摘要
目的:研究男同性恋与男双性恋HIV阴性者的焦虑和抑郁症状特点及差异,为心理干预提供指导。方法:通过网络宣传、非政府组织(NGO)等招募男同性恋和男双性恋,利用焦虑自评量表(SAS)和流调中心抑郁量表(CES-D)测量焦虑和抑郁症状,采用t检验和项目功能差异(DIF)分析男同性恋与男双性恋在焦虑和抑郁症状上的差异。结果:t检验结果显示,男同性恋与男双性恋在SAS和CES-D中各有3个条目得分差异有统计学意义(均P<0.05);DIF分析发现,男同性恋与男双性恋在SAS的5个条目上、CES-D的6个条目上存在差异。DIF条目的 ICC曲线显示,在SAS的条目7(躯体疼痛)、13(呼吸困难)及CES-D的条目3(苦闷)、6(压抑)上男双性恋比男同性恋表现更严重。结论:男同性恋与男双性恋焦虑和抑郁症状的特点不同,应该有区别地对待男同性恋与男双性恋的焦虑和抑郁情绪,采取针对性的对策以改善其心理状况。
Objective： To explore features of anxiety and depression symptoms among gays and bisexual men w ith HIV negative for guidance of psychological intervention. Methods： Participants w ere recruited through netw ork propaganda and non-governmental organization for HIV control. The Self-Rating Anxiety Scale（ SAS） and Center for Epidemiological Studies Depression Scale（ CES-D） w ere used to examine their symptoms of anxiety and depression. The t test and differential item functioning（ DIF） analysis w ere conducted to explore the distinguishing symptoms of anxiety and depression among gays and bisexual men. Results： The t test found 3 items of SAS had statistically significant differences among gays and bisexual men and the same as those of CES-D（ P〈0. 05）. DIF analysis discovered 5 items of SAS displayed differential item functioning among gay and bisexual men,w hile 6 items of CES-D had differential item functioning. The item characteristic curves（ ICCs） revealed that bisexual men more strongly than gays responded to item 7（ body pain）,item 13（ difficulty in breathing） of SAS and item 3（ anguish）,item 6（ repression） of CES-D. Conclusion： It suggests that distinguishing symptoms of anxiety and depression exists among gays and bisexual men, w hich need us treat their sentiments differently and devise pertinent counter-measures to improve their psychological situations.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2016年第3期213-219,共7页
Chinese Mental Health Journal
基金
国家科技重大专项--MSM人群性行为前后服用抗病毒药物预防HIV新感染研究(2012ZX10001007-007)
关键词
性取向
焦虑
抑郁
男男性接触者
项目反应理论
项目功能差异
sexual orientation
anxiety
depression
men who have sex with men
item response theory
dif ferential item functioning
