Coping Styles as Mediator of Sexual Orientation-Related Health Differences

Sandfort, Theo; Bakker, Fred C.; Schellevis, François G.; Vanwesenbeeck, Ine

doi:10.1007/s10508-007-9233-9

Cited by 47 publications

(23 citation statements)

References 62 publications

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“…Because these disparities seem to be present at a young age [36, 37], a life course perspective should be adopted. This perspective should include the development of coping styles, given the mediating role of coping in the association between sexual orientation and mental health [38]. A life course perspective will also offer insights in optimal timing of interventions aimed at the prevention of mental health disparities related to sexual orientation.…”

Section: Discussionmentioning

confidence: 99%

Same-Sex Sexuality and Psychiatric Disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2)

et al. 2014

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Purpose Sexual orientation has been shown to be a risk factor for psychiatric disorders. This study compared whether sexual orientation-related disparities in the prevalence of psychiatric disorders are similar based on homosexual behavior versus attraction and tested whether, with increased acceptance of homosexuality, these disparities have diminished over time. Methods The Composite International Diagnostic Interview 3.0 was administered with a total of 6,646 Dutch persons, aged 18 to 64 years. Results Between 2.0% and 2.5% of the participants reported same-sex sexual behavior in the preceding year or same-sex attraction. Homosexually active persons and persons with same-sex attraction reported a higher prevalence of disorders than heterosexual persons. There were more disparities in the prevalence of disorders based on sexual attraction than based on sexual behavior. Comparing these results with a previous study, showed that no significant changes over time have occurred in the pattern of health disparities. Conclusions Sexual orientation continues to be a risk factor for psychiatric disorders, stressing the need for understanding the origins of these disparities.

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Section: Discussionmentioning

confidence: 99%

Same-Sex Sexuality and Psychiatric Disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2)

et al. 2014

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“…Although being part of a minority group per se is not a risk factor for psychological maladjustment (Koh and Ross 2006), feeling distressed about sexual orientation discrimination increases the odds of having a mental health problem (Koh and Ross 2006;Mays and Cochran 2001;Sandfort et al 2006Sandfort et al , 2009. Therefore, feelings and cognitions common among lesbian women due to their sexual orientation may have an important impact on their sexual interactions and sexual functioning.…”

Section: Discussionmentioning

confidence: 99%

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

Peixoto

Nobre

2014

Cogn Ther Res

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The role of cognitive schemas on sexual functioning has been studied in samples of heterosexual men and women. However, there are no published studies on the impact of cognitive schemas on sexual functioning in gay men or lesbian women. The current study analyzed the differences in cognitive schemas associated with negative sexual events in a sample of heterosexual and homosexual men and women, with and without sexual problems. A total of 168 women and 148 men completed a web-survey. Participants answered questions about self-perceived sexual problems, and completed the Questionnaire of Cognitive Schemas Activated in Sexual Context. Results for men and women were analyzed in separate MANOVAs (sexual problems 9 sexual orientation). Men with sexual problems scored significantly higher in negative cognitive schemas when facing an adverse sexual episode compared with sexually healthy men, regardless of sexual orientation. Women with sexual problems also scored significantly higher in Undesirability/rejection, Incompetence, and Difference/loneliness schemas when compared women without sexual problems, regardless of sexual orientation. Also, sexual orientation was also found to have a significant effect among women, with lesbian women activating significantly more Undesirability/rejection, Difference/loneliness, and Helpless schemas, than heterosexual women. Overall, findings suggest that, despite some specific patterns particularly in lesbian women, the role of cognitive schemas on sexual functioning is very similar in heterosexual and homosexual men and women. These results highlight the core role of cognitive factors on sexual problems in gay men and lesbian women.

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“…Sandfort, Bakker, Schellevis, and Vanwesenbeeck (2009) found that emotion-oriented and avoidance coping strategies were more strongly applied by homosexual men than by heterosexual men. For the women in this study, however, sexual orientation was not significantly related to coping styles.…”

Section: Introductionmentioning

confidence: 91%

Sexual Attraction and Psychological Adjustment in Dutch Adolescents: Coping Style as a Mediator

2014

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This study examined whether feelings of same-sex attraction (SSA) in 12- to 15-year-old Dutch adolescents were related to psychological health (self-esteem and psychological distress) and whether this relation was mediated by coping styles and moderated by biological sex. Data were collected from 1,546 high school students (802 boys and 744 girls; M age = 13.57 years) by means of standardized measurements. SSA was found to predict lower levels of self-esteem and higher levels of psychological distress. Further analyses showed that passive coping style partly mediated these associations. This mediation was not moderated by biological sex. The findings suggest that in understanding and addressing mental health disparities between sexual minorities and heterosexual youth attention should be paid to intrapersonal psychological factors such as coping styles.

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Coping Styles as Mediator of Sexual Orientation-Related Health Differences

Cited by 47 publications

References 62 publications

Same-Sex Sexuality and Psychiatric Disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2)

Same-Sex Sexuality and Psychiatric Disorders in the Second Netherlands Mental Health Survey and Incidence Study (NEMESIS-2)

Cognitive Schemas Activated in Sexual Context: A Comparative Study with Homosexual and Heterosexual Men and Women, With and Without Sexual Problems

Sexual Attraction and Psychological Adjustment in Dutch Adolescents: Coping Style as a Mediator

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