The Influence of Stress on Depression and Substance Use Problems Among Young Male Same-Sex Couples: Relationship Functioning as an Underlying Mechanism

Brian A. Feinstein*, Elizabeth McConnell, Christina Dyar, Brian Mustanski, Michael E. Newcomb

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Stress experienced by either partner in a couple can have a negative impact on each partner’s health, but most dyadic research on stress and health has focused on different-sex couples. We examined relationship functioning as a mechanism underlying the longitudinal actor and partner effects of stress on depression and substance use problems among 109 young male same-sex couples. There were significant indirect actor effects of internalized stigma and microaggressions on depression and alcohol use problems through negative relationship interactions. Participants who reported higher levels of internalized stigma and microaggressions reported increases in negative relationship interactions, which in turn was associated with reporting greater depression and alcohol use problems. In contrast, none of the indirect partner effects were significant. Findings implicate negative relationship interactions as a mechanism linking minority stress to health but raise questions about the influence of partner stress on individual health among young male same-sex couples.

Original languageEnglish (US)
Pages (from-to)928-940
Number of pages13
JournalClinical Psychological Science
Volume7
Issue number5
DOIs
StatePublished - Sep 1 2019

Funding

The content is solely the responsibility of the authors and does not necessarily represent the official views of the funding agency. The funding agency was not involved in the study design; in the collection, analysis, and interpretation of the data; in the writing of the manuscript; and in the decision to submit the manuscript for publication. This work was supported by National Institute on Drug Abuse Grant U01-DA036939 (to B. Mustanski). B. A. Feinstein was supported by National Institute on Drug Abuse Grants F32-DA042708 and K08-DA045575.

Keywords

  • depression
  • dyadic
  • open data
  • same-sex couples
  • stress
  • substance use

ASJC Scopus subject areas

  • Clinical Psychology

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