported elevated depression severity and lower daily mood relative to non-SGM youth. Interestingly, SGM adolescents who reported low family support experienced lower daily mood than non-SGM adolescents, particularly on days when they spent more time at home. Current findings reinforce evidence for disparities in depression severity among SGM adolescents and highlight family support as a key factor. Specifically, more time spent in home environments with low family support was associated with worse mood among SGM adolescents. These results underscore the need for clinical interventions to support SGM youth, particularly interventions that focus on familial relationships and social support within the home environment. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


家庭支持和智能手机衍生的寄宿家庭对性少数和性别少数青少年日常情绪和抑郁的影响。



性少数和性别少数 (SGM) 青少年患抑郁症的风险较高。这种风险在家庭环境不支持或不肯定的青少年中尤其明显,因为这些青少年可能因其身份而面临家庭排斥。因此,通过探讨负面情绪与在潜在敌对家庭环境中度过的时间之间的时间敏感关联,更好地了解这种风险背后的机制至关重要。目前的研究包括青少年(N = 141;43% SGM;13-18 岁),对抑郁症病史进行过采样,他们完成了评估终生精神病史和抑郁症严重程度以及自我报告的社会支持措施的临床访谈。参与者还在他们的个人智能手机上安装了一个应用程序,该应用程序在 6 个月的随访期内评估他们的日常情绪和地理位置确定的移动模式。在 6 个月的随访期间,与非 SGM 青少年相比,SGM 青少年的抑郁严重程度更高,日常情绪更低。有趣的是,报告家庭支持度较低的 SGM 青少年的日常情绪比非 SGM 青少年低,尤其是在他们在家呆的时间较多的日子里。目前的研究结果强化了 SGM 青少年抑郁严重程度差异的证据,并强调家庭支持是一个关键因素。具体来说,SGM 青少年在缺乏家庭支持的家庭环境中度过的时间越长,情绪就越差。这些结果强调了支持SGM青少年的临床干预措施的必要性,特别是关注家庭环境中的家庭关系和社会支持的干预措施。 (PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2024-05-09
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