Homosexuality and mental health services

McColl, Peter

doi:10.1136/bmj.308.6928.550

Cited by 24 publications

(14 citation statements)

References 14 publications

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“…Nesse sentido, a ausência de suportes sociais favoráveis, em um contexto hostil e preconceituoso à orientação homossexual, pode contribuir para o sofrimento mental e mesmo para o aumento do risco de suicídio 5 .…”

Section: Introductionunclassified

Transtornos mentais, qualidade de vida e identidade em homossexuais na maturidade e velhice

Ceará¹,

Dalgalarrondo²

2010

Rev. psiquiatr. clín.

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ResumoContexto: Em nossa sociedade, sujeitos de orientação homossexual (SOHom) têm sido expostos de maneira incisiva a atitudes de discriminação e preconceito. Objetivo: Investigar as dimensões saúde mental, qualidade de vida e identidade psicossocial em homossexuais na maturidade e na velhice. Método: Os sujeitos foram captados pela estratégia "bola de neve". Foram utilizados procedimentos quantitativos e qualitativos com os instrumentos: MINI Plus, WHOQOL-bref, e entrevistas semiestruturadas por meio do inventário de identidade psicossocial. Foram entrevistados 40 SOHom (grupo de estudo), comparando-os a 40 sujeitos de orientação heterossexual (SOHet) (grupo contraste), pareados individualmente por gênero, idade, escolaridade e classe social. Resultados: Verificou-se maior frequência de transtornos mentais no grupo de estudo com 15 (37,5%) casos, em comparação ao grupo contraste, com oito (20%). O risco de suicídio estava presente em três (7,5%) participantes do grupo de estudo. Dos sujeitos no grupo de estudo com algum transtorno mental, 11 (73,3%) não revelavam a orientação homossexual em áreas significativas de sua vida (p = 0,00001). Os sujeitos homossexuais apresentaram melhor qualidade de vida no domínio social em comparação aos heterossexuais. Conclusão: Os sujeitos homossexuais desta pesquisa revelaram, na maturidade e na velhice, maior frequência de transtornos mentais, porém melhor qualidade de vida. É possível que a homofobia internalizada possa estar associada a dificuldades psicossociais. Sendo assim, pode-se sugerir que a não revelação da homossexualidade e o esforço no curso da vida em ocultá-la talvez representem fatores associados à maior ocorrência de transtornos mentais.Ceará AT, Dalgalarrondo P / Rev Psiq Clín. 2010;37(3):118-23 Palavras-chave: Homossexualidade, velhice, transtornos mentais, identidade, qualidade de vida. AbstractBackground: In our society subjects with homosexual orientation have been strongly exposed to attitudes of discrimination and prejudice. Objective: To investigate the mental health, life quality and psychosocial identity dimensions in subjects with homosexual orientation in the maturity and old age. Method: The subjects were identified by using the snowball strategy quantitative and qualitative methods were utilized with the following tools: MINI Plus, WHOQOL-bref, and semi structured interviews through psychosocial identity inventory. Forty subjects with homosexual orientation (study group) were interviewed, comparing them to 40 subjects with heterosexual orientation (contrast group), in pairs of individuals by gender, age, education and social class. Results: A larger frequency of mental disruption was verified in the study group, 15 (37,5%) cases, in comparison to the contrast group, eight (20%) cases. The risk of suicide was present in three (7,5%) individuals of the study group. Of the individuals who presented some mental disruption in the study group, 11 (73,3%) did not reveal the homosexual orientation in significant social areas of their lives (p = 0,00...

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Section: Introductionunclassified

Transtornos mentais, qualidade de vida e identidade em homossexuais na maturidade e velhice

Ceará¹,

Dalgalarrondo²

2010

Rev. psiquiatr. clín.

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“…[9][10][11][12][13] Modifications of curriculum have been proposed in some medical schools to address the changes in attitudes toward homosexuality. [14][15][16][17] The attitudes among medical students in a predominantly Chinese culture, such as that of Hong Kong, have not been studied. The purpose of this study was to investigate the attitudes of medical students as future care and health providers.…”

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confidence: 99%

A Survey of Attitudes Toward Homosexuality in Hong Kong Chinese Medical Students

Hon

Leung

Yau

et al. 2005

Teaching and Learning in Medicine

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“…This service provider prejudice can have a number of deleterious effects for sexual minority clients, including the overall mental health and service use experience of lesbians, discouraging disclosure of sexual orientation to providers, and limiting access to affirmative treatment models and services (Murphy, 1991;Stevens & Hall, 1988). Many authors suggest that a central ingredient for improving services is to address negative provider attitudes within services settings, as well as to include gay and lesbian-affirming information and treatment models in the education and training of clinicians and other therapists (AMA Council on Scientific Affairs, 1996;McColl, 1994;Murphy, 1991;Nursing Standard, 1998).…”

Section: Introductionmentioning

confidence: 97%

“…Some studies have demonstrated that lesbians and gay men are more vulnerable to mental health problems due to a sense of isolation and alienation from a predominantly heterosexist society (McColl, 1994;Stein, 1993). Although these risk factors have been conceptualized, little is known regarding the prevalence, etiology, or treatment of mental health problems in lesbians and gay men.…”

Section: Introductionmentioning

confidence: 97%

Utilization of Mental Health Services

Razzano

Matthews

Hughes

2002

Journal of Gay & Lesbian Social Services

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Numerous studies examining mental health services have identified a series of indicators with demonstrated effects on services access, barriers, and utilization. These include demographic features such as gender, race/ethnicity, and socioeconomic status, as well as other factors such as type of insurance, clinical indicators such as diagnosis, and client attitudes toward mental health. The focus of the present study was to identify and compare mental health indicators and services utilization factors in a community sample of lesbians (n = 63) and a matched sample of heterosexual women (n = 57), including types of services utilized, current use of antidepressant medications, receipt of high priority services, and services needed but not received. This sample also included a wider range of age and greater diversity of racial/ethnic groups than the majority of previous studies of lesbian mental health. Outcomes for women in this study are compared to the services utilization literature in general

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Homosexuality and mental health services

Cited by 24 publications

References 14 publications

Transtornos mentais, qualidade de vida e identidade em homossexuais na maturidade e velhice

Transtornos mentais, qualidade de vida e identidade em homossexuais na maturidade e velhice

A Survey of Attitudes Toward Homosexuality in Hong Kong Chinese Medical Students

Utilization of Mental Health Services

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