Summary
Homosexuality is romantic or sexual attraction or behavior between members of the same sex or gender. As an orientation, homosexuality refers to "an enduring pattern of or disposition to experience sexual, affectionate, or romantic attractions" primarily or exclusively to people of the same sex; "it also refers to an individual's sense of personal and social identity based on those attractions, behaviors expressing them, and membership in a community who share them.
Several recent large-scale studies have indicated that homosexuals are at elevated risk for many psychiatric symptoms and disorders, including mood disorders (e.g., major depression, bipolar disorder), anxiety disorders (e.g., generalized anxiety disorder, phobic disorders, obsessive compulsive disorder), eating disorders, conduct disorder, substance misuse, suicidal ideation, and suicide attempts more than heterosexual.
The main goals of the study are:-
• Find- out the relation of homosexuality in occurrence of psychiatric problems among homosexual males.
• Assess the possible co morbid psychiatric problems in homosexual males.
• Find-out the adverse childhood experiences among homosexual males.
The study was performed in neuropsychiatric clinics in Benha university hospital in addition to some private clinics and centers.
The studied sample included study group (homosexual males above and equal 18 years old) and control group (heterosexual males matched for age and socioeconomic states).
The total number of the studied sample was 76 males (study group 38, control group 38).
The samples are to be subjected to
1)A semi-structured interview emphasizing the following :- Age, Sex, Occupation, Tension, Hostility, Anxiety, Depression, Self-blame, Suicidal ideation, Somatoform disorder symptoms, Panic disorder symptoms, Eating disorder symptoms, History of physical abuse, father-son relationships, mother-son relationships, conflict with male peers and History of sexual abuse.
2) Psychometric test for assessment of psychiatric disorders (Structured Clinical Interview for DSM-IV, SCID-I Questionnaires).
3) Psychometric test for assessment of personality disorders (Structured Clinical Interview for DSM-IV, SCID-II Questionnaires).
In the comparison between the studied samples according to childhood physical abuse there is statistical significance difference between the studied groups regarding the childhood physical abuse and the study group was about 3 times more likely to have childhood physical abuse than control group.
In comparison between the studied samples according to homosexual experience during the childhood there is statistical significance difference between the studied groups regarding the homosexual experience the study group was about 10 times more likely to have childhood homosexual experience than control.
In the comparison between the studied samples according to father-son relationship there is statistical significance difference between the studied groups regarding the father-son relationship rejected 63.3% among the study group.
The mother-son relationship (rejected –overprotection – average) and there is statistical significance difference between the studied groups regarding the mother-son relationship overprotective among the study group 78.9%.
A comparison between the studied groups regarding the conflict with male peers and there is statistical significance difference between the studied groups regarding the conflict with male peers.
A comparison between the studied groups regarding the suicidal ideas and there is statistical significance difference between the studied groups regarding the suicidal ideas 23.3% among the study group 0.00% among the control group.
A comparison between the studied groups regarding the insomnia and there is statistical significance difference between the studied groups regarding the insomnia the study group was about 7 times more likely to have insomnia than control group.
A comparison between the studied groups regarding the depression and there is statistical significance difference between the studied groups regarding the depression the study group was about 4 times more likely to have depression than control group.
A comparison between the studied groups regarding the alcohol abuse and there is statistical significance difference between the studied groups regarding the alcohol abuse the study group was about 22 times more likely to have the alcohol abuse than control group.
A comparison between the studied groups regarding generalized anxiety disorder and there is statistical significance difference between the studied groups regarding generalized anxiety disorder the study group was about 3 times more likely to have generalized anxiety disorder than control group.
A comparison between the studied groups regarding obsessive compulsive disorder and there is statistical significance difference between the studied groups regarding OCD the study group was about 4 times more likely to have OCD than control group.
The studied groups regarding PTSD the study group was about 2 times more likely to have PTSD than control group.
A comparison between the studied groups regarding panic disorder and there is statistical significance difference between the studied groups regarding panic disorder.
A comparison between the studied groups regarding specific phobias and there is statistical significance difference between the studied groups regarding specific phobias the study group was about 5 times more likely to have specific phobias than control group.
A comparison between the studied groups regarding avoidant personality disorder and there is statistical significance difference between the studied groups regarding avoidant personality disorder and the study group was about 6.5 times more likely to have avoidant personality disorder than control group.
A comparison between the studied groups regarding borderline personality disorder and there is statistical significance difference between the studied groups regarding borderline personality disorder.
There are many factors explain the elevated psychiatric vulnerability in Homosexual but the most important one is negative attitudes and feelings toward homosexuality which called homophobia.
We need organization between the different systems (religious, educational, social, and medical, mass media)
So we need a good plan in order to reduce this problem through direct recommendation to parents, schools, universities, families, mass media and the whole community.
|
