2024
A pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health
Lelutiu-Weinberger C, Filimon M, Chiaramonte D, Leonard S, Dogaru B, Pana E, Pruneanu C, Pachankis J. A pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health. Behavior Therapy 2024 DOI: 10.1016/j.beth.2024.10.005.Peer-Reviewed Original ResearchCognitive-behavioral therapyMinority stressAnxiety symptomsPreliminary efficacyTGE individualsCisgender sexual minorityTherapeutic allianceTrained psychologistsEvidence-based interventionsBaseline to follow-upTreatment relevanceRisk mechanismsImprove psychosocial healthGender-expansive individualsTGE youthSexual minoritiesAnxietyNorth American contextDepressionRandomized controlled trialsContext of RomaniaPsychosocial healthHealth outcomesFollow-upExit interviewsSexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures
Sergi J, Babl A, Warren J, Pachankis J, Eubanks C. Sexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures. Psychotherapy 2024, 61: 191-197. PMID: 39115920, PMCID: PMC11315359, DOI: 10.1037/pst0000536.Peer-Reviewed Original ResearchConceptsSexual minority clientsWithdrawal rupturesMinority clientsRating ScaleIn-session behaviorCognitive behavioral treatmentGood interrater reliabilitySexual orientation microaggressionsSexual minority individualsAlliance rupturesTherapeutic allianceBehavioral treatmentSessions of treatmentReducing depressionSubstance useSelf-reportObservational measuresMinority individualsInterrater reliabilityMicroaggressionsBisexual menSexual orientationSessionsClientsAnxietyStigma 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 consequences
2023
The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma
Pachankis J, Hatzenbuehler M, Klein D, Bränström R. The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma. Clinical Psychological Science 2023, 12: 486-504. PMID: 38938414, PMCID: PMC11210704, DOI: 10.1177/21677026231177714.Peer-Reviewed Original ResearchStigma theoryMental healthRole of shameIndirect effectsSexual minoritiesSexual orientation disparitiesMental health sequelaeSocial anxietyAdverse mental healthEmotional reactionsMental health disparitiesRelated constructsInterpersonal stigmaInternalized stigmaShameSuicidal thoughtsYoung adultsProspective populationHeterosexual young adultsRepresentative cohortTreatment targetsLater experienceStigmaEmotionsAnxietyExplicit and Implicit Bias Among Parents of Sexual and Gender Minority Youth
Hubachek SQ, Clark KA, Pachankis JE, Dougherty LR. Explicit and Implicit Bias Among Parents of Sexual and Gender Minority Youth. Journal Of Family Psychology 2023, 37: 203-214. PMID: 36265051, DOI: 10.1037/fam0001037.Peer-Reviewed Original ResearchConceptsYouth psychosocial functioningParental depressionImplicit biasGender minority youthPsychological controlYouth anxietyPsychosocial functioningSGM youthParental acceptanceParental psychological controlMinority youthSubstance usePredictors of parentsLow parental acceptancePoor mental health outcomesYouth substance useMental health outcomesDevelopment of interventionsExplicit biasYouth outcomesOnline studyParental anxietyOwn parentsAnxietyTypes of bias
2022
Rejection sensitivity and sexual minority men’s social anxiety disorder: The moderating role of sexual identity strength
Maiolatesi A, Wang K, Burton C, Harkness A, Esserman D, Safren S, Pachankis J. Rejection sensitivity and sexual minority men’s social anxiety disorder: The moderating role of sexual identity strength. Self And Identity 2022, 22: 563-591. PMID: 37346170, PMCID: PMC10281756, DOI: 10.1080/15298868.2022.2125062.Peer-Reviewed Original ResearchSocial anxiety symptomsGay-related rejection sensitivityRejection sensitivitySocial anxiety disorderIdentity strengthAnxiety symptomsSocial anxietyIncremental validitySexual minority menSocial anxiety disorder diagnosisDisorder diagnosisRS scoresAnxiety disorder diagnosisMental health correlatesStructured diagnostic interviewMinority menIndividual differencesAnxiety disordersStudy 1Study 2RS measuresHealth correlatesDiagnostic InterviewRS scaleAnxietyAbout Treatments ThatWork™
Pachankis J, Harkness A, Jackson S, Safren S. About Treatments ThatWork™. 2022, v-cp.p13. DOI: 10.1093/med-psych/9780197643303.002.0007.Peer-Reviewed Original ResearchCognitive behavioral therapy techniquesBasic psychological processesLGBTQ clientsSubstance use problemsMental health practitionersMental health challengesPsychological processesDistinct stressorsPsychological distressUse problemsTherapy techniquesUnique needsLGBTQ individualsStressorsHealth practitionersClientsWorkbookAnxietyDistressTherapistsSkillsBeingDepressionHealth challengesIndividualsHistory, Basic Principles, and Outline of LGBTQ-Affirmative Cognitive-Behavioral Therapy
Pachankis J, Harkness A, Jackson S, Safren S. History, Basic Principles, and Outline of LGBTQ-Affirmative Cognitive-Behavioral Therapy. 2022, 13-34. DOI: 10.1093/med-psych/9780197643303.003.0002.Peer-Reviewed Original ResearchUnified ProtocolMaladaptive emotion regulation strategiesEmotion regulation strategiesCognitive-behavioral treatmentMore adaptive waysOverwhelming emotional experiencesStress-related symptomsRegulation strategiesEmotional experienceBehavioral therapyUncomfortable emotionsAdaptive wayEmotionsBehavioral healthLGBTQ peopleCognitiveAnxietyMain premiseDepressionTreatment principlesIndividualsClientsBasic principlesPeopleExperienceModule 2: Understanding the Nature and Emotional Impact of LGBTQ-Related Stress
Pachankis J, Harkness A, Jackson S, Safren S. Module 2: Understanding the Nature and Emotional Impact of LGBTQ-Related Stress. 2022, 95-110. DOI: 10.1093/med-psych/9780197643303.003.0007.Peer-Reviewed Original ResearchForms and Worksheets
Pachankis J, Harkness A, Jackson S, Safren S. Forms and Worksheets. 2022 DOI: 10.1093/med-psych/9780197643303.005.0001.Peer-Reviewed Original ResearchCognitive behavioral therapy techniquesBasic psychological processesLGBTQ clientsSubstance use problemsMental health practitionersMental health challengesPsychological processesDistinct stressorsPsychological distressUse problemsTherapy techniquesUnique needsLGBTQ individualsStressorsHealth practitionersClientsWorkbookAnxietyDistressTherapistsSkillsBeingDepressionHealth challengesIndividualsAbout This Treatment
Pachankis J, Jackson S, Harkness A, Safren S. About This Treatment. 2022, 1-8. DOI: 10.1093/med-psych/9780197643341.003.0001.Peer-Reviewed Original ResearchEmotional Difficulties and LGBTQ-Related Stress
Pachankis J, Jackson S, Harkness A, Safren S. Emotional Difficulties and LGBTQ-Related Stress. 2022, 9-c2.f2. DOI: 10.1093/med-psych/9780197643341.003.0002.Peer-Reviewed Original ResearchLearning to Record Your Experiences
Pachankis J, Jackson S, Harkness A, Safren S. Learning to Record Your Experiences. 2022, 23-32. DOI: 10.1093/med-psych/9780197643341.003.0003.Peer-Reviewed Original ResearchModule 1: Setting Goals and Building Motivation for LGBTQ-Affirmative Cognitive-Behavioral Therapy
Pachankis J, Jackson S, Harkness A, Safren S. Module 1: Setting Goals and Building Motivation for LGBTQ-Affirmative Cognitive-Behavioral Therapy. 2022, 33-c4.b13. DOI: 10.1093/med-psych/9780197643341.003.0004.Peer-Reviewed Original ResearchModule 5: Increasing Cognitive Flexibility
Pachankis J, Jackson S, Harkness A, Safren S. Module 5: Increasing Cognitive Flexibility. 2022, 117-142. DOI: 10.1093/med-psych/9780197643341.003.0008.Peer-Reviewed Original ResearchNegative thinking stylesCognitive flexibilityAutomatic thoughtsThoughts peopleFacial expressionsThinking stylesSound of carsNegative experiencesUnimportant informationStressful wayCisgender peoplePatients' thoughtsNew situationThoughtPeopleNegative opinionsConversationAnxietyStyleThinkingDepressionSoundPersonsExperienceInformation
2021
Social Anxiety Among Sexual Minority Individuals: A Systematic Review
Mahon C, Lombard-Vance R, Kiernan G, Pachankis J, Gallagher P. Social Anxiety Among Sexual Minority Individuals: A Systematic Review. Psychology And Sexuality 2021, 13: 818-862. DOI: 10.1080/19419899.2021.1936140.Peer-Reviewed Original ResearchSocial anxiety symptomsSexual minority individualsSocial anxietyAnxiety symptomsMinority individualsPsychological interventionsHigher social anxiety symptomsSocial anxiety levelsSexual minority populationsMinority stress processesMental health symptomsGeneral social processesPsychological concernsHealth symptomsStress processAnxiety levelsAnxietyBisexual individualsLesbian individualsSexual minority menSocial processesSexual minority subgroupsQualitative findingsMinority subgroupsEmpirical literatureRisk and Protective Factors for Social Anxiety Among Sexual Minority Individuals
Mahon CP, Pachankis JE, Kiernan G, Gallagher P. Risk and Protective Factors for Social Anxiety Among Sexual Minority Individuals. Archives Of Sexual Behavior 2021, 50: 1015-1032. PMID: 33398699, DOI: 10.1007/s10508-020-01845-1.Peer-Reviewed Original ResearchConceptsSocial anxietySexual minority individualsLGBTQ community connectednessMinority stress processesExperiences of discriminationRejection sensitivitySexual minority womenMinority individualsConcealment behaviorStress processPsychological mediation frameworkStructural equation modeling analysisCommunity connectednessProximal minority stressMinority stress theoryTerms of implicationsSources of resilienceCisgender sexual minority womenSense of coherenceSexual minority communitiesHypothesized modelMediation frameworkMinority stressAnxietyInternalized homonegativity
2014
Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men
Pachankis JE. Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men. Clinical Psychology Science And Practice 2014, 21: 313-330. PMID: 25554721, PMCID: PMC4278648, DOI: 10.1111/cpsp.12078.Peer-Reviewed Original ResearchBisexual menRelated health risksMental healthEvidence-based interventionsHealth risksMental health practicePsychosocial interventionsCognitive-behavioral therapy approachClinical principlesExperience depressionPsychosocial pathwaysHealth practicesBehavioral therapy approachMinority stressTherapy approachesExpert providersMenSexual minority stressProfessional guidelinesDepressionStress copingInterventionRiskHealthAnxiety