性少数派
性取向
心理学
临床心理学
调解
流行病学研究中心抑郁量表
女同性恋
心理健康
萧条(经济学)
干预(咨询)
抑郁症状
精神科
焦虑
社会心理学
政治学
法学
精神分析
经济
宏观经济学
作者
Caiyun Zhang,Keying Wu,Wanxin Wang,Yanzhi Li,Hao Zhao,Wenjian Lai,Guangduoji Shi,Lan Guo,Li Li,Ciyong Lu
标识
DOI:10.1016/j.jad.2023.11.024
摘要
Previous studies have demonstrated that sexual minorities are at a higher risk of experiencing depressive symptoms. However, few prior investigations have examined the potential mechanisms involved. This study aimed to employ the four-way decomposition approach that integrates the analysis of mediation and interaction to investigate the potential role of problematic internet use between sexual orientation and depressive symptoms.The participants were recruited through a multi-stage, stratified cluster, and random sampling method in China. Students who identified as "gay or lesbian" and "bisexual" were defined as "sexual minorities". The Young's Internet Addiction Test (IAT) was used to evaluate problematic internet use. The Center for Epidemiologic Studies Depression Scale (CESD-20) was used to evaluate depressive symptoms.A total of 59,859 adolescents were included in this study, with 30,180 (53.25 %) boys and 29,679 (46.75 %) girls. Of these, 7263 (12.13 %) were identified as sexual minorities. Gender differences were observed in the association between sexual orientation, problematic internet use, and depressive symptoms. The mediating effect of problematic internet use was 28.80 % for boys and 36.84 % for girls, respectively. The interaction effect between problematic internet use and sexual minority status on depressive symptoms was 21.19 % and 9.65 % for boys and girls, respectively.The current study was limited by the cross-sectional design.These findings suggest that prevention and intervention programs aimed at improving mental health outcomes among sexual minority adolescents should prioritize considering the impact of problematic internet use and potential gender differences.
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