Mental health in the Chilean LGBT population in times of COVID-19
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Resumen
Objetivo. Describir la prevalencia de síntomas asociados a problemas de salud mental, así como analizar su riesgo de ocurrencia en diferentes grupos de población LGBT chilena en el contexto de la pandemia del COVID-19.
Método. Participaron en una encuesta en línea un total de 1,181 personas LGBT, con edades comprendidas entre los 18 y los 64 años, quienes completaron el cuestionario DASS-21 (del inglés Depression Anxiety Stress Scales). Primero se analizaron las medidas de tendencia central, luego se estableció la prevalencia según sexo y orientación sexual y finalmente se analizó la probabilidad de presentar síntomas mediante el odss ratio.
Resultados. Se identificaron menores niveles de salud mental en la población bisexual y otras orientaciones sexuales (pansexual, demisexual, asexual, etc.), en comparación con gays y lesbianas, debido a una mayor presencia de sintomatología depresiva (p = .000), ansiosa (p = .000) y vinculada al estrés (p<.001). Asimismo, las mujeres bisexuales fueron más propensas que los hombres a presentar síntomas asociados a trastornos de salud mental, al igual que las lesbianas, en comparación con los gays en el caso de la ansiedad. Los gays tienen un mayor riesgo de estrés que las lesbianas.
Discusión y conclusión. Aun cuando la pandemia afectó a toda la población, los resultados evidencian las disparidades entre las distintas comunidades LGBT, mostrando la necesidad de centrarse en las intervenciones preventivas y las implicaciones de un mayor riesgo en la población bisexual, especialmente en las mujeres, que se ven afectadas por diversas discriminaciones cruzadas.
Referencias
Balsam, K. F., Beauchaine, T. P., Mickey, R. M., & Rothblum, E. D. (2005). Mental Health of Lesbian, Gay, Bisexual, and Heterosexual Siblings: Effects of Gender, Sexual Orientation, and Family. Journal of Abnormal Psychology, 114(3), 471-476. doi:10.1037/0021-843x.114.3.471
Barrientos, J., Gómez, F., Cárdenas, M., Guzmán, M., & Bahamondes, J. (2017). Medidas de salud mental y bienestar subjetivo en una muestra de hombres gays y mujeres lesbianas en Chile. Revista Médica de Chile, 145(9), 1115-1121. doi: 10.4067/s0034-98872017000901115
Braquehais, M. D., Vargas-Cáceres, S., Gómez-Durán, E., Nieva, G., Valero, S., Casas, M., & Bruguera, E. (2020). The impact of the COVID-19 pandemic on the mental health of healthcare professionals. QJM: An International Journal of Medicine, 113(9), 613-617. doi: 10.1093/qjmed/hcaa207
Cárdenas, J. M., & Yañez, S. E. (2012). Nuevas formas de muestreo para minorías y poblaciones ocultas: muestras por encuestado conducido en una población de inmigrantes sudamericanos. Universitas Psychologica, 11(2), 571-578. doi: 10.11144/Javeriana.upsy11-2.nfmm
Chams, N., Chams, S., Badran, R., Shams, A., Araji, A., Raad, M., … Hajj Hussein, I. (2020). COVID-19: A Multidisciplinary Review. Frontiers in Public Health, 8, 383. doi: 10.3389%2Ffpubh.2020.00383
Chan, R. C. H., Operario, D., & Mak, W. W. S. (2020). Bisexual individuals are at greater risk of poor mental health than lesbians and gay men: The mediating role of sexual identity stress at multiple levels. Journal of Affective Disorders, 260, 292-301. doi: 10.1016/j.jad.2019.09.020
College, L., Hickson, F., Reid, D., & Weatherburn, P. (2015). Poorer mental health in UK bisexual women than lesbians: evidence from the UK 2007 Stonewall Women's Health Survey. Journal of Public Health, 37(3), 427-437. doi: 10.1093/pubmed/fdu105
Daza, P., Novy, D., Stanley, M., & Averill, P. (2002). The depression anxiety stress scale - 21: Spanish translation and validation with a hispanic sample. Journal of Psychopathology and Behavioral Assessment, 24(3), 195-205. doi: 10.1023/A:1016014818163
Dyar, C., Feinstein, B. A., & London, B. (2015). Mediators of differences between lesbians and bisexual women in sexual identity and minority stress. Psychology of Sexual Orientation and Gender Diversity, 2(1), 43-51. doi: 10.1037/sgd0000090
Gawai, J. P., Singh, S., Taksande, V. D., Sebastian, T., Kasturkat, P., & Ankar, R. S. (2020). Critical review on impact of COVID 19 and mental health. Journal of Evolution of Medical and Dental Sciences, 9(30), 2158-2163. doi: 10.14260/jemds/2020/470
Guzmán-González, M., Barrientos, J., Saiz, J. L., Gómez, F., Cárdenas, M., Espinoza-Tapia, R., … Giami, A. (2020). Salud mental en población transgénero y género no conforme en Chile. Revista Médica de Chile, 148(8), 1113-1120. doi: 10.4067/S0034-98872020000801113
Harapan, H., Itoh, N., Yufika, A., Winardi, W., Keam, S., Te, H., … Mudatsir, M. (2020). Coronavirus disease 2019 (COVID-19): A literature review. Journal of Infection and Public Health, 13(5),667-673. doi: 10.1016/j.jiph.2020.03.019
Henry, J. D., & Crawford, J. R. (2005). The short-form version of the Depression Anxiety Stress Scales (DASS-21): Construct validity and normative data in a large non-clinical sample. British Journal of Clinical Psychology, 44(2), 227-239. doi: 10.1348/014466505x29657
King, M., Semlyen, J., Tai, S. S., Killaspy, H., Osborn, D., Popelyuk, D., & Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8, 70. doi:10.1186/1471-244x-8-70
Lovibond, P. F., & Lovibond, S. H. (1995b). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour Research and Therapy, 33(3), 335-343. doi: 10.1016/0005-7967(94)00075-U
Lovibond, S. H., & Lovibond, P. F. (1995a). Manual for the Depression Anxiety & Stress Scales, (2nd Ed.). Sydney: Psychology Foundation of Australia.
Luo, M., Guo, L., Yu, M., Jiang, W., & Wang, H. (2020). The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - A systematic review and meta-analysis. Psychiatry Research, 291, 113190. doi: 10.1016/j.psychres.2020.113190
Meyer, I. H. (2003). Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bulletin. 129(5), 674-697. doi: 10.1037/0033-2909.129.5.674
Mongelli, F., Perrone, D., Balducci, J., Sacchetti, A., Ferrari, S., Mattei, G., & Galeazzi, G. (2019). Minority stress and mental health among LGBT populations: An update on the evidence. Minerva Psichiatrica, 60(1), 27-50. doi: 10.23736/S0391-1772.18.01995-7
OutRight Action International. (2020). Vulnerabilidad amplificada. El impacto de la pandemia del COVID-19 en las personas LGBTIQ. Retrieved from https://outrightinternational.org/sites/default/files/COVID%20REPORT%20ESPAÑOL%20CORREGIDO.pdf
Pappa, S., Ntella, V., Giannakas, T., Giannakoulis, V., Papoutsi, E., & Katsaounou, P. (2020). Prevalence of depression, anxiety, and insomnia among healthcare workers during the COVID-19 pandemic: A systematic review and meta-analysis. Brain, Behavior, and Immunity, 88, 901-907. doi: 10.1016/j.bbi.2020.05.026
Pera, A. (2020). Cognitive, Behavioral, and Emotional Disorders in Populations Affected by the COVID-19 Outbreak. Frontiers in Psychology, 11, 2263. doi: 10.3389/fpsyg.2020.02263
Puckett, J. A., Surace, F. I., Levitt, H. M., & Horne, S. (2016). Sexual Orientation Identity in Relation to Minority Stress and Mental Health in Sexual Minority Women. LGBT Health, 3(5), 350-356. doi: 10.1089/lgbt.2015.0088
Román, F., Santibáñez, P., & Vinet, E. V. (2016). Uso de las Escalas de Depresión Ansiedad Estrés (DASS-21) como Instrumento de Tamizaje en Jóvenes con Problemas Clínicos. Acta de Investigación Psicológica, 6(1), 2325-2336. doi: 10.1016/s2007-4719(16)30053-9
Ross, L., Salway, T., Tarasoff, L., McKay, J., Hawkins, B., & Fehr, C. P. (2018). Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals: A Systematic Review and Meta-Analysis. The Journal of Sex Research, 55(4-5), 435-456. doi: 10.1080/00224499.2017.1387755
Ryan, C., Russell, S. T., Huebner, D., Diaz, R., & Sánchez, J. (2010). Family acceptance in adolescence and the health of LGBT young adults. Journal of Child and Adolescent Psychiatric Nursing, 23(4), 205-213. doi: 10.1111/j.1744-6171.2010.00246.x
Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., … Khaledi-Paveh, B. (2020). Prevalence of stress, anxiety, depression among the general population during the COVID-19 pandemic: a systematic review and meta-analysis. GlobalHealth, 16, 57. doi: 10.1186/s12992-020-00589-w
Salazar de Pablo, G., Vaquerizo-Serrano, J., Catalan, A., Arango, C., Moreno, C., Ferre, F., … Fusar-Poli, P. (2020). Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of Affective Disorders, 275, 48-57. doi: 10.1016/j.jad.2020.06.022
Samaniego, A., Urzúa, A., Buenahora, M., & Vera-Villarroel, P. (2020). Sintomatología asociada a trastornos de salud mental en trabajadores sanitarios en Paraguay: efecto COVID-19. Revista Interamericana de Psicología, 54(1), e1298. doi: 10.30849/ripijp.v54i1.1298
Sanchez, T. H., Zlotorzynska, M., Rai, M., & Baral, S. (2020). Characterizing the Impact of COVID-19 on Men Who Have Sex with Men Across the United States in April, 2020. AIDS and Behavior, 24(7), 2024-2032. doi: 10.1007/s10461-020-02894-2
Santos, G. M., Ackerman, B., Rao, A., Wallach, S., Ayala, G., Lamontage, E., … Howell, S. (2021). Economic, Mental Health, HIV Prevention and HIV Treatment Impacts of COVID-19 and the COVID-19 Response on a Global Sample of Cisgender Gay Men and Other Men Who Have Sex with Men. AIDS and Behavior, 25(2), 311-321. doi: 10.1007/s10461-020-02969-0
Sarno, E. L., Newcomb, M. E., Feinstein, B. A., & Mustanski. B. (2020). Bisexual Men’s Experiences with Discrimination, Internalized Binegativity, and Identity Affirmation: Differences by Partner Gender. Archives of Sexual Behavior, 49, 1783-1798. doi: 10.1007/s10508-020-01712-z
Shaukat, N., Ali, D.M., & Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: a scoping review. International Journal of Emergency Medicine, 13, 40. doi: 10.1186/s12245-020-00299-5
Stamu-O’Brien, C., Carniciu, S., Halvorsen, E., & Jafferany, M. (2020). Psychological aspects of COVID‐19. Journal of Cosmetic Dermatology, 19(9), 2169-2173. doi: 10.1111/jocd.13601
Stinchcombe, A., Wilson, K., Kortes-Miller, K., Chambers, L., & Weaver, B. (2018). Physical and mental health inequalities among aging lesbian, gay, and bisexual Canadians: cross-sectional results from the Canadian Longitudinal Study on Aging (CLSA). Canadian Journal of Public Health, 109, 833-844,doi: 10.17269/s41997-018-0100-3
Suen, Y. T., Chan, R. C. H., & Wong, E. M. Y. (2020). Effects of general and sexual minority-specific COVID-19-related stressors on the mental health of lesbian, gay and bisexual people in Hong Kong. Psychiatry Research, 292, 113365. doi: 10.1016/j.psychres.2020.113365
Taquet, M., Geddes, J., Husain, M., Luciano, S., & Harrison, P. (2021). 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. The Lancet Psychiatry, 8(5), 416-427. doi: 10.1016/S2215-0366(21)00084-5
Urzúa, A., Samaniego, A., Caqueo-Urízar, A., Zapata Pizarro, A., & Irarrázaval Domínguez, M. (2020). Salud mental en trabajadores de la salud durante la pandemia por COVID-19 en Chile. Revista Médica de Chile, 148(8), 1121-1127. doi: 10.4067/S0034-98872020000801121
Urzúa, A., Vera-Villarroel, P., Caqueo-Urízar, A., & Polanco-Carrasco, R. (2020). La Psicología en la prevención y manejo del COVID-19. Aportes desde la evidencia inicial. Terapia Psicológica, 38(1), 103-118. doi: 10.4067/S0718-48082020000100103
Vindegaard, N., & Benros, M. E. (2020). COVID-19 pandemic and mental health consequences: Systematic review of the current evidence. Brain, Behavior, and Immunity, 89, 531-542. doi: 10.1016/j.bbi.2020.05.048
World Health Organization [WHO]. (2019). Emergencies: Novel coronavirus 2019. Retrieved from https://www.who.int/es/emergencies/diseases/novel-coronavirus-2019
World Health Organization [WHO]. (2020). Situation Report 20200928. Retrieved from https://www.who.int/docs/default-source/coronaviruse/situation-reports/20200928-weeklyepi-update.pdf?sfvrsn=9e3546656
Xiong, J., Lipsitz, O., Nasri, F., Lui, L., Gill, H., Phan, L., … McIntyre, R. (2020). Impact of COVID-19 pandemic on mental health in the general population: A systematic review. Journal of Affective Disorders, 277, 55-64. doi: 10.1016/j.jad.2020.08.001
