Major Depression Among Young Men Who Have Sex with Men in Beirut, and Its Association with Structural and Sexual Minority-Related Stressors, and Social Support

Wagner, Glenn; Ghosh-Dastidar, Bonnie; Khoury, Cynthia El; Ghanem, Carol Abi; Balan, Elie; Kegeles, Susan M.; Mutchler, Matt G.; Mokhbat, Jacques

doi:10.1007/s13178-018-0352-y

Cited by 15 publications

(13 citation statements)

References 26 publications

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“…Moreover, studies have shown that emotion can explain the mechanism behind the association between stress and coping [23]; the effect mechanism of emotion on coping models [24]; that emotion regulation strategies are important to influence the effect of stressful life events on individual behaviors [23,25]; and the effect mechanism of emotions and social culture on individual sexual behavior and motion [26][27][28]. Additionally, studies have found that depression and anxiety are associated with sexual behavior, and the consumption of sexual content and pornography in undergraduates [29,30]. However, the correlation and effect mechanisms of stressful life events, emotion, and sexual behavior have yet to be explored.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal influence of COVID-19-related stress on sexual compulsivity symptoms in Chinese undergraduates

Deng

Wang³

et al. 2021

BMC Psychiatry

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Background The coping theory shows that stressful life events are associated with individuals’ psychology/behaviors; meanwhile, the coronavirus disease of 2019 (COVID-19) pandemic is known to have impacted individuals’ physical and mental health. Prior studies revealed that undergraduates have many sexual behavior and emotion disorders, which may be impacted during an isolation period, such as the one brought by COVID-19. However, few studies have explored the longitudinal associations between COVID-19-related stress and sexual compulsivity symptoms (SCS), and the mediating effect of emotions (i.e., depression and anxiety) on this relationship. This longitudinal study aimed to investigate these associations. Methods We employed a cross-lagged design (2020/2/12: Time 1, 3219 participants; 2020/6/6: Time 2, 2998 participants) and recruited Chinese undergraduates through an online system to respond to a survey. Results Our results showed that COVID-19-related stress at Time 1 directly influenced SCS at Time 1, and there was an indirect influence via depression and anxiety at Time 1. COVID-19-related stress at Time 1 positively correlated with depression, anxiety, and SCS at Time 2, and the first could directly and positively predict SCS at Time 2. Moreover, albeit depression at Time 2 was negatively linked to SCS at Time 2, anxiety at Time 2 enhanced the effect of COVID-19-related stress on SCS. Conclusions Our findings extend the literature on SCS, showing that the higher the COVID-19-related stress, the higher the SCS, and the longer-lasting effect was associated with anxiety in undergraduates. Furthermore, depression does not mediate the relationship between COVID-19-related stress and SCS.

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Section: Introductionmentioning

confidence: 99%

Longitudinal influence of COVID-19-related stress on sexual compulsivity symptoms in Chinese undergraduates

Deng

Wang³

et al. 2021

BMC Psychiatry

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“…All four of these studies [40,41,49,50] sought to measure stress in participants who were categorised by their sexuality, typically described in these studies as 'men who have sex with men' or 'male same-sex couples' . These four studies consisted of 100% male samples with average ages ranging from 22-24 and an average sample size of N = 315 but ranging between 109 to 618 participants.…”

Section: Operationalisation Of Gendermentioning

confidence: 99%

“…Process or protocol designed to accommodate participants' cultural context Translation, back-translation, and retranslation into Spanish [64]; Survey administered in English or Arabic dependent on participant preference [50]; Providing guidance in local language (Urdu) to convey exact meaning of questions [45] 8 (8.4) Measure acknowledged as adapted or intended for cultural context (designed or validated)…”

Section: Level Of Adaptation Examples Of Adaptation Taken From Studie...mentioning

confidence: 99%

Gender operationalisation and stress measurement in research with adolescent males: a scoping review

2022

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Aim Stress measurement in adolescent males is in its relative infancy, which is likely to influence the effectiveness of mental health services for this heterogeneous population. Although evidence suggests the prevalence of mental health difficulties increases during adolescence, the relationship between gender and stress measurement is less explored or understood. This review summarizes findings on gender operationalisation and stress measurement in research with adolescent males. Methods For this scoping review, six electronic databases across social and life sciences were searched using terms linked to adolescence, male, stress and research design. Articles were screened, data were extracted, and a narrative synthesis used to characterise studies by research design, adaptation of method for participants’ cultural context, operationalisation of gender, and measurement of stress. Results Searches identified 3259 citations, 95 met inclusion criteria and were reviewed. Findings suggest that research on psychological stress in adolescence is a developing field, but one that is currently dominated by Western studies. Furthermore, the results indicate that stress measurement research with adolescent males tends not to make adaptations relative to participants' gender, age, or context. Conclusions Stress research with adolescent males is lacking in scope. This review highlights the need for researchers to consider stress responses as more than a biological response, as it has been conceptualised historically. Recommendations for researchers to report research design and protocol more clearly are made to support readers to understand how stress and gender have been operationalised and measured and how this may influence research methodology. Future research should avoid conflating biological differences with gendered experience and demonstrate greater sensitivity to how gender identity may intersect with age and location to perpetuate gendered inequalities.

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“… 10 Owing in large part to these experiences, sexual and gender minorities around the world experience elevated rates of psychiatric morbidity compared with their heterosexual, cisgender peers. 11 12 Yet to our knowledge, only two studies have assessed the prevalence of depression among Lebanese MSM (26%) 13 and transgender women (66%) 9 and neither examined the prevalence or determinants of mental health problems among displaced Syrian MSM and transgender women. The lack of studies including displaced Syrian MSM and transgender women hampers understanding of the relative importance of displacement-related determinants (eg, displacement stressors, resource scarcity and displacement-related discrimination) versus MSM-related and transgender-related determinants (eg, experienced and internalised stigma) on psychiatric morbidity in this population.…”

Section: Introductionmentioning

confidence: 99%

Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon

et al. 2021

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BackgroundDisplaced Syrians face psychiatric morbidity often resulting from displacement-related stressors (eg, resource scarcity). Both men who have sex with men (MSM) and transgender women among the displaced Syrians are particularly vulnerable to mental health challenges given that they also often face stigma-related stressors (eg, discrimination).MethodsBetween January and December 2019 in greater Beirut, 258 Lebanese-born MSM and transgender women and 230 displaced Syrian MSM and transgender women were recruited via respondent-driven sampling to complete an in-person survey assessing displacement-related stressors, stigma-related stressors, depression, anxiety and post-traumatic stress disorder. In the total sample, we first documented the prevalence of psychiatric morbidity among the displaced Syrians; we then assessed associations among displacement-related and stigma-related stressors and each psychiatric outcome.ResultsSixty-three per cent of Syrian participants met criteria for depression compared with 43.8% of Lebanese participants (p<0.001); 21.3% of Syrians met criteria for severe anxiety compared with 13.1% of Lebanese participants (p<0.05) and 33.0% of Syrians met criteria for post-traumatic stress disorder compared with 18.4% of Lebanese participants (p<0.001). Among Syrian MSM and transgender women, sociodemographic characteristics, displacement-related stressors and stigma-related stressors were uniquely associated with psychiatric morbidity.ConclusionDisplaced Syrian MSM and transgender women experience higher levels of psychiatric comorbidities than Lebanese MSM and transgender women in part due to compounding exposure to displacement-related stressors and stigma-related stressors. Informed by tenets of minority stress theory and intersectionality theory, we discuss mental health intervention implications and future directions.

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Major Depression Among Young Men Who Have Sex with Men in Beirut, and Its Association with Structural and Sexual Minority-Related Stressors, and Social Support

Cited by 15 publications

References 26 publications

Longitudinal influence of COVID-19-related stress on sexual compulsivity symptoms in Chinese undergraduates

Longitudinal influence of COVID-19-related stress on sexual compulsivity symptoms in Chinese undergraduates

Gender operationalisation and stress measurement in research with adolescent males: a scoping review

Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon

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