2024
Stigma and Anxiety and Depressive Symptoms in Parents of Sexual and Gender Minority Youth
Clark K, Argiros A, Dougherty L, Pachankis J. Stigma and Anxiety and Depressive Symptoms in Parents of Sexual and Gender Minority Youth. Journal Of Family Psychology 2024, 38: 201-211. PMID: 38227468, PMCID: PMC10922310, DOI: 10.1037/fam0001183.Peer-Reviewed Original ResearchConceptsSGM youthVicarious stigmaStigma experiencesDepressive symptomsPatient-Reported Outcomes Measurement Information System short formsSelf-reported anxietyAssessed parents' experiencesSymptoms of anxietyConsequences of stigmaChild mental healthMental health difficultiesCross-sectional studySGM childrenGender minoritiesSGM peopleStigma measuresExperience stigmaYouths' parentsHealth difficultiesMental healthAnxietyInvestigate associationsSGMStigmaEmotional consequencesStructural stigma and LGBTQ+ health: a narrative review of quantitative studies
Hatzenbuehler M, Lattanner M, McKetta S, Pachankis J. Structural stigma and LGBTQ+ health: a narrative review of quantitative studies. The Lancet Public Health 2024, 9: e109-e127. PMID: 38307678, DOI: 10.1016/s2468-2667(23)00312-2.Peer-Reviewed Original ResearchConceptsHealth disparitiesLGBTQ+ healthStructural stigmaRisk of poor healthDevelopment of public health interventionsReview of quantitative studiesMeasure of structural stigmaStudy health disparitiesArea-level covariatesPublic health interventionsLGBTQ+ individualsSocietal-level conditionsHealth outcomesHealth interventionsPoor healthHealth burdenHealthComparison groupNarrative reviewTest mediationMultiple outcomesMethodological strengthsNon-LGBTQ+StigmaGender identity
2023
Guided LGBTQ-affirmative internet cognitive-behavioral therapy for sexual minority youth's mental health: A randomized controlled trial of a minority stress treatment approach
Pachankis J, Soulliard Z, Layland E, Behari K, Seager van Dyk I, Eisenstadt B, Chiaramonte D, Ljótsson B, Särnholm J, Bjureberg J. Guided LGBTQ-affirmative internet cognitive-behavioral therapy for sexual minority youth's mental health: A randomized controlled trial of a minority stress treatment approach. Behaviour Research And Therapy 2023, 169: 104403. PMID: 37716019, PMCID: PMC10601985, DOI: 10.1016/j.brat.2023.104403.Peer-Reviewed Original ResearchConceptsInternet-based CBTCognitive behavioral therapyPsychological distressAnxiety symptomsMinority stressInternet-based cognitive behavioral therapyInternet cognitive behavioural therapyMental healthHIV transmission risk behaviorsLGBTQ youthYouth mental healthICBT participantsPreliminary efficacyAcceptable treatmentIntervention acceptabilityTreatment approachesAlcohol useMost outcomesStigmatizing conditionSuicidal thoughtsWeekly assessmentsBehavioral healthFuture researchGroup comparisonsParticipantsIncorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men
Hollinsaid N, Pachankis J, Mair P, Hatzenbuehler M. Incorporating Macro-Social Contexts into Emotion Research: Longitudinal Associations Between Structural Stigma and Emotion Processes Among Gay and Bisexual Men. Emotion 2023, 23: 1796-1801. PMID: 36595384, PMCID: PMC10314958, DOI: 10.1037/emo0001198.Peer-Reviewed Original ResearchConceptsEmotion regulationMacro-social contextBisexual menEmotion regulation researchMacro-social environmentEmotion processesEmotional clarityEmotion researchIndividual differencesRegulation researchLevel of stigmaInterpersonal levelLongitudinal associationsImmediate situationSocial inequalitiesSexual minoritiesStructural stigmaLongitudinal studyMore suppressionLongitudinal increaseU.S. countiesStigmaContextResearchGaySelf-Schemas and Information Processing Biases as Mechanisms Underlying Sexual Orientation Disparities in Depressive Symptoms: Results From a Longitudinal, Population-Based Study
Bränström R, Pachankis J, Jin J, Klein D, Hatzenbuehler M. Self-Schemas and Information Processing Biases as Mechanisms Underlying Sexual Orientation Disparities in Depressive Symptoms: Results From a Longitudinal, Population-Based Study. Journal Of Psychopathology And Clinical Science 2023, 132: 681-693. PMID: 37326561, PMCID: PMC10524885, DOI: 10.1037/abn0000823.Peer-Reviewed Original ResearchConceptsInformation processing biasesProcessing biasesNegative wordsSelf-schemaDepressive symptomsCognitive risk factorsSelf-report measuresSexual minoritiesSexual minority individualsSexual orientation disparitiesOrientation disparitiesPotential intervention targetsCognitive mechanismsBehavioral tasksCross-sectional designIntervention targetsMinority individualsProspective associationsWordsYoung adultsHeterosexual individualsReaction timeWave 2BiasesNonprobability sampleKept in the Closet: Structural Stigma and the Timing of Sexual Minority Developmental Milestones Across 28 European Countries
Layland E, Bränström R, Murchison G, Pachankis J. Kept in the Closet: Structural Stigma and the Timing of Sexual Minority Developmental Milestones Across 28 European Countries. Journal Of Youth And Adolescence 2023, 52: 2012-2030. PMID: 37410349, DOI: 10.1007/s10964-023-01818-2.Peer-Reviewed Original ResearchModerators of LGBQ-Affirmative Cognitive Behavioral Therapy: ESTEEM Is Especially Effective Among Black and Latino Sexual Minority Men
Keefe J, Rodriguez-Seijas C, Jackson S, Bränström R, Harkness A, Safren S, Hatzenbuehler M, Pachankis J. Moderators of LGBQ-Affirmative Cognitive Behavioral Therapy: ESTEEM Is Especially Effective Among Black and Latino Sexual Minority Men. Journal Of Consulting And Clinical Psychology 2023, 91: 150-164. PMID: 36780265, PMCID: PMC10276576, DOI: 10.1037/ccp0000799.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyCommunity mental health treatmentBehavioral health concernsBehavioral therapyPotential moderatorsAlcohol/drug use problemsControl conditionAlcohol/drug problemsMinority stress processesBisexual menMinority stress factorsMental health treatmentDrug use problemsHealth concernComorbidity Index scoreSignificant moderatorTransmission risk behaviorsEffective skillsStudy therapistsStress processBehavioral health risksModeratorUse problemsMinority identificationHealth treatment
2022
A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth
Pachankis JE, Jackson SD. A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth. Archives Of Sexual Behavior 2022, 52: 1869-1895. PMID: 35978203, PMCID: PMC9935753, DOI: 10.1007/s10508-022-02381-w.Peer-Reviewed Original ResearchConceptsDevelopmental modelSexual minority identity formationSexual minority individualsMental health effectsPsychological adaptationVicarious learningSources of supportTemporal contextFuture research directionsSensitive periodMinority individualsCentral identityIdentity formationSexual identityMultilevel interventionsSexual orientationResearch directionsTestable hypothesesOrientation awarenessAdolescenceStressorsLearningIdentityClosetIndividualsStructural Stigma and Sexual Minority Victimization Across 28 Countries: The Moderating Role of Gender, Gender Nonconformity, and Socioeconomic Status
Bränström R, Fellman D, Pachankis J. Structural Stigma and Sexual Minority Victimization Across 28 Countries: The Moderating Role of Gender, Gender Nonconformity, and Socioeconomic Status. Journal Of Interpersonal Violence 2022, 38: 3563-3585. PMID: 35942575, PMCID: PMC9850374, DOI: 10.1177/08862605221108087.Peer-Reviewed Original ResearchMechanisms Linking Distal Minority Stress and Depressive Symptoms in a Longitudinal, Population-Based Study of Gay and Bisexual Men: A Test and Extension of the Psychological Mediation Framework
Lattanner MR, Pachankis JE, Hatzenbuehler ML. Mechanisms Linking Distal Minority Stress and Depressive Symptoms in a Longitudinal, Population-Based Study of Gay and Bisexual Men: A Test and Extension of the Psychological Mediation Framework. Journal Of Consulting And Clinical Psychology 2022, 90: 638-646. PMID: 36066865, PMCID: PMC9896512, DOI: 10.1037/ccp0000749.Peer-Reviewed Original ResearchSexual orientation-related patterns of 12-month course and severity of suicidality in a longitudinal, population-based cohort of young adults in Sweden
Clark KA, Hatzenbuehler ML, Bränström R, Pachankis JE. Sexual orientation-related patterns of 12-month course and severity of suicidality in a longitudinal, population-based cohort of young adults in Sweden. Social Psychiatry And Psychiatric Epidemiology 2022, 57: 1931-1934. PMID: 35829726, PMCID: PMC9378663, DOI: 10.1007/s00127-022-02326-7.Peer-Reviewed Original ResearchTraining in LGBTQ-Affirmative Cognitive Behavioral Therapy: A Randomized Controlled Trial Across LGBTQ Community Centers
Pachankis JE, Soulliard ZA, van Dyk I, Layland EK, Clark KA, Levine DS, Jackson SD. Training in LGBTQ-Affirmative Cognitive Behavioral Therapy: A Randomized Controlled Trial Across LGBTQ Community Centers. Journal Of Consulting And Clinical Psychology 2022, 90: 582-599. PMID: 35901370, PMCID: PMC9434976, DOI: 10.1037/ccp0000745.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyMental health providersHealth providersBehavioral therapyEvidence-based mental health careMental health careSelf-reported cultural competenceLGBTQ community centersControlled TrialsMonths postbaselineCommunity centersPractice settingsHealth careCBT knowledgeSignificant differencesTherapyGreater improvementClinical vignettesBaselineTrialsPractice skillsParticipantsGreater uptakeCultural humilityTraining conditionsComing out under fire: The role of minority stress and emotion regulation in sexual orientation disclosure
van Dyk I, Aldao A, Pachankis JE. Coming out under fire: The role of minority stress and emotion regulation in sexual orientation disclosure. PLOS ONE 2022, 17: e0267810. PMID: 35500012, PMCID: PMC9060356, DOI: 10.1371/journal.pone.0267810.Peer-Reviewed Original ResearchRejection Sensitivity Across Sex, Sexual Orientation, and Age: Measurement Invariance and Latent Mean Differences
Maiolatesi AJ, Clark KA, Pachankis JE. Rejection Sensitivity Across Sex, Sexual Orientation, and Age: Measurement Invariance and Latent Mean Differences. Psychological Assessment 2022, 34: 431-442. PMID: 35025579, PMCID: PMC9328167, DOI: 10.1037/pas0001109.Peer-Reviewed Original ResearchConceptsLatent mean differencesRejection sensitivityPersonality dispositionsMeasurement invarianceScalar invarianceAdult Rejection Sensitivity QuestionnaireSocial experienceInformation processing styleRejection Sensitivity QuestionnaireMaladaptive personality dispositionsSexual orientationPartial scalar invarianceSexual minoritiesProcessing styleAnxious expectationsMental health disparitiesGroup differencesSensitivity QuestionnairePresent research highlightSwedish young adultsYoung adultsFuture researchPresent researchSocial groupsPopulation-based sample
2021
Early Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15
Pachankis JE, Clark KA, Klein DN, Dougherty LR. Early Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15. Journal Of Youth And Adolescence 2021, 51: 458-470. PMID: 34731394, PMCID: PMC9307058, DOI: 10.1007/s10964-021-01532-x.Peer-Reviewed Original ResearchConceptsProspective cohort studySexual orientation disparitiesCohort studyAnxiety symptomsDepression symptomsOrientation disparitiesHigher depression symptomsEarly determinantsSymptomsSupportive interventionsAppropriate interventionsOptimal timingAge 15Poor parental relationshipsAge 12Mother-child relationshipAge 3Social stressDepressionInterventionAgeInternalizing psychopathologyDisparitiesPeer victimizationEarly developmentCultural Context Matters: Testing the Minority Stress Model Among Chinese Sexual Minority Men
Sun S, Hoyt WT, Tarantino N, Pachankis JE, Whiteley L, Operario D, Brown LK. Cultural Context Matters: Testing the Minority Stress Model Among Chinese Sexual Minority Men. Journal Of Counseling Psychology 2021, 68: 526-537. PMID: 33030914, PMCID: PMC8026770, DOI: 10.1037/cou0000535.Peer-Reviewed Original ResearchConceptsSexual minority menSexual minoritiesMinority menMinority stress theorySexual identity concernsMinority stress modelNorm conformityChinese cultureCultural contextCultural considerationsAlternative model testingDistal minority stressorsMinority stressorsChinese contextIdentity concernsGlobal contextMental health disparitiesProximal minority stressorsLow family supportAcceptance concernsEast Asian countriesWestern samplesContextMinorityFamily supportA Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels
Lattanner MR, Ford J, Bo N, Tu W, Pachankis JE, Dodge B, Hatzenbuehler ML. A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels. Psychological Science 2021, 32: 1684-1696. PMID: 34543132, PMCID: PMC8907493, DOI: 10.1177/09567976211018624.Peer-Reviewed Original ResearchConceptsStructural stigmaConcealment motivationGeographic levelsIdentity concealmentGay menSexual orientationStigmatizing environmentsBisexual menContextual approachSocial environmentStigmaImmediate situationPsychological theoriesSurvey itemsMotivationPsychological studiesSubjective perceptionUltimate sourceMenStructural formsPerceptionConcealmentMost studiesIndirect effectsDecisionsA biopsychosocial framework for understanding sexual and gender minority health: A call for action
Christian LM, Cole SW, McDade T, Pachankis JE, Morgan E, Strahm AM, Kamp Dush CM. A biopsychosocial framework for understanding sexual and gender minority health: A call for action. Neuroscience & Biobehavioral Reviews 2021, 129: 107-116. PMID: 34097981, PMCID: PMC8429206, DOI: 10.1016/j.neubiorev.2021.06.004.Peer-Reviewed Original ResearchConceptsElevated psychological distressDifferent sexual identitiesMinority stress theoryMinority stress frameworkIndividual differencesPsychological distressGender minority populationsGender minoritiesSexual minority statusStress frameworkBiopsychosocial frameworkMinority stressIndividual levelSleep disturbancesSexual identityPeople of colorBehavioral factorsMinority statusStress theoryUnique experiencesIntersectional identitiesHealth outcomesQuality of lifeMinority populationsModeratorStigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon
Clark K, Pachankis J, Khoshnood K, Bränström R, Seal D, Khoury D, Fouad FM, Barbour R, Heimer R. Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon. BMJ Open 2021, 11: e046996. PMID: 33986065, PMCID: PMC8126317, DOI: 10.1136/bmjopen-2020-046996.Peer-Reviewed Original ResearchConceptsPsychiatric morbidityPost-traumatic stress disorderTransgender womenStigma-related stressorsStress disorderCross-sectional studyRespondent-driven samplingPsychiatric comorbidityMental health challengesPsychiatric outcomesMorbiditySevere anxietySociodemographic characteristicsHealth challengesMSMGreater BeirutWomenMenLebanese participantsSyrian menTotal sampleDisordersDepressionPerson surveyParticipantsCurrent Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers
Pachankis JE, Clark KA, Jackson SD, Pereira K, Levine D. Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers. Psychiatric Services 2021, 72: 669-676. PMID: 33882684, PMCID: PMC10374348, DOI: 10.1176/appi.ps.202000575.Peer-Reviewed Original ResearchConceptsMental health servicesMental health careHealth servicesLGBTQ community centersCommunity centersUnmet mental health needsQueer rights movementCost-effective service deliveryEvidence-based careHealth careMental health staffMental health needsCognitive behavioral therapyUnited StatesEvidence-based practiceRights movementGender minoritiesHealth staffMost centersHealth needsService deliveryMental healthSupport groupsCareIndividual psychotherapy