Skip to main content
Top
Gepubliceerd in: Journal of Behavioral Medicine 1/2012

01-02-2012

Sexual minority status and trauma symptom severity in men living with HIV/AIDS

Auteurs: Charles Kamen, Sergio Flores, Stacy Taniguchi, Anna Khaylis, Susanne Lee, Cheryl Koopman, Cheryl Gore-Felton

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Traumatic experiences are common among populations living with HIV; furthermore, the minority stress model indicates that sexual minority group members, such as men who have sex with men (MSM), are more likely to experience negative psychological outcomes after exposure to trauma, given the stress of minority stigma. The current study examined the prevalence of traumatic events and the impact of these events on trauma symptoms in a sample of 113 MSM and 51 men who have sex with women (MSW) who are living with HIV/AIDS. Rates of experiencing trauma were similar for both MSM and MSW. However, MSM, as sexual minority group members, were more likely to report symptoms of trauma and dissociation than MSW. The current study indicates that MSM may experience additional negative psychological outcomes after exposure to trauma. Findings are discussed in the context of implications for HIV prevention with sexual minority group members.
Literatuur
go back to reference Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage. Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.
go back to reference American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author. American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
go back to reference Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit Area Survey of Trauma. American Journal of Psychiatry, 156, 902–907.PubMed Breslau, N., Chilcoat, H. D., Kessler, R. C., & Davis, G. C. (1999). Previous exposure to trauma and PTSD effects of subsequent trauma: Results from the Detroit Area Survey of Trauma. American Journal of Psychiatry, 156, 902–907.PubMed
go back to reference Cardeña, E. A., & Gleaves, D. H. (2003). Dissociative disorders: Phantoms of the self. In M. Hersen & S. Turner (Eds.), Adult psychopathology and diagnosis (4th ed., pp. 476–505). Hoboken, NJ: Wiley. Cardeña, E. A., & Gleaves, D. H. (2003). Dissociative disorders: Phantoms of the self. In M. Hersen & S. Turner (Eds.), Adult psychopathology and diagnosis (4th ed., pp. 476–505). Hoboken, NJ: Wiley.
go back to reference Cardeña, E., Koopman, C., Classen, C., Waelde, L. C., & Spiegel, D. (2000). Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): A valid and reliable measure of acute stress. Journal of Traumatic Stress, 13, 719–734.PubMedCrossRef Cardeña, E., Koopman, C., Classen, C., Waelde, L. C., & Spiegel, D. (2000). Psychometric properties of the Stanford Acute Stress Reaction Questionnaire (SASRQ): A valid and reliable measure of acute stress. Journal of Traumatic Stress, 13, 719–734.PubMedCrossRef
go back to reference Carter, R. T., Forsyth, J., Mazzula, S., & Williams, B. (2005). Racial discrimination and race- based traumatic stress. In R. T. Carter (Ed.), Handbook of racial-cultural psychology and counseling: Training and practice (Vol. 2, pp. 447–476). New York, NY: Wiley. Carter, R. T., Forsyth, J., Mazzula, S., & Williams, B. (2005). Racial discrimination and race- based traumatic stress. In R. T. Carter (Ed.), Handbook of racial-cultural psychology and counseling: Training and practice (Vol. 2, pp. 447–476). New York, NY: Wiley.
go back to reference Centers for Disease Control, Prevention. (2008). HIV/AIDS surveillance report, 2006 (Vol. 18). Atlanta, GA: Centers for Disease Control and Prevention. Centers for Disease Control, Prevention. (2008). HIV/AIDS surveillance report, 2006 (Vol. 18). Atlanta, GA: Centers for Disease Control and Prevention.
go back to reference Centers for Disease Control and Prevention. (2010). HIV among gay, bisexual and other men who have sex with men (MSM). Atlanta, GA: Centers for Disease Control and Prevention. Centers for Disease Control and Prevention. (2010). HIV among gay, bisexual and other men who have sex with men (MSM). Atlanta, GA: Centers for Disease Control and Prevention.
go back to reference Cochran, S. D., & Mays, V. M. (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.PubMedCrossRef Cochran, S. D., & Mays, V. M. (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.PubMedCrossRef
go back to reference Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53–61.PubMedCrossRef Cochran, S. D., Sullivan, J. G., & Mays, V. M. (2003). Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology, 71, 53–61.PubMedCrossRef
go back to reference Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the Impact of Event Scale- Revised. Behaviour Research and Therapy, 41, 1489–1496.PubMedCrossRef Creamer, M., Bell, R., & Failla, S. (2003). Psychometric properties of the Impact of Event Scale- Revised. Behaviour Research and Therapy, 41, 1489–1496.PubMedCrossRef
go back to reference D’Augelli, A. R., & Grossman, A. H. (2001). Disclosure of sexual orientation, victimization, and mental health among lesbian, gay, and bisexual older adults. Journal of Interpersonal Violence, 16, 1008–1027.CrossRef D’Augelli, A. R., & Grossman, A. H. (2001). Disclosure of sexual orientation, victimization, and mental health among lesbian, gay, and bisexual older adults. Journal of Interpersonal Violence, 16, 1008–1027.CrossRef
go back to reference D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2006). Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. Journal of Interpersonal Violence, 21, 1462–1482.PubMedCrossRef D’Augelli, A. R., Grossman, A. H., & Starks, M. T. (2006). Childhood gender atypicality, victimization, and PTSD among lesbian, gay, and bisexual youth. Journal of Interpersonal Violence, 21, 1462–1482.PubMedCrossRef
go back to reference Douglas, A. N. (2009). Racial and ethnic differences in dissociation: An examination of the dissociative experiences scale in a nonclinical population. Journal of Trauma & Dissociation, 10(1), 24–37.CrossRef Douglas, A. N. (2009). Racial and ethnic differences in dissociation: An examination of the dissociative experiences scale in a nonclinical population. Journal of Trauma & Dissociation, 10(1), 24–37.CrossRef
go back to reference Gold, S. D., Marx, B. P., & Lexington, J. M. (2007). Gay male sexual assault survivors: The relations among internalized homophobia, experiential avoidance, and psychological symptom severity. Behaviour Research and Therapy, 45, 549–562.PubMedCrossRef Gold, S. D., Marx, B. P., & Lexington, J. M. (2007). Gay male sexual assault survivors: The relations among internalized homophobia, experiential avoidance, and psychological symptom severity. Behaviour Research and Therapy, 45, 549–562.PubMedCrossRef
go back to reference Gore-Felton, C., Butler, L. D., & Koopman, C. (2001). HIV disease, violence, and post- traumatic stress. Focus San Francisco, 16(6), 5–6. Gore-Felton, C., Butler, L. D., & Koopman, C. (2001). HIV disease, violence, and post- traumatic stress. Focus San Francisco, 16(6), 5–6.
go back to reference Gore-Felton, C., & Koopman, C. (2002). Traumatic experiences: Harbinger of risk behavior among HIV-positive adults. Journal of Trauma & Dissociation, 3, 121–135.CrossRef Gore-Felton, C., & Koopman, C. (2002). Traumatic experiences: Harbinger of risk behavior among HIV-positive adults. Journal of Trauma & Dissociation, 3, 121–135.CrossRef
go back to reference Green, B. L. (1996). Psychometric review of trauma history questionnaire (Self-report). In B. H. Stamm & E. M. Varra (Eds.), Measurement of stress, trauma and adaptation. Lutherville, MD: Sidran. Green, B. L. (1996). Psychometric review of trauma history questionnaire (Self-report). In B. H. Stamm & E. M. Varra (Eds.), Measurement of stress, trauma and adaptation. Lutherville, MD: Sidran.
go back to reference Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730.PubMedCrossRef Hatzenbuehler, M. L. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Bulletin, 135, 707–730.PubMedCrossRef
go back to reference Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Science, 20, 1282–1289.PubMedCrossRef Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Dovidio, J. (2009). How does sexual minority stigma “get under the skin”? A psychological mediation framework. Psychological Science, 20, 1282–1289.PubMedCrossRef
go back to reference Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Erickson, S. J. (2008). Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. Health Psychology, 27, 455–472.PubMedCrossRef Hatzenbuehler, M. L., Nolen-Hoeksema, S., & Erickson, S. J. (2008). Minority stress predictors of HIV risk behavior, substance use, and depressive symptoms: Results from a prospective study of bereaved gay men. Health Psychology, 27, 455–472.PubMedCrossRef
go back to reference Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67, 945–951.PubMedCrossRef Herek, G. M., Gillis, J. R., & Cogan, J. C. (1999). Psychological sequelae of hate-crime victimization among lesbian, gay, and bisexual adults. Journal of Consulting and Clinical Psychology, 67, 945–951.PubMedCrossRef
go back to reference Leserman, J., Whetten, K., Lowe, K., Stangl, D., Swartz, M. S., & Thielman, N. M. (2005). How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south. Psychosomatic Medicine, 67, 500–507.PubMedCrossRef Leserman, J., Whetten, K., Lowe, K., Stangl, D., Swartz, M. S., & Thielman, N. M. (2005). How trauma, recent stressful events, and PTSD affect functional health status and health utilization in HIV-infected patients in the south. Psychosomatic Medicine, 67, 500–507.PubMedCrossRef
go back to reference Loo, C. M., Fairbank, J. A., Scurfield, R. M., Ruch, L. O., King, D. W., Adams, L. J., et al. (2001). Measuring exposure to racism: Development and validation of a Race-Related Stressor Scale (RRSS) for Asian American Vietnam veterans. Psychological Assessment, 13, 503–520.PubMedCrossRef Loo, C. M., Fairbank, J. A., Scurfield, R. M., Ruch, L. O., King, D. W., Adams, L. J., et al. (2001). Measuring exposure to racism: Development and validation of a Race-Related Stressor Scale (RRSS) for Asian American Vietnam veterans. Psychological Assessment, 13, 503–520.PubMedCrossRef
go back to reference Mays, V. M., Cochran, S. D., & Roeder, M. R. (2004). Depressive distress and prevalence of common problems among homosexually active African American women in the United States. Journal of Psychology & Human Sexuality, 5, 27–46.CrossRef Mays, V. M., Cochran, S. D., & Roeder, M. R. (2004). Depressive distress and prevalence of common problems among homosexually active African American women in the United States. Journal of Psychology & Human Sexuality, 5, 27–46.CrossRef
go back to reference Meade, C. S., Hansen, N. B., Kochman, A., & Sikkema, K. J. (2009). Utilization of medical treatments and adherence to antiretroviral therapy among HIV-positive adults with histories of childhood sexual abuse. AIDS Patient Care and STDs, 23, 259–266.PubMedCrossRef Meade, C. S., Hansen, N. B., Kochman, A., & Sikkema, K. J. (2009). Utilization of medical treatments and adherence to antiretroviral therapy among HIV-positive adults with histories of childhood sexual abuse. AIDS Patient Care and STDs, 23, 259–266.PubMedCrossRef
go back to reference Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.PubMedCrossRef Meyer, I. H. (1995). Minority stress and mental health in gay men. Journal of Health and Social Behavior, 36, 38–56.PubMedCrossRef
go back to reference 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.PubMedCrossRef 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.PubMedCrossRef
go back to reference O’Cleirigh, C., Skeer, M., Mayer, K., & Safren, S. (2009). Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress. Journal of Behavioral Medicine, 32, 466–477.PubMedCrossRef O’Cleirigh, C., Skeer, M., Mayer, K., & Safren, S. (2009). Functional impairment and health care utilization among HIV-infected men who have sex with men: the relationship with depression and post-traumatic stress. Journal of Behavioral Medicine, 32, 466–477.PubMedCrossRef
go back to reference Rosenmann, A., & Safir, M. P. (2007). Gay identity nonendorsement and the role of dissociative characteristics in a culturally diverse online sample of men who have sex with men. Sexuality Research & Social Policy: A Journal of the NSRC. Special Issue: Situating sexuality electronically: The internet and sexual expression, 4(2), 18–26. Rosenmann, A., & Safir, M. P. (2007). Gay identity nonendorsement and the role of dissociative characteristics in a culturally diverse online sample of men who have sex with men. Sexuality Research & Social Policy: A Journal of the NSRC. Special Issue: Situating sexuality electronically: The internet and sexual expression, 4(2), 18–26.
go back to reference Sikkema, K. J., Hansen, N. B., Meade, C. S., Kochman, A., & Fox, A. M. (2009). Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood. Archives of Sexual Behavior, 38(1), 121–134.PubMedCrossRef Sikkema, K. J., Hansen, N. B., Meade, C. S., Kochman, A., & Fox, A. M. (2009). Psychosocial predictors of sexual HIV transmission risk behavior among HIV-positive adults with a sexual abuse history in childhood. Archives of Sexual Behavior, 38(1), 121–134.PubMedCrossRef
go back to reference Sledjeski, E. M., Delahanty, D. L., & Bogart, L. M. (2005). Incidence and Impact of Posttraumatic Stress Disorder and Comorbid Depression on Adherence to HAART and CD4[sup] + [/sup] Counts in People Living with HIV. AIDS Patient Care and STDs, 19, 728–736.PubMedCrossRef Sledjeski, E. M., Delahanty, D. L., & Bogart, L. M. (2005). Incidence and Impact of Posttraumatic Stress Disorder and Comorbid Depression on Adherence to HAART and CD4[sup] + [/sup] Counts in People Living with HIV. AIDS Patient Care and STDs, 19, 728–736.PubMedCrossRef
go back to reference Smith, N. G., & Ingram, K. M. (2004). Workplace heterosexism and adjustment among lesbian, gay, and bisexual individuals: The role of unsupportive social interactions. Journal of Counseling Psychology, 51, 57–67.CrossRef Smith, N. G., & Ingram, K. M. (2004). Workplace heterosexism and adjustment among lesbian, gay, and bisexual individuals: The role of unsupportive social interactions. Journal of Counseling Psychology, 51, 57–67.CrossRef
go back to reference Weinhardt, L. S., Kelly, J. A., Brondino, M. J., Rotheram-Borus, M. J., Kirshenbaum, S. B., Chesney, M. A., et al. (2004). HIV transmission risk behavior among men and women living with HIV in 4 cities in the United States. JAIDS Journal of Acquired Immune Deficiency Syndromes, 36, 1057–1066.CrossRef Weinhardt, L. S., Kelly, J. A., Brondino, M. J., Rotheram-Borus, M. J., Kirshenbaum, S. B., Chesney, M. A., et al. (2004). HIV transmission risk behavior among men and women living with HIV in 4 cities in the United States. JAIDS Journal of Acquired Immune Deficiency Syndromes, 36, 1057–1066.CrossRef
go back to reference Weiss, D. S., Marmar, C. R., Metzler, T. J., & Ronfeldt, H. M. (1995). Predicting symptomatic distress in emergency services personnel. Journal of Consulting and Clinical Psychology, 63, 361–368.PubMedCrossRef Weiss, D. S., Marmar, C. R., Metzler, T. J., & Ronfeldt, H. M. (1995). Predicting symptomatic distress in emergency services personnel. Journal of Consulting and Clinical Psychology, 63, 361–368.PubMedCrossRef
go back to reference Whetten, K., Reif, S., Whetten, R., & Murphy-McMillan, L. K. (2008). Trauma, mental health, distrust, and stigma among HIV-positive persons: Implications for effective care. Psychosomatic Medicine, 70, 531–538.PubMedCrossRef Whetten, K., Reif, S., Whetten, R., & Murphy-McMillan, L. K. (2008). Trauma, mental health, distrust, and stigma among HIV-positive persons: Implications for effective care. Psychosomatic Medicine, 70, 531–538.PubMedCrossRef
go back to reference Zamboni, B. D., & Crawford, I. (2007). Minority stress and sexual problems among African-American gay and bisexual men. Archive of Sexual Behavior, 36, 569–578.CrossRef Zamboni, B. D., & Crawford, I. (2007). Minority stress and sexual problems among African-American gay and bisexual men. Archive of Sexual Behavior, 36, 569–578.CrossRef
go back to reference Zhankun, C. (2004). Hate crimes, Posttraumatic stress disorder and implications for counseling Lesbians and Gay Men. Journal of Applied Rehabilitation Counseling, 35, 8–16. Zhankun, C. (2004). Hate crimes, Posttraumatic stress disorder and implications for counseling Lesbians and Gay Men. Journal of Applied Rehabilitation Counseling, 35, 8–16.
Metagegevens
Titel
Sexual minority status and trauma symptom severity in men living with HIV/AIDS
Auteurs
Charles Kamen
Sergio Flores
Stacy Taniguchi
Anna Khaylis
Susanne Lee
Cheryl Koopman
Cheryl Gore-Felton
Publicatiedatum
01-02-2012
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2012
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-011-9329-5

Andere artikelen Uitgave 1/2012

Journal of Behavioral Medicine 1/2012 Naar de uitgave