{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T19:29:14Z","timestamp":1777750154676,"version":"3.51.4"},"reference-count":38,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,7,27]],"date-time":"2014-07-27T00:00:00Z","timestamp":1406419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"published-print":{"date-parts":[[2015,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Homosexual persons are targets of verbal and physical abuse, discrimination and face legal disadvantages in many countries, including India. These external factors could play a role in determining discomfort with their sexuality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>We ascertained the association between ego-dystonicity of sexual orientation and indices of perceived acceptance, stigma and awareness of possible normative lifestyles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Fifty-one self-identified adult homosexual men were assessed using online questionnaires that covered information including their socio-demographic details; a Visual Analog Scale (VAS) that measured their degree of discomfort with their sexuality; Reactions to Homosexuality Scale, Perceived Acceptance Scale, Modified China Men Who Have Sex with Men (MSM) Stigma scale; and trait version of the Positive and Negative Affect Scale. The participants were also asked to provide a written narrative of their experiences which influenced their comfort with their sexuality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Discomfort with sexuality significantly correlated with education, acceptance by friends and family, legal disadvantages, awareness and accessibility to non-heteronormative lifestyles and support systems and trait affect. Only acceptance by friends and awareness showed significance on linear regression. Qualitative analyses revealed external attributions for discomfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Modifying external factors, reducing legal restrictions and improving societal acceptance and support systems could reduce \u2018ego-dystonicity\u2019. \u2018Ego-dystonicity\u2019 as a determinant for psychiatric classification and intervention needs to be reexamined.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0020764014543709","type":"journal-article","created":{"date-parts":[[2014,7,28]],"date-time":"2014-07-28T20:36:44Z","timestamp":1406579804000},"page":"311-318","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["\u2018Ego-dystonicity\u2019 in homosexuality: An Indian perspective"],"prefix":"10.1177","volume":"61","author":[{"given":"Ami","family":"Sebastian Maroky","sequence":"first","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aswin","family":"Ratheesh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Biju","family":"Viswanath","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suresh Bada","family":"Math","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Channapatna R","family":"Chandrashekar","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shekhar P","family":"Seshadri","sequence":"additional","affiliation":[{"name":"Department of Child Psychiatry, National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,7,27]]},"reference":[{"key":"bibr1-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1177\/088626090005003003"},{"key":"bibr2-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024512023379"},{"key":"bibr3-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1080\/02674659708408180"},{"key":"bibr4-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1177\/0265407598151001"},{"key":"bibr5-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.56.11.931"},{"key":"bibr6-0020764014543709","doi-asserted-by":"publisher","DOI":"10.1080\/07448481.1995.9937502"},{"key":"bibr7-0020764014543709","volume-title":"Career and life planning with gay, lesbian, and bisexual persons","author":"Gelberg S.","year":"1996"},{"key":"bibr8-0020764014543709","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.91.6.933"},{"key":"bibr9-0020764014543709","unstructured":"Gupta A. 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