Publikationsserver der Universitätsbibliothek Marburg

Titel:Minderheitenstress und psychische Gesundheit von Lesben, Schwulen und Bisexuellen
Autor:Sattler, Frank Alexander
Weitere Beteiligte: Christiansen, Hanna (Prof. Dr.)
Veröffentlicht:2018
URI:https://archiv.ub.uni-marburg.de/diss/z2018/0109
DOI: https://doi.org/10.17192/z2018.0109
URN: urn:nbn:de:hebis:04-z2018-01099
DDC: Psychologie
Titel (trans.):Minority stress and mental health of lesbians, gay men, and bisexual individuals
Publikationsdatum:2019-05-23
Lizenz:https://rightsstatements.org/vocab/InC-NC/1.0/

Dokument

Schlagwörter:
Bisexuelle, gay men, psychische Gesundheit, bisexual individuals, mental health, lesbians, Lesben, Schwule, minority stress, Minderheitenstress

Zusammenfassung:
Einleitung: Laut dem Minderheitenstressmodell (Meyer, 2003) sagt eine lesbische, schwule oder bisexuelle Orientierung, mediiert über Minderheitenstressoren, psychische Symptome vorher. Das Modell wird durch eine Vielzahl westlicher Studien gestützt. Die vornehmlichen Ziele des Kumulus sind es, in Deutschland erstmalig auf Prävalenzunterschiede zwischen Lesben, Schwulen und Bisexuellen (LSB) versus Heterosexuellen zu testen sowie Zusammenhänge zwischen Minderheitenstress und psychischen Symptomen zu überprüfen. Methode: Es wurden vier Manuskripte erstellt, die Daten aus vier Ad-hoc-Stichproben sexueller Minderheiten, einer heterosexuellen Ad-hoc-Stichprobe und einer repräsentativen, männlichen Stichprobe untersuchten. Die Datenanalysen wurden mit IBM SPSS Statistics 22 und 24 durchgeführt. Ergebnisse: LSB gaben mehr psychische Symptome als Heterosexuelle an. Eine minoritäre sexuelle Identität sagte Minderheitenstress bzw. sexuellen Identitätsstress vorher, während dieser wiederum psychische Symptome bedingte. Gruppenbezogenes Coping und soziale Unterstützung moderierten die Zusammenhänge nicht. Zudem berichtete ein kleiner Anteil Heterosexueller von erlebtem sexuellem Identitätsstress. Diskussion: Der Kumulus bestätigt mehrere Vorhersagen des Minderheitenstressmodells und widerlegt andere. Ein adaptiertes Minderheitenstressmodell wird vorgestellt, das durch zukünftige Studien überprüft werden sollte. Minderheitenstress sollte flächendeckend verringert werden, um die psychische Gesundheit von LSB zu erhöhen.

Bibliographie / References

  1. Bachmann, A. S., & Simon, B. (2014). Society matters: The mediational role of social recognition in the relationship between victimization and life satisfaction among gay men. European Journal of Social Psychology, 44, 195-201. doi:10.1002/ejsp.2007
  2. Peterson, J. L., Folkman, S., & Bakeman, R. (1996). Stress, coping, HIV status, psychosocial resources, and depressive mood in African American gay, bisexual, and heterosexual men. American Journal of Community Psychology, 24, 461-487. doi:10.1007/ BF02506793
  3. Barnes, D. M., Hatzenbuehler, M. L., Hamilton, A. D., & Keyes, K. M. (2014). Sexual orientation disparities in mental health: The moderating role of educational attainment. Social Psychiatry and Psychiatric Epidemiology, 49, 1447-1454. doi:10.1007/s00127- 014-0849-5
  4. Silverstein, C. (2009). The implications of removing homosexuality from the DSM as a mental disorder. Archives of Sexual Behavior, 38, 161-163. doi:10.1007/s10508-008- 9442-x
  5. Pachankis, J. E. (2015). A transdiagnostic minority stress treatment approach for gay and bisexual men's syndemic health conditions. Archives of Sexual Behavior, 44, 1843- 1860. doi:10.1007/s10508-015-0480-x
  6. Sandfort, T., Bos, H., Knox, J., & Reddy, V. (2016). Gender nonconformity, discrimination, and mental health among black South African men who have sex with men: A further exploration of unexpected findings. Archives of Sexual Behavior, 45, 661-670. doi:10.1007/s10508-015-0565-6.Gender
  7. Sexual minority-related victimization as a mediator of mental health disparities in sexual minority youth: A longitudinal analysis. Journal of Youth and Adolescence, 42, 394-402. doi:10.1007/s10964-012-9901-5
  8. Disparities in depressive symptoms between heterosexual and lesbian, gay, and bisexual youth in a Dutch cohort: The TRAILS study. Journal of Youth and Adolescence, 45, 1- 17. doi:10.1007/s10964-015-0403-0
  9. Vandervoort, D. (1999). Quality of social support in mental and physical health. Current Psychology, 18, 205-221. doi:10.1007/s12144-999-1029-8
  10. Hatzenbuehler, M. L., & McLaughlin, K. A. (2014). Structural stigma and hypothalamic- pituitary-adrenocortical axis reactivity in lesbian, gay, and bisexual young adults. Annals of Behavioral Medicine, 47, 39-47. doi:10.1007/s12160-013-9556-9
  11. Juster, R.-P., Hatzenbuehler, M. L., Mendrek, A., Pfaus, J. G., Smith, N. G., Johnson, P. J., … Pruessner, J. C. (2015). Sexual orientation modulates endocrine stress reactivity. Biological Psychiatry, 77, 668-676. doi:10.1016/j.biopsych.2014.08.013
  12. Myrick, J. G. (2015). Emotion regulation, procrastination, and watching cat videos online: Who watches Internet cats, why, and to what effect? Computers in Human Behavior, 52, 168-176. https://doi.org/10.1016/j.chb.2015.06.001
  13. Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30, 1019-1029. doi:10.1016/j.cpr.2010.07.003
  14. Matthews-Ewald, M. R., Zullig, K. J., & Ward, R. M. (2014). Sexual orientation and disordered eating behaviors among self-identified male and female college students. Eating Behaviors, 15, 441-444. doi:10.1016/j.eatbeh.2014.05.002
  15. Wang, J., Dey, M., Soldati, L., Weiss, M. G., Gmel, G., & Mohler-Kuo, M. (2014). Psychiatric disorders, suicidality, and personality among young men by sexual orientation. European Psychiatry, 29, 514-522. doi:10.1016/j.eurpsy.2014.05.001
  16. Eldahan, A. I., Pachankis, J. E., Rendina, H. J., Ventuneac, A., Grov, C., & Parsons, J. T. (2016). Daily minority stress and affect among gay and bisexual men: A 30-day diary study. Journal of Affective Disorders, 190, 828-835. doi:10.1016/j.jad.2015.10.066
  17. Juster, R.-P., McEwen, B. S., & Lupien, S. J. (2010). Allostatic load biomarkers of chronic stress and impact on health and cognition. Neuroscience and Biobehavioral Reviews, 35, 2-16. doi:10.1016/j.neubiorev.2009.10.002
  18. Meyer, I. H., Schwartz, S., & Frost, D. M. (2008). Social patterning of stress and coping: Does disadvantaged social statuses confer more stress and fewer coping resources? Social Science and Medicine, 67, 368-379. doi:10.1016/j.socscimed.2008.03.012
  19. Logie, C. H., Newman, P. A., Chakrapani, V., & Shunmugam, M. (2012). Adapting the minority stress model: Associations between gender non-conformity stigma, HIV-related stigma and depression among men who have sex with men in South India. Social Science & Medicine, 74, 1261-1268. doi:10.1016/j.socscimed.2012.01.008
  20. Hatzenbuehler, M. L., Bellatorre, A., Lee, Y., Finch, B. K., Muennig, P., & Fiscella, K. (2014). Structural stigma and all-cause mortality in sexual minority populations. Social Science and Medicine, 103, 33-41. doi:10.1016/j.socscimed.2013.06.005
  21. Pachankis, J. E., Hatzenbuehler, M. L., & Starks, T. J. (2014). The influence of structural stigma and rejection sensitivity on young sexual minority men's daily tobacco and alcohol use. Social Science and Medicine, 103, 67-75. doi:10.1016/j.socscimed.2013.10. 005
  22. Ullrich, P. M., Lutgendorf, S. K., & Stapleton, J. T. (2003). Concealment of homosexual identity, social support and CD4 cell count among HIV-seropositive gay men. Journal of Psychosomatic Research, 54, 205-212. doi:10.1016/S0022-3999(02)00481-6
  23. Frisell, T., Lichtenstein, P., Rahman, Q., & Långström, N. (2010). Psychiatric morbidity associated with same-sex sexual behaviour: Influence of minority stress and familial factors. Psychological Medicine, 40, 315-324. doi:10.1017/S0033291709005996
  24. Fergusson, D. M., McLeod, G. F. H., Horwood, L. J., Swain, N. R., Chapple, S., & Poulton, R. (2015). Life satisfaction and mental health problems (18 to 35 years). Psychological Medicine, 45, 2427-2436. doi:10.1017/S0033291715000422
  25. American Psychological Association. (2011). Guidelines for psychological practice with lesbian, gay, and bisexual clients. American Psychologist, 67, 10-42. doi:10.1037/ a0024659
  26. Miller, G. A., & Chapman, J. P. (2001). Misunderstanding analysis of covariance. Journal of Abnormal Psychology, 110, 40-48. doi:10.1037//0021-843X.110.1.40
  27. Balsam, K. F., Beauchaine, T. P., Mickey, R. M., & Rothblum, E. D. (2005). Mental health of lesbian, gay, bisexual, and heterosexual siblings: Effects of gender, sexual orientation, and family. Journal of Abnormal Psychology, 114, 471-476. doi:10.1037/0021-843X.
  28. Zakalik, R. A., & Wei, M. (2006). Adult attachment, perceived discrimination based on sexual orientation, and depression in gay males: Examining the mediation and moderation effects. Journal of Counseling Psychology, 53, 302-313. doi:10.1037/0022-
  29. Pachankis, J. E., Goldfried, M. R., & Ramrattan, M. E. (2008). Extension of the rejection sensitivity construct to the interpersonal functioning of gay men. Journal of Consulting and Clinical Psychology, 76, 306-317. doi:10.1037/0022-006X.76.2.306
  30. Szymanski, D. M. (2009). Examining potential moderators of the link between heterosexist events and gay and bisexual men's psychological distress. Journal of Counseling Psychology, 56, 142-151. doi:10.1037/0022-0167.56.1.142
  31. Sarason, I. G., Levine, H. M., Basham, R. B., & Sarason, B. R. Assessing social support: The social support questionnaire. Journal of Personality and Social Psychology, 44, 127-139. doi:10.1037/0022-3514.44.1.127
  32. Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence. Psychological Bulletin, 129, 674- 697. doi:10.1037/0033-2909.129.5.674
  33. Peirce, R. S., Frone, M. R., Russell, M., Cooper, M. L., & Mudar, P. (2000). A longitudinal model of social contact, social support, depression, and alcohol use. Health Psychology, 19, 28-38. doi:10.1037/0278-6133.19.1.28
  34. Rostosky, S. S., Riggle, E. D. B., Horne, S. G., & Miller, A. D. (2009). Marriage amendments MINDERHEITENSTRESS UND PSYCHISCHE GESUNDHEIT and psychological distress in lesbian, gay, and bisexual (LGB) adults. Journal of Counseling Psychology, 56, 56-66. doi:10.1037/a0013609
  35. Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009). Internalized stigma among sexual minority adults: Insights from a social psychological perspective. Journal of Counseling Psychology, 56, 32-43. doi:10.1037/a0014672
  36. Kuyper, L., & Fokkema, T. (2011). Minority stress and mental health among Dutch LGBs: Examination of differences between sex and sexual orientation. Journal of Counseling Psychology, 58, 222-233. doi:10.1037/a0022688
  37. Schmitt, M. T., Branscombe, N. R., Postmes, T., & Garcia, A. (2014). The consequences of perceived discrimination for psychological well-being: A meta-analytic review. Psychological Bulletin, 140, 921-948. doi:10.1037/a0035754
  38. LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach. Journal of Consulting and Clinical Psychology, 83, 875-889. doi:10.1037/ccp0000037
  39. Pachankis, J. E., Cochran, S. D., & Mays, V. M. (2015). The mental health of sexual minority adults in and out of the closet: A population-based study. Journal of Consulting and Clincal Psychology, 83, 890-901. doi:10.1037/ccp0000047
  40. Mohr, J. J., & Sarno, E. L. (2016). The ups and downs of being lesbian, gay, and bisexual: A daily experience perspective on minority stress and support processes. Journal of Counseling Psychology, 63, 106-118. doi:10.1037/cou0000125
  41. A minority stress-emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men. Health Psychology, 34, 829-840. doi:10.1037/hea0000180
  42. Fredriksen-Goldsen, K. I., Simoni, J. M., Kim, H.-J., Lehavot, K., Walters, K. L., Yang, J., & Hoy-Ellis, C. P. (2014). The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities. American Journal of Orthopsychiatry, 84, 653-663. doi:10.1037/ort0000030
  43. Hatzenbuehler, M. L., Bränström, R., & Pachankis, J. E. (2016). Societal-level explanations for reductions in sexual orientation mental health disparities: Results from a ten-year, population-based study in Sweden. Stigma and Health. doi:10.1037/sah0000066
  44. Eaton, N. R. (2014). Transdiagnostic psychopathology factors and sexual minority mental health: Evidence of disparities and associations with minority stressors. Psychology of Sexual Orientation and Gender Diversity, 1, 244-254. doi:10.1037/sgd0000048
  45. Herek, G. M. (2017). Documenting hate crimes in the United States: Some considerations on data sources. Psychology of Sexual Orientation and Gender Diversity, 4, 143-151. https://doi.org/10.1037/sgd0000227
  46. Reisner, S. L., Greytak, E. A., Parsons, J. T., & Ybarra, M. (2015). Gender minority social stress in adolescence: Disparities in adolescent bullying and substance use by gender identity. Journal of Sex Research, 52, 243-256. doi:10.1080/00224499.2014.886321
  47. Conlin, S. E., Douglass, R. P., & Ouch, S. (2017). Discrimination, subjective well-being, and the role of gender: A mediation model of LGB minority stress. Journal of Homosexuality, 1-22. doi:10.1080/00918369.2017.1398023
  48. Alessi, E. J., Martin, J. I., Gyamerah, A., & Meyer, I. H. (2013). Prejudice events and traumatic stress among heterosexuals and lesbians, gay men and bisexuals. Journal of Aggression, Maltreatment & Trauma, 22, 1-14. doi:10.1080/10926771.2013.785455
  49. Austin, A., & Craig, S. L. (2015). Empirically supported interventions for sexual and gender minority youth. Journal of Evidence-Informed Social Work, 12, 567-578. doi:10.1080/ 15433714.2014.884958
  50. Berg, R. C., Lemke, R., & Ross, M. W. (2017). Sociopolitical and cultural correlates of internalized homonegativity in gay and bisexual men: Findings from a global study. International Journal of Sexual Health, 29, 97-111. doi:10.1080/19317611.2016. 1247125
  51. Mendelson, G. (2003). Homosexuality and psychiatric nosology. Australian and New Zealand Journal of Psychiatry, 37, 678-683. doi:10.1080/j.1440-1614.2003.01273.x
  52. Mediating effects of social support and internalized homonegativity on the association between population density and mental health among gay and bisexual men. LGBT Health, 4, 352-359. doi:10.1089/lgbt.2017.0002
  53. Shilo, G., & Mor, Z. (2014). The impact of minority stressors on the mental and physical health of lesbian, gay, and bisexual youths and young adults. Health & Social Work, 39, 161-171. doi:10.1093/hsw/hlu023
  54. Hatzenbuehler, M. L., Keyes, K. M., & McLaughlin, K. A. (2011). The protective effects of social/contextual factors on psychiatric morbidity in LGB populations. International Journal of Epidemiology, 40, 1071-1080. doi:10.1093/ije/dyr019
  55. Colledge, L., Hickson, F., Reid, D., & Weatherburn, P. (2015). Poorer mental health in UK bisexual women than lesbians: Evidence from the UK 2007 Stonewall Women's Health Survey. Journal of Public Health, 37, 427-437. doi:10.1093/pubmed/fdu105
  56. Juster, R.-P., Smith, N. G., Ouellet, É., Sindi, S., & Lupien, S. J. (2013). Sexual orientation and disclosure in relation to psychiatric symptoms, diurnal cortisol, and allostatic load. Psychosomatic Medicine, 75, 103-116. doi:10.1097/PSY.0b013e3182826881
  57. Herek, G. M., Cogan, J. C., & Gillis, J. R. (2002). Victim experiences in hate crimes based on sexual orientation. Journal of Social Issues, 58, 319-339. doi:10.1111/1540-4560.00263
  58. Szymanski, D. M., & Owens, G. P. (2008). Do coping styles moderate or mediate the relationship between internalized heterosexism and sexual minority women's psychological distress? Psychology of Women Quarterly, 32, 95-104. doi:10.1111/j. 1471-6402.2007.00410.x
  59. Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does stigma "get under the skin"?: The mediating role of emotion regulation. Psychological Science, 20, 1282-1289. doi:10.1111/j.1467-9280.2009.02441.x
  60. Szymanski, D. M., & Owens, G. P. (2009). Group-level coping as a moderator between heterosexism and sexism and psychological distress in sexual minority women. Psychology of Women Quarterly, 33, 197-205. doi:10.1111/j.1471-6402.2009.01489.x
  61. Shilo, G., & Savaya, R. (2012). Mental health of lesbian, gay, and bisexual youth and young adults: Differential effects of age, gender, religiosity, and sexual orientation. Journal of Research on Adolescence, 22, 310-325. doi:10.1111/j.1532-7795.2011.00772.x
  62. McEwen, B. S., & Seeman, T. (1999). Protective and damaging effects of mediators of stress: Elaborating and testing the concepts of allostasis and allostatic load. Annals of the New York Academy of Sciences, 896, 30-47. doi:10.1111/j.1749-6632.1999.tb08103.x
  63. Szymanski, D. M., & Sung, M. R. (2010). Minority stress and psychological distress among Asian American sexual minority persons. Counseling Psychologist, 38, 848-872. doi:10.1177/0011000010366167
  64. Stürmer, S., & Simon, B. (2004). The role of collective identification in social movement participation: A panel study in the context of the German gay movement. Personality and Social Psychology Bulletin, 30, 263-277. doi:10.1177/0146167203256690
  65. Bolton, S.-L., & Sareen, J. (2011). Sexual orientation and its relation to mental disorders and suicide attempts: Findings from a nationally representative sample. Canadian Journal of Psychiatry, 56, 35-43. doi:10.1177/070674371105600107
  66. Hatzenbuehler, M. L. (2014). Structural stigma and the health of lesbian, gay, and bisexual populations. Current Directions in Psychological Science, 23, 127-132. doi:10.1177/ 0963721414523775
  67. Semlyen, J., King, M., Varney, J., & Hagger-Johnson, G. (2016). Sexual orientation and symptoms of common mental disorder or low wellbeing: Combined meta-analysis of 12 UK population health surveys. BMC Psychiatry, 16, 1-9. https://doi.org/10.1186/s12888- 016-0767-z
  68. van der Star, A., & Bränström, R. (2015). Acceptance of sexual minorities, discrimination, social capital and health and well-being: A cross-European study among members of same-sex and opposite-sex couples. BMC Public Health, 15, 1-11. doi:10.1186/s12889- 015-2148-9
  69. Xu, W., Zheng, L., Xu, Y., & Zheng, Y. (2017). Internalized homophobia, mental health, sexual behaviors, and outness of gay/bisexual men from Southwest China. International Journal for Equity in Health, 16, 1-10. doi:10.1186/s12939-017-0530-1
  70. Jorm, A. F., Korten, A. E., Rodgers, B., Jacomb, P. A., & Christensen, H. (2002). Sexual orientation and mental health: Results from a community survey of young and middle- aged adults. British Journal of Psychiatry, 180, 423-427. doi:10.1192/bjp.180.5.423
  71. Chakraborty, A., McManus, S., Brugha, T. S., Bebbington, P., & King, M. (2011). Mental health of the non-heterosexual population of England. British Journal of Psychiatry, 198, 143-148. doi:10.1192/bjp.bp.110.082271
  72. Mayfield, W. (2001). The development of an internalized homonegativity inventory for gay men. Journal of Homosexuality, 41, 53-76. doi:10.1300/J082v41n02_04
  73. Ellis, S. J., Kitzinger, C., & Wilkonson, S. (2002). Attitudes towards lesbians and gay men and support for lesbian and gay human rights among psychology students. Journal of Homosexuality, 44, 121-138. doi:10.1300/J082v44n01
  74. Morrison, T. G., & Bearden, A. G. (2007). The construction and validation of the homopositivity scale: An instrument measuring endorsement of positive stereotypes about gay men. Journal of Homosexuality, 52, 63-89. doi:10.1300/J082v52n03_04
  75. Lewis, R. J., Derlega, V. J., Griffin, J. L., & Krowinski, A. C. (2003). Stressors for gay men and lesbians: Life stress, gay-related stress, stigma consciousness, and depressive symptoms. Journal of Social and Clinical Psychology, 22, 716-729. doi:10.1521/jscp.22. 6.716.22932
  76. Hatzenbuehler, M. L., McLaughlin, K. A., Keyes, K. M., & Hasin, D. S. (2010). The impact of institutional discrimination on psychiatric disorders in lesbian, gay, and bisexual populations: A prospective study. American Journal of Public Health, 100, 452-459. doi:10.2105/AJPH.2009.168815
  77. Roberts, A. L., Austin, S. B., Corliss, H. L., Vandermorris, A. K., & Koenen, K. C. (2010). Pervasive trauma exposure among US sexual orientation minority adults and risk of posttraumatic stress disorder. American Journal of Public Health, 100, 2433-2441. doi:10.2105/AJPH.2009.168971
  78. Disparities in health-related quality of life: A comparison of lesbians and bisexual women. American Journal of Public Health, 100, 2255-2261. doi:10.2105/AJPH.2009. 177329
  79. Fredriksen-Goldsen, K. I., Kim, H.-J., Barkan, S. E., Muraco, A., & Hoy-Ellis, C. P. (2013). Health disparities among lesbians, gay, and bisexual older adults: Results from a population-based study. American Journal of Public Health, 103, 1802-1809. doi:10. 2105/AJPH.2012.301110.Health
  80. Mays, V. M., & Cochran, S. D. (2001). Mental health correlates of perceived discrimination among lesbian, gay, and bisexual adults in the United States. American Journal of Public Health, 91, 1869-1876. doi:10.2105/AJPH.91.11.1869
  81. Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities: A systematic review. International Review of Psychiatry, 27, 367-385. doi:10.3109/09540261.2015.1083949
  82. Bradley, B., DeFife, J. A., Guarnaccia, C., Phifer, J., Fani, N., Ressler, K. J., & Westen, D. (2011). Emotion dysregulation and negative affect: Association with psychiatric symptoms. Journal of Clinical Psychiatry, 72, 685-691. doi:10.4088/JCP.10m06409blu
  83. Acock, A. C. (2008). A Gentle Introduction to Stata (2nd ed.). College Station, TX: Stata Press.
  84. Cohen, J. (1992). A power primer. Psychological Bulletin, 112, 155-159.
  85. King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 1-17.
  86. Eldahan, A. I., Pachankis, J. E., Rendina, H. J., Ventuneac, A., Grov, C., & Parsons, J. T. (2016). Daily minority stress and affect among gay and bisexual men: A 30-day diary study. Journal of Affective Disorders, 190, 828-835.
  87. Sell, R. L. (2007). Defining and measuring sexual orientation for research. In I. H. Meyer & M. E. Northridge (Eds.), The Health of Sexual Minorities (pp. 355-374). New York, US: Springer.
  88. Sattler, F. A. (2016). Die psychische Gesundheit von Lesben, Schwulen und Bisexuellen. In Rosa Strippe e. V. (Ed.), Ausgrenzung -Verfolgung -Akzeptanz: Festschrift zum 35. Geburtstag des Vereins Rosa Strippe. Hamburg, Germany: Marta Press.
  89. Bostwick, W. B., Boyd, C. J., Hughes, T. L., & McCabe, S. E. (2010). Dimensions of sexual orientation and the prevalence of mood and anxiety disorders in the United States.
  90. Sattler, F. A. (2014). Diskriminierung von Schwulen und die Entstehung psychischer Probleme: Der Einfluss von Minderheitenstress auf die psychische Gesundheit deutschsprachiger Schwuler (Diplomarbeit). Philipps University Marburg, Marburg.
  91. Herek, G. M., & Berrill, K. T. (1992). Documenting the victimization of lesbians and gay men: Methodological issues. In G. M. Herek & K. T. Berrill (Eds.), Hate Crimes: Confronting Violence against Lesbians and Gay Men (pp. 270-286). Newbury Park, CA: Sage.
  92. Herek, G. M., & Berrill, K. T. (1992). Documenting the victimization of lesbians and gay men: Methodological issues. In G. M. Herek & K. T. Berrill (Eds.), Hate Crimes: Confronting Violence against Lesbians and Gay Men (pp. 270-286). Newbury Park, CA: Sage.
  93. Sattler, F. A., Zeyen, J., & Christiansen, H. (2017). Does sexual identity stress mediate the association between sexual identity and mental health? Psychology of Sexual Orientation and Gender Diversity, 4, 296-303.
  94. Ritter, K. Y., & Terndrup, A. I. (2002). Handbook of Affirmative Psychotherapy with Lesbians and Gay Men. New York, US: Guilford Press.
  95. Herek, G. M., & Glunt, E. K. (1995). Identity and community among gay and bisexual men in the AIDS era: Preliminary findings from the Sacramento Men's Health Study. In G. M.
  96. Newcomb, M. E., & Mustanski, B. (2010). Internalized homophobia and internalizing mental health problems: A meta-analytic review. Clinical Psychology Review, 30, 1019-1029.
  97. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York, US: Guilford Press.
  98. Knaup, H. (2011, December 7). Jagd auf Homosexuelle in Südafrika: Gefoltert, vergewaltigt, erschlagen [Hunting of homosexuals in South Africa: Tortured, raped, beaten to death].
  99. Sattler, F. A., Franke, G. H., & Christiansen, H. (2017). Mental health differences between German gay and bisexual men and population-based controls. BMC Psychi atry, 17, 1-7.
  100. Plöderl, M., & Tremblay, P. (2015). Mental health of sexual minorities: A systematic review. International Review of Psychiatry, 27, 367-385.
  101. Kuyper, L., & Fokkema, T. (2011). Minority stress and mental health among Dutch LGBs: EFFECT OF READING ABOUT ENACTED STIGMA 17
  102. Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38-56.
  103. Frisell, T., Lichtenstein, P., Rahman, Q., & Långström, N. (2010). Psychiatric morbidity associated with same-sex sexual behaviour: Influence of minority stress and familial factors. Psychological Medicine, 40, 315-324.
  104. American Psychological Association. (2010). Publication Manual of the American Psychological Association (6th ed.). Washington, DC: American Psychological Association.
  105. Chandra, A., Mosher, W. D., Copen, C., & Sionean, C. (2011). Sexual behavior, sexual attraction, and sexual identity in the United States: Data from the 2006-2008 National Survey of Family Growth. National Health Statistics Reports, 19, 1-36.
  106. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310-357.
  107. Plöderl, M., Sauer, J., & Fartacek, R. (2006). Suizidalität und psychische Gesundheit von homo-und bisexuellen Männern und Frauen: Eine Metaanalyse internationaler Zufallsstichproben. Verhaltenstherapie & Psychosoziale Praxis, 38, 537-558.
  108. Eaton, N. R. (2014). Transdiagnostic psychopathology factors and sexual minority mental health: Evidence of disparities and associations with minority stressors. Psychology of Se xual Orientation and Gender Diversity, 1, 244-254.
  109. Pitt, E. L., & Alpert, E. J. (2008). Violence and trauma: Recognition, recovery, and prevention. In H. J. Makadon, K. H. Mayer, J. Potter, & H. Goldhammer (Eds.), Fenway Guide to Lesbian, Gay, Bisexual, and Transgender Health. Philadelphia, PA: American College of Physicians.
  110. Merlot, J. (2015, February 9). Warm und geschützt: Warum Katzen Kisten lieben [Warm and sheltered: Why cats love boxes].


* Das Dokument ist im Internet frei zugänglich - Hinweise zu den Nutzungsrechten