Sexual orientation and psychotic-like experiences among Chinese college students: the role of gender

Lu, Dali; Qing, Zaihua; Tu, Ying; Liu, Xiaoqun

doi:10.3389/fpsyt.2023.1139484

Front. Psychiatry

2023

DOI: 10.3389/fpsyt.2023.1139484

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Sexual orientation and psychotic-like experiences among Chinese college students: the role of gender

Dali Lu,

Zaihua Qing,

Ying Tu

et al.

Abstract: ObjectiveThe mental health of sexual minorities has received increasing attention, but there are few studies on the risk of psychotic-like experiences (PLEs) among sexual minorities. The purpose of this study is to explore the relationship between different sexual orientations and PLEs among college students and the moderating effect of gender.MethodsA total of 4,460 college students from seven provinces participated in this cross-sectional survey. The χ2 test and logistic regression were used to investigate t… Show more

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2024

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Cited by 2 publications

References 74 publications

(67 reference statements)

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Psychosis risk for lesbian, gay, and bisexual individuals: systematic review and meta-analysis

Selten,

Alrashed,

et al. 2024

Psychol. Med.

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The social defeat hypothesis posits that low status and repeated humiliation increase the risk for psychotic disorders (PDs) and psychotic experiences (PEs). The purpose of this paper was to provide a systematic review of studies on risk of PDs and PEs among lesbian, gay, or bisexual (LGB) people and a quantitative synthesis of any difference in risk. PubMed, PsycINFO, Embase, and Web of Science were searched from database inception until January 30, 2024. Two independent reviewers assessed the eligibility and quality of studies, extracted effect sizes, and noted the results of mediation analyses. Using a random effects model we computed pooled odds ratios (ORs). Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. The search identified seven studies of PDs and six of PEs. As for PDs, the unadjusted (2.13; 95% confidence interval 0.72–6.34) and covariate-adjusted pooled OR (2.24; 1.72–3.53) were not significantly increased for LGB individuals. After exclusion of a study of limited quality, both the unadjusted pooled OR (2.77; 1.21–6.32) and the covariate-adjusted pooled OR (2.67; 1.53–4.66) were significantly increased. The pooled ORs were increased for PEs: unadjusted, pooled OR = 1.97 (1.47–2.63), covariate-adjusted, pooled OR = 1.85 (1.50–2.28). Studies of PE that examined the mediating role of several variables reported that the contribution of drug abuse was small compared to that of psychosocial stressors. The results of a study in adolescents suggested a protective effect of parental support. These findings suggest an increased psychosis risk for LGB people and support the social defeat hypothesis.

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Psychosis risk for lesbian, gay, and bisexual individuals: systematic review and meta-analysis

Selten,

Alrashed,

et al. 2024

Psychol. Med.

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Translating and validating the gay affirmative practice scale for nurses in mainland China

Zhang,

Chen,

Fei

et al. 2024

Sexual Medicine

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Background The gay affirmative practice (GAP) scale is an effective tool for evaluating the beliefs and behaviors of health care professionals toward gay and lesbian clients. Aim This study aimed to examine the reliability and validity of the GAP scale among Chinese nurses. Methods A quantitative cross-sectional study was conducted to evaluate the Chinese version of the GAP (C-GAP) scale after translation and cross-cultural adaptation and to examine its psychometric characteristics. The reliability and validity of the C-GAP scale were determined by item analysis, factor analysis, internal consistency, test-retest reliability, and discriminant construct validity. Outcomes The GAP scale was translated and adapted specifically for China. A total of 1440 participants completed the C-GAP scale, sociodemographic questionnaire, and Marlowe-Crowne social desirability scale. Results The C-GAP scale exhibited a Cronbach α of 0.95, with a high test-retest reliability coefficient of 0.92. Exploratory factor analysis identified 2 factors that accounted for 59.91% of the total variance. The results of the confirmatory factor analysis were as follows: χ2/df = 1.09, goodness-of-fit index = 0.98, adjusted goodness-of-fit index = 0.97, root mean square error of approximation = 0.01, Tucker-Lewis index = 1.00, comparative fit index = 1.00, incremental fit index = 1.00, parsimony goodness-of-fit index = 0.85, and parsimony normed fit index = 0.91. These findings confirm that all goodness-of-fit indices were satisfactory. Clinical Implications The C-GAP scale can be an effective tool for health care professionals and managers and for education and research; it can also identify the beliefs and behaviors of health care professionals toward gay and lesbian clients, facilitating cultural competence development and enhancing care quality awareness and skills. Strengths and Limitations The C-GAP scale demonstrates reliability and validity; however, because the sample consisted only of nurses, the findings may not be generalizable to other professional groups, such as counselors and therapists. Therefore, the occupational focus of the sample limited the broader applicability of the results. Conclusion The C-GAP scale is a reliable and valid tool suitable for assessing the practice attitudes and behaviors of Chinese nurses toward gay and lesbian clients.

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Sexual orientation and psychotic-like experiences among Chinese college students: the role of gender

Cited by 2 publications

References 74 publications

Psychosis risk for lesbian, gay, and bisexual individuals: systematic review and meta-analysis

Psychosis risk for lesbian, gay, and bisexual individuals: systematic review and meta-analysis

Translating and validating the gay affirmative practice scale for nurses in mainland China

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