Sexual Orientation Identity Change, Developmental Trajectories of Depressive Symptoms, and Childhood Abuse from Adolescence to Young Adulthood

TY - JOUR

T1 - Sexual Orientation Identity Change, Developmental Trajectories of Depressive Symptoms, and Childhood Abuse from Adolescence to Young Adulthood

AU - Xu, Yin

AU - Ma, Yidan

AU - Rahman, Qazi

N1 - Funding Information: The UK Medical Research Council and Wellcome (Grant ref: 217065/Z/19/Z ) and the University of Bristol provide core support for ALSPAC . This publication is the work of the authors and they will serve as guarantors for the contents of this paper. A comprehensive list of grants funding is available on the ALSPAC website ( http://www.bristol.ac.uk/alspac/external/documents/grant-acknowledgements.pdf ); This research was specifically funded by The Fundamental Research Funds for the Central Universities (grant number: YJ2021164 ). Publisher Copyright: © 2023 Society for Adolescent Health and Medicine

PY - 2024/3/1

Y1 - 2024/3/1

N2 - Purpose: This study tested differences between youths who reported being heterosexual at ages 15.5 and 21, and those who changed from reporting being heterosexual at age 15.5 to nonheterosexual at age 21, in the developmental trajectories of depressive symptoms from age 22–24 years, and whether these longitudinal patterns were explained by childhood and adolescent abuse. Methods: The Avon Longitudinal Study of Parents and Children (ALSPAC) was used (849 male youths and 1,455 female youths). Youths' self-reported sexual orientation was measured at ages 15.5 and 21, and depressive symptoms were measured at ages 22, 23, and 24. Childhood and adolescent abuse between birth and 17 years were reported by youths and their mothers. Results: Male and female youths who changed from reporting being heterosexual to nonheterosexual reported significantly more depressive symptoms than their consistently heterosexual counterparts at all 3 ages (except the association for male youths at age 24), with total effects (unstandardized regression coefficients) ranging from 2.00 to 5.27. These associations were weakened but remained statistically significant when childhood and adolescent abuse was controlled for, with direct effects ranging from 1.50 to 4.68. These associations were mediated through childhood and adolescent abuse, with indirect effects ranging from 0.48 to 0.58. Differences between youths who consistently reported being heterosexual and those who changed from reporting being heterosexual to nonheterosexual in depressive symptoms decreased from age 22–24 years, possibly due to the success of identity integration. Discussion: Childhood and adolescent abuse may partially explain these developmental disparities.

AB - Purpose: This study tested differences between youths who reported being heterosexual at ages 15.5 and 21, and those who changed from reporting being heterosexual at age 15.5 to nonheterosexual at age 21, in the developmental trajectories of depressive symptoms from age 22–24 years, and whether these longitudinal patterns were explained by childhood and adolescent abuse. Methods: The Avon Longitudinal Study of Parents and Children (ALSPAC) was used (849 male youths and 1,455 female youths). Youths' self-reported sexual orientation was measured at ages 15.5 and 21, and depressive symptoms were measured at ages 22, 23, and 24. Childhood and adolescent abuse between birth and 17 years were reported by youths and their mothers. Results: Male and female youths who changed from reporting being heterosexual to nonheterosexual reported significantly more depressive symptoms than their consistently heterosexual counterparts at all 3 ages (except the association for male youths at age 24), with total effects (unstandardized regression coefficients) ranging from 2.00 to 5.27. These associations were weakened but remained statistically significant when childhood and adolescent abuse was controlled for, with direct effects ranging from 1.50 to 4.68. These associations were mediated through childhood and adolescent abuse, with indirect effects ranging from 0.48 to 0.58. Differences between youths who consistently reported being heterosexual and those who changed from reporting being heterosexual to nonheterosexual in depressive symptoms decreased from age 22–24 years, possibly due to the success of identity integration. Discussion: Childhood and adolescent abuse may partially explain these developmental disparities.

KW - Sexual orientation

KW - Depression

KW - Depressive symptoms

KW - Adolescent

KW - Abuse

KW - Early adulthood

KW - ALSPAC

KW - Lesbian, gay, bisexual

KW - LGBTQ+

UR - http://www.scopus.com/inward/record.url?scp=85181741160&partnerID=8YFLogxK

U2 - 10.1016/j.jadohealth.2023.10.017

DO - 10.1016/j.jadohealth.2023.10.017

M3 - Article

SN - 1054-139X

VL - 74

SP - 523

EP - 530

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

IS - 3

ER -