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Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Relationships

Author

Listed:
  • Jung-Sheng Chen

    (Department of Medical Research, E-Da Hospital, Kaohsiung 82445, Taiwan)

  • Yu-Te Huang

    (Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong RM543, China)

  • Chung-Ying Lin

    (Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Department of Public Health, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan
    Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70101, Taiwan)

  • Cheng-Fang Yen

    (Department of Psychiatry, School of Medicine College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan
    Department of Psychiatry, Kaohsiung Medical University Hospital, Kaohsiung 80756, Taiwan
    College of Professional Studies, National Pingtung University of Science and Technology, Pingtung 91201, Taiwan)

  • Mark D. Griffiths

    (International Gaming Research Unit, Psychology Department, Nottingham Trent University, Nottingham NG1 4FQ, UK)

  • Amir H. Pakpour

    (Department of Nursing, School of Health and Welfare, Jönköping University, 55318 Jönköping, Sweden)

Abstract

The aims of this cross-sectional survey study were to examine the association between sexual orientation microaggression and anxiety and depression among young adult lesbian, gay, and bisexual (LGB) individuals in Taiwan, as well as to examine the mediating effect of self-identity disturbance and the moderating effect of gender. In total, 1000 self-identified LGB individuals participated in the study. The experience of sexual orientation microaggression was assessed using the Sexual Orientation Microaggression Inventory, self-identity disturbance was assessed using the Self-Concept and Identity Measure, anxiety was assessed using the State subscale on the Chinese version of the State-Trait Anxiety Inventory, and depression was assessed using the Center for Epidemiological Studies-Depression Scale. Structural equation modeling (SEM) was used to examine relationships between the variables. The SEM results demonstrated that sexual orientation microaggression was directly associated with increased anxiety and depression, as well as being indirectly associated with increased anxiety and depression via the mediation of self-identity disturbance among young adult LGB individuals. Gender did not moderate the relationships between any of the variables. Both sexual orientation microaggression and self-identity disturbance warrant program interventions for enhancing mental health among LGB individuals.

Suggested Citation

  • Jung-Sheng Chen & Yu-Te Huang & Chung-Ying Lin & Cheng-Fang Yen & Mark D. Griffiths & Amir H. Pakpour, 2021. "Relationships of Sexual Orientation Microaggression with Anxiety and Depression among Lesbian, Gay, and Bisexual Taiwanese Youth: Self-Identity Disturbance Mediates but Gender Does Not Moderate the Re," IJERPH, MDPI, vol. 18(24), pages 1-11, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:12981-:d:698275
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    References listed on IDEAS

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    1. Meng-Tsang Hsieh & Jung-Sheng Chen & Chung-Ying Lin & Cheng-Fang Yen & Mark D. Griffiths & Yu-Te Huang, 2021. "Measurement Invariance of the Sexual Orientation Microaggression Inventory across LGB Males and Females in Taiwan: Bifactor Structure Fits the Best," IJERPH, MDPI, vol. 18(20), pages 1-12, October.
    2. Rosseel, Yves, 2012. "lavaan: An R Package for Structural Equation Modeling," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 48(i02).
    3. Mayer, K.H. & Garofalo, R. & Makadon, H.J., 2014. "Promoting the successful development of sexual and gender minority youths," American Journal of Public Health, American Public Health Association, vol. 104(6), pages 976-981.
    4. Seil, K.S. & Desai, M.M. & Smith, M.V., 2014. "Sexual orientation, adult connectedness, substance use, and mental health outcomes among adolescents: Findings From the 2009 New York city youth risk behavior survey," American Journal of Public Health, American Public Health Association, vol. 104(10), pages 1950-1956.
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    Cited by:

    1. Huang-Chi Lin & Yu-Ping Chang & Yi-Lung Chen & Cheng-Fang Yen, 2022. "Relationships of Homophobic Bullying Victimization during Childhood with Borderline Personality Disorder Symptoms in Early Adulthood among Gay and Bisexual Men: Mediating Effect of Depressive Symptoms," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    2. Yu-Te Huang & Wen-Jiun Chou & Yi-Chen Hang & Cheng-Fang Yen, 2023. "Sexual Orientation Microaggression Experiences and Coping Responses of Lesbian, Gay, and Bisexual Individuals in Taiwan: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.

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