The aim of this study was to compare clinical expressions
(severity and loneliness), lifestyle factors (substance use), and vulnerability
indicators (stressful childhood experiences) in patients with any same-sex
attraction versus heterosexual patients diagnosed with depression and/or
anxiety disorder. Little is known about this, even though it is now well
documented that depression and anxiety are more prevalent among persons with
same-sex attraction.
Data, derived from the Netherlands Study of Depression and
Anxiety (NESDA), allowed us to compare patients with a same-sex (n = 122) and
an exclusively opposite-sex (n = 1658) attraction. Persons with same-sex
attraction included persons who were attracted to both sexes. Data were
collected by means of the Composite International Diagnostic Interview and
paper-and pencil questionnaires.
Seven percent of the patients reported any same-sex
orientation. Clinical expression of depression and anxiety did not differ in
relation to sexual attraction. Regarding substance use, same-sex attracted
women reported more drug use than heterosexual women (drug use: 16.2% vs. 6.6%, P = 0.003).
Regarding stressful childhood experiences, men with any same-sex attraction
reported more sexual abuse during childhood than men with a heterosexual
orientation (20.4% vs. 8.5%, P = 0.005).
Full article
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By:
1Faculty of Social and Behavioral Sciences, Research Institute of Child Development and Education, Nieuwe Prinsengracht 130, 1018 VZ, Amsterdam, the Netherlands
2Faculty of Medical Sciences, Academic Centre of Psychiatry, University of Groningen, Hanzeplein 1, 9713 GZ, Groningen, the Netherlands
3Division of Gender, Sexuality and Health, New York Psychiatric Institute and Department of Psychiatry, Columbia University, 1051 Riverside Drive, Unit 15, New York, New York, 10032
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