Perceived Emotional Impact of COVID-19 and Depressive Symptoms among Male Same-Sex Chilean Couples: Direct and Indirect Dyadic Associations through Relationship Satisfaction.

Stressors arising from the COVID-19 pandemic can spill over into the quality of couple relationships, with negative consequences on mental health. The mental health impact of COVID-19 might be particularly pronounced in disadvantaged populations such as LGBT people. This study aimed to examine direct and indirect dyadic associations between emotional impact of COVID-19 and depressive symptoms through relationship satisfaction in male same-sex couples. Using a cross-sectional design, 158 male same-sex Chilean couples completed self-report measures of the emotional impact of COVID-19, relationship satisfaction and depressive symptoms. We used the actor-partner interdependence mediation model for indistinguishable dyads to explore the direct and indirect dyadic associations. Results indicated that each partner's perceived emotional impact of COVID-19 was associated with his own higher depressive symptoms directly and indirectly, through his own lower relationship satisfaction. The other partner's perceived emotional impact of COVID-19 was associated with one's own higher depressive symptoms only directly. Our findings reinforce the notion that satisfactory couple relationships can act as a protective factor against depression in the LGBT population. Programs to promote adaptive coping strategies to deal with the emotional impact of the COVID-19 pandemic may have beneficial effects for the emotional adjustment of male same-sex couples, also by promoting relationship satisfaction.

The negative effects of internalized homonegativity on sexual satisfaction: dyadic effects and gender-based differences in Chile.

Heterosexism is not only expressed through sexual prejudice as an external stressor, but also as an internalized rejection toward one's own (and others') sexually diverse identity. That is, lesbian women and gay men themselves internalize negative societal attitudes toward their sexual orientation and identity-a phenomenon called internalized homonegativity. A wealth of research shows that internalized homonegativity negatively affects the health and social adjustment of gay and lesbian people. However, the literature has documented this trend from an individual (over a dyadic) perspective, and largely among gay (over lesbian) samples. To address this oversight, we analyzed data from 210 gay and lesbian couples in Chile to examine both actor and partner effects of internalized homonegativity on their sexual satisfaction. Results from moderation analyses from an actor-partner interdependence model (APIM) approach show that partners' internalized homonegativity negatively affects actor sexual satisfaction, a pattern significantly moderated by gender; that is, only observed among lesbian couples. Our results further demonstrated that these effects hold above and beyond the actor and partner effects of age and relationship satisfaction, as well as relationship length. These results are consistent with the broader literature, which discusses the specific features of internalized homonegativity in lesbian women, characterized-among other aspects-by restrictive social demands over their sexuality. Accordingly, our findings highlight the deleterious relational consequences of internalized homonegativity and offer a relevant empirical contribution to the understanding of specific minority stress dynamics among lesbian women.

Sociodemographic Characteristics, Gender Identification, and Gender Affirmation Pathways in Transgender People: A Survey Study in Chile.

Understanding the internal diversity of transgender communities is essential for developing optimal, inclusive policies and service provision. To date, research on this topic remains scarce in Chile. We conducted a survey study describing sociodemographic characteristics (age, sex assigned at birth, onset age, nationality, education, sex work, having a partner, having children, sexual orientation, religiousness, gender identification, and gender affirmation pathways). A snowball sample of 377 self-identified transgender adults living in Chile (Mage = 31.88, rangeage = 18-67) was collected for the purpose of this study. According to their sex assigned at birth, 139 participants were female and 238 male. Results revealed that sex assigned at birth was significantly associated with almost all the sociodemographic variables. Eight gender self-identification categories were obtained based on self-declaration. These gender identification categories varied according to sex assigned at birth. Finally, four patterns (clusters) of gender affirmative actions were identified among participants. These patterns indicated that the longer the gender affirmation pathway time, the greater the invasiveness level of the medical procedures used. Sex assigned at birth moderated the association between gender affirmation pathways and gender identity categories. Results were discussed highlighting the heterogeneity found in terms of sociodemographic characteristics, gender identification, and gender affirmation pathways.

[Cut-off points of the difficulties in Emotion Regulation Scale for the Chilean population]. / Propuesta de valores de referencia para la Escala de Dificultades de Regulación Emocional (DERS-E) en población adulta chilena.

BACKGROUND: There are no reference values for the Difficulties in Emotion Regulation Scale (DERS-E) for the Chilean population. AIM: To elaborate reference values for the interpretation of the DERS-E for the Chilean population. MATERIAL AND METHODS: The Difficulties in Emotion Regulation Scale was answered by participants from the general population (1,153 heterosexual men and women and 467 gay and lesbian individuals) and a group of 351 participants with emotional complaints. Receiver operating characteristic (ROC) curves were used to obtain the reference values. A concordance index was determined, and the odds ratio was calculated to evaluate the probability of having mental health problems comparing participants with emotional complaints with those from the general population. RESULTS: The DERS-E cut-off score was 73 points for the Chilean population. No differences were detected for emotional regulation difficulties between men and women or by sexual orientation. Age had a weak association with emotional regulation difficulties. CONCLUSIONS: DERS-E has an adequate diagnostic capacity, allowing to differentiate between those who have high or low emotional regulation difficulties.

[Mental health in a sample of transgender people]. / Salud mental en población transgénero y género no conforme en Chile.

BACKGROUND: Transgender population is at a higher risk of suffering mental health problems than cisgender population (people whose sex and gender identity are in agreement) and other sexual minorities (gays, lesbians, and bisexuals), partly due to the greater stress that they suffer or for being victims of sexual prejudice. AIM: To describe positive and negative mental health indicators in a sample of transgender people living in Chile. MATERIAL AND METHODS: An intentional sample of 377 transgender individuals older than 18 years, living in the country's northern, center and southern zones were studied. Sociodemographic and well-being features, negative emotional symptoms, suicidal behavior, and substance consumption were assessed. RESULTS: A precarious mental health was confirmed among participants. A high frequency of depression, ideation and suicide attempts, and high levels of depression, anxiety, and stress symptoms were identified. Also, a high frequency of substance abuse was found. These mental health indicators varied according to the sex assigned at birth and gender self-identification. CONCLUSIONS: Transgender people experience precariousness and vulnerability in their mental health.

[Validation of the general help-seeking questionnaire for mental health problems in adolescents]. / Validación del cuestionario general de búsqueda de ayuda para problemas de salud mental en adolescentes.

Help-seeking behavior is a protective factor in young people, essential for their mental health, well-being and development. However, some adolescents do not seek professional help when they need to. In this context, it is relevant to study the help-seeking behavior for mental health problems in adolescent population. OBJECTIVE: To adapt and validate the general help-seeking questionnaire for mental health problems in Chilean adolescents. SUBJECTS AND METHOD: Cross-sectional and correlational study of a non-random sample of 793 adolescent students, between 14 and 19 years old, from the city of Talca (Chile). The general help-seeking questionnaire, vignette version, (GHSQ-V) was administered after a transcultural adaptation and criterion validation. Descriptive statistics, exploratory factor analysis and non-parametric Mann-Whitney U test were used for analysis. RESULTS: An exploratory analysis identified two factors regarding available sources of help: 1) informal sources; 2) formal sources. Reliability was calculated separately for each of the health problems, resulting alpha values ranging from 0.87 to 0.75. In addition, the scale showed significant association with the variables self-efficacy and depression in the hypothesized directions. Finally, significant differences were identified in the willingness to seek help by adolescent’s level of mental health literacy, for all mental health issues presented, except suicide. CONCLUSION: The adaptation of the GHSQ-V for Chilean adolescent and youth population is a valid and reliable instrument to measure willingness to seek help for mental health problems in our socio-cultural environment.

Romantic Attachment and Physical Intimate Partner Violence Perpetration in a Chilean Sample: The Mediating Role of Emotion Regulation Difficulties.

Despite evidence that adult attachment insecurity has been linked to the perpetration of physical intimate violence, the mechanisms underlying this link need further exploration. The goal of this study was to evaluate the mediating role of emotion regulation difficulties in the association between romantic attachment and the use of physical intimate partner violence. To this end, 611 students recruited from Chilean universities completed the Experiences in Close Relationships questionnaire, the Difficulties in Emotion Regulation Scale, and the Revised Conflict Tactics Scales. Structural equation modeling (SEM) analyses revealed that emotion regulation difficulties mediated the relationship between dimensions of romantic attachment (anxiety over abandonment and avoidance of intimacy) and physical violence perpetration among both male and female participants. Implications for future research and clinical practice are presented herein.

Brain oscillations during emotion regulation and the two-dimensional model of adult attachment.

Emotion Regulation (ER) refers to the processes by which individuals influence their own emotions. It is a crucial aspect of human behavior, affecting everything from interpersonal relationships to mental health. The relationship between ER and Attachment Theory (AT) is pivotal. AT suggests that early bonds with primary caregivers influence future relationship expectations and behaviors. These initial experiences shape internal models of self and others, affecting how individuals regulate their emotions. Understanding the interplay between ER and AT is essential for comprehending the human affective system. In this study, we explored the neural underpinnings of ER, focusing on two distinct strategies: cognitive reappraisal and expressive suppression. Using electroencephalography (EEG), we examined changes in neural oscillations from 52 adults during an ER task. Specifically, we observed increased frontal theta activity (3-6 Hz) during reappraisal compared to suppression strategies. This frontal theta activity suggests enhanced cognitive control engagement. Conversely, during suppression, we noted a decrease in beta frequency (15-30 Hz) activity from central electrodes, indicative of differing neural processes. Further integrating psychological theories, we explored the relationship between these neural markers and dimensions of human attachment. Employing the Experiences in Close Relationships-12 scale (ECR-12), we identified a negative correlation between attachment anxiety and frontal theta activity. Lower levels of attachment anxiety were associated with increased theta activity, reflecting potentially more effective emotion regulation. Additionally, we found that higher theta activity corresponded with fewer difficulties in emotional control measured by the Difficulties in Emotion Regulation Scale (DERS). Regarding central beta activity, our findings revealed an interesting correlation with Emotional Inattention, a concept tied to Attachment Avoidance. This suggests that central beta activity may serve as a neural marker for specific attachment-related ER processing. These results highlight the distinct neural pathways involved in different ER strategies and their relationship with the AT and neural responses during emotional processing.

Parental attachment, attachment to friends, and well-being among Chilean adolescents and emerging adults.

Adolescence and emerging adulthood are two life stages marked by notable cognitive and socioemotional changes. During both periods, friendships play an increasingly significant role and can significantly impact individuals positively or negatively. Despite the evolving nature of these relationships, parents remain crucial to the development of both adolescents and emerging adults, playing a key role in their well-being. This study aimed to investigate the mediating role of attachment to friends in the relationship between parental attachment and the well-being of Chilean adolescents and emerging adults. In a cross-sectional correlational study, 363 adolescents (48.2% female) aged 14 to 17 years (M = 15.33, SD = 0.95) and 199 emerging adults (67.8% female) aged 18 to 29 years (M = 22.42, SD = 2.53) completed the Inventory of Parent and Peer Attachment and the Pemberton Happiness Index Scale to assess general, eudaimonic, hedonic, and social well-being. Results of path analyses indicated that, for both adolescents and emerging adults, a more secure attachment to parents was directly associated with higher scores in all well-being dimensions. Additionally, more secure parental attachment was indirectly associated with better eudaimonic and social well-being through a more secure attachment to friends. These findings suggest that enhancing parental attachment could be a valuable focus in clinical interventions aimed at improving overall well-being in adolescents and emerging adults.

An attachment-based pilot program to promote adolescent adjustment to parental divorce.

The study aimed to assess the impact of an attachment-based intervention on adolescent adaptation to parental divorce. The Adolescent Adjustment Pilot Program to Parental Divorce (AAPPD) employed an experimental group format, targeting improvements in various adaptation indicators (life satisfaction, positive affect, and negative affect). The sample comprised 30 Chilean adolescents aged 12 to 16 (M = 13.6, SD = 1.35), with 60% females and 40% males. After the intervention, the adolescents showed a decrease in negative affect at 6 and 12 months. However, no differences were identified in other dimensions of subjective well-being considered as indicators of divorce adaptation. The findings prompt discussion on theoretical and clinical implications.

Emotion regulation unveiled through the categorical lens of attachment.

BACKGROUND: Emotion regulation, the process by which individuals manage and modify their emotional experiences, expressions, and responses to adaptively navigate and cope with various situations, plays a crucial role in daily life. Our study investigates the variations in emotion regulation strategies among individuals with different attachment styles (AS). Specifically, we examine how individuals with secure, anxious, avoidant, and fearful attachment styles effectively utilize cognitive reappraisal and expressive suppression to regulate their emotions. METHODS: A total of n = 98 adults were instructed to attend, reappraise, or suppress their emotions while viewing negative and neutral images from the International Affective Picture System (IAPS) in an experimental emotion regulation task. After completing the task, participants rated the valence and arousal elicited by the images. Attachment styles were measured using the ECR-12 questionnaire and then categorized into four AS. RESULTS: Our study revealed that individuals with secure AS (n = 39) effectively reduced displeasure through cognitive reappraisal but experienced levels of displeasure with expressive suppression. Anxious AS (n = 16) individuals successfully reduced displeasure using cognitive reappraisal but struggled to regulate arousal and effectively use expressive suppression. Avoidant AS (n = 24) individuals could reduce displeasure with both strategies but experienced high arousal during suppression attempts. Fearful AS (n = 19) individuals effectively regulated both displeasure and arousal using either strategy. However, Secure AS individuals showed superior reappraisal efficacy, significantly reducing arousal levels compared to the Fearful AS group. Both Secure and Avoidant AS groups experienced higher valence during reappraisal relative to a baseline, indicating a decrease in displeasure. CONCLUSIONS: Individuals with different AS exhibit variations in the effectiveness of their use of emotion regulation strategies. Our findings reinforce the significance of AS in shaping emotion regulation processes and emphasize the need for tailored approaches to support individuals with different attachment orientations.

[Validation of a Dispositional Hope Scale for Chilean children and adolescents]. / Validación de una Escala de Esperanza Disposicional para población infantil y juvenil chilena.

According to Snyder's theory, hope is defined as a dispositional attribute consisting of two dimensions, agency and pathway thinking. This construct has been widely studied because of its association with quality and satisfaction with life. In the Chilean context, there is no valid measure adapted to the population of children and adolescents. OBJECTIVE: To assess the psychometric properties of the Dispositional Hope Scale for Chilean children and adolescents (NNA, for its acronym in Spanish). SUBJECTS AND METHOD: The study was conducted on 331 NNA, aged 10 to 20 years, from different educational centers in the country. Reliability was tested with Cronbach's alpha coefficient. In addition, one-factor vs two-factor models were compared using the Maximum Likelihood (MLR), while validity was analyzed in relation to other variables, specifically depressive symptoms. RESULTS: The scale showed a Cronbach's alpha coefficient of 0.89 and an adequate fit to the two-factor model, keeping the original structure proposed by Snyder et al. It is negatively related to depressive symptomatology. CONCLUSIONS: The NNA Hope Scale shows appropriate psychometric properties for its use on Chilean NNA population.

Internalized homonegativity moderates the association between attachment avoidance and emotional intimacy among same-sex male couples.

Introduction: The present study aimed to examine dyadic associations between attachment insecurity and emotional intimacy in same-sex male couples, and to investigate whether and how each partner's internalized homonegativity (IH) moderated these associations. Methods: The sample included 138 same-sex male couples. Both dyad members completed self-report measures of attachment insecurity, emotional intimacy, and IH. The actor-partner interdependence model with moderation analysis was applied. Results: Indicated that higher levels of actor's and partner's attachment anxiety and attachment avoidance were associated with lower actor's emotional intimacy. IH moderated the partner effects of attachment avoidance on emotional intimacy. The partner's higher attachment avoidance was associated with one's own lower emotional intimacy at low (but not high) levels of one's own IH and at high (but not low) levels of the partner's IH. Discussion: Findings suggest that the partner's attachment avoidance may differently affect one's own emotional intimacy depending on the IH levels of both dyad members. Helping partnered sexual minority men decrease attachment insecurity while recognizing their own and their partners' IH may promote relationship quality.

Emotion regulation strategies and the two-dimensional model of adult attachment: a pilot study.

Introduction: Emotion Regulation plays a crucial role in human's daily lives. Extensive research has shown that people with different attachment orientations exhibit divergencies in how they perform emotion regulation strategies. Methods: 44 adults performed an experimental emotion regulation task in which they were instructed to attend, reappraise, or suppress their emotions while viewing negative and neutral images taken from the International Affective Picture System (IAPS). Afterward, participants rated valence, arousal, and emotional dominance elicited by the images. Additionally, attachment orientations were measured using the ECR-12 questionnaire. Results: Results showed a relationship between attachment avoidance and the level of arousal during the reappraisal condition; specifically, the higher attachment avoidance levels, the greater the emotional intensity during the implementation of cognitive reappraisal strategy. Such results suggest an association between failing in downregulate intense emotions using cognitive reappraisal when there are higher levels of attachment avoidance. Consistently, we also found that lower dominance during reappraisal was associated with more levels of avoidance. Conclusion: These results indicate that people with higher levels of attachment avoidance experience difficulties when using the cognitive reappraisal strategy to reduce the emotional impact produced by negative emotional stimuli. Our findings reinforce the idea that avoidant people experience high physiological activation when experience emotions.

Psychological Adjustment Profiles of LGBTQ+ Young Adults Residing with Their Parents during the COVID-19 Pandemic: An International Study.

The COVID-19 pandemic has been associated with poor mental health symptoms, particularly among vulnerable populations such as LGBTQ+ individuals. In the present study, we aimed to (i) identify different psychological adjustment profiles among LGBTQ+ young adults during the COVID-19 pandemic and compare LGBTQ+ young adults in relation to (ii) sociodemographic characteristics and COVID-19-related experiences and (iii) the internal and external protective resources associated with each adjustment profile. An online questionnaire was administered to 1699 LGBTQ+ young adults from six countries (Brazil, Chile, Italy, Portugal, Sweden, and the UK). A cluster analysis was conducted, and four profiles of psychological adjustment were identified: unchallenged, resilient, distressed, and at-risk. The at-risk cluster scored lowest in social support (particularly from family). The profiles of participants who experienced the highest levels of pandemic adversity (at-risk and resilient) comprised mostly South American participants, those under lockdown at the time of survey completion, those who self-identified as transgender and non-binary, and those with a plurisexual sexual orientation. Interventions should consider strategies to help young adults maintain support systems and reinforce the value of positive family relationships. Specific groups within the LGBTQ+ community that seem to be in a particularly vulnerable situation may need additional tailored support.

Attachment and Dyadic Forgiveness in Individuals in Same-Sex Couple Relationships.

(1) Background: There is abundant evidence linking attachment insecurity to lower levels of interpersonal forgiveness. However, this association has been almost exclusively explored in people in a different-sex couple relationship, and there is little evidence referring to gay, lesbian, and bisexual (LGB) people in a same-sex relationship. The present study examines the association between romantic attachment and dyadic forgiveness in individuals involved in a same-sex couple relationship. (2) Methods: A total of 248 participants (52.8% female) aged 18-67 years (mean age: 31.02 ± 9.39) completed the Experiences in Close Relationships questionnaire and the Transgression-Related Interpersonal Motivation Inventory. (3) Results: Structural equation modeling showed that attachment avoidance was more strongly associated with dyadic forgiveness than attachment anxiety. Higher levels of attachment anxiety and avoidance were both linked to higher levels of avoidance motivation in response to partner transgressions, and higher attachment avoidance was linked to lower benevolence motivation. Multigroup analyses indicated a gender-specific association between attachment avoidance and revenge motivations, which was positive and significant among men only. (4) Conclusions: In the present study, we have identified that attachment avoidance plays a more prominent role in the tendency to forgive in same-sex couples. Implications at both theoretical and clinical practice levels are discussed.

Forgiveness in the Context of Divorce: A Cross-Cultural Measurement Invariance Study via Multiple-Group Factor Analysis (CFA) across Chile and Spain.

(1) Background: Current research on the factors involved in the adaptation process to divorce or separation has explored cross-cultural differences. An initial step in the cross-cultural field is to investigate whether the measurements applied are comparable in different cultural contexts. The aim of the present study is to test the measurement invariance of the Questionnaire of Forgiveness in Divorce-Separation (CPD-S); (2) Methods: The CPD-S was completed by 556 (M = 44.52, SD = 10.18) and 240 (M = 41.44, SD = 7.87) Chilean and Spanish divorced individuals, respectively. Confirmatory factor analyses in single samples and measurement invariance testing in a multi-group framework were conducted to test the cross-group equivalence; (3) Results: The single-factor structure of the CPD-S was supported in both countries. Measurement invariance analysis demonstrated that the CPD-S had partial scalar measurement invariance; (4) Conclusions: The evidence supports the conclusion that CPD-S operates similarly across both countries. Findings are discussed from a cross-cultural and methodological perspective.

Dyadic Invariance of the Positive Sexuality Scale in Chilean Heterosexual Couples.

Gender differences in sexuality-related dimensions have long been investigated in close relationship research. An important assumption when comparing values across gender in dyadic research is that both partners conceptualize the construct under investigation in the same way. Thus, issues of measurement invariance should be considered when working with dyadic data. The aim of the present study was to test the dyadic invariance of the Positive Sexuality Scale (PSS) to assess an individual's sense of happiness and fulfillment with his/her sexual expression. The PSS was completed by 166 Chilean heterosexual couples, and measurement invariance was tested using confirmatory factor analysis within a dyadic framework. Configural, metric, scalar, and partial strict measurement invariance were supported for the PSS original one-factor model. No between-partner difference was found in the PSS latent factor mean. The functioning of the PSS and the meaning attributed to positive sexuality were the same for both partners. Hence, variations in the PSS levels between both partners in heterosexual couples can be interpreted as true mean differences rather than measurement artifacts.

Evidence for a Bifactor Structure of the Caregiving Questionnaire with Individuals Involved in Different and Same-Sex Couple Relationships.

Despite the Caregiving Questionnaire (CQ) being a widely used measure for the study of caregiving behavior in the context of romantic relationships, to date, few studies have focused on empirically evaluating its underlying theoretical structure. The aim of this study was to examine the factorial structure and equivalence across sex and sexual orientation of this instrument. A sample of 912 Chilean individuals currently involved in a couple relationship completed the Caregiving Questionnaire and the Experiences in Close Relationship Scale. After comparing various traditional Confirmatory Factor Analysis (CFA)models, the results provide support for a multidimensional and hierarchical nature of a brief 16-items version of the CQ. More specifically, the analyses supported a bifactor-CFA solution composed of two global factors and four specific factors, suggesting that they add information to the caregiving construct in the context of couple relationships. Additionally, the scale showed measurement invariance across sex and sexual orientation. Finally, significant associations were found between CQ scores with measures of romantic attachment in the expected directions. Theoretical implications about the nature of the caregiving system are discussed.

Romantic Attachment and Relationship Satisfaction in Gay Men and Lesbians in Chile.

Attachment theory has proven to be a solid framework for understanding couple bonds, but research focused on same-sex relationships among gay men and lesbian women from Latin America remains limited. The purpose of this study was to examine the association between romantic attachment and relationship satisfaction in a sample of Chilean gay men and lesbian women. A snowball sampling was used. The final sample consisted of 259 individuals involved in a same-sex couple relationship, ranging from 18 to 66 years of age (M = 27.2, SD = 6.8) for gay men and 18 to 57 years of age (M = 28.6, SD = 8.1) for lesbian women. Our hypotheses were partially supported, as there was a negative association between attachment avoidance and relationship satisfaction, but not between attachment anxiety and relationship satisfaction. We did not find a gender moderating effect. These findings may contribute to the understanding of lesbian and gay people in a same-sex couples relationship from an attachment theory perspective.