2024
The Mental Health of Sexual Minority Individuals: Five Explanatory Theories and Their Implications for Intervention and Future Research.
Pachankis J, Clark K. The Mental Health of Sexual Minority Individuals: Five Explanatory Theories and Their Implications for Intervention and Future Research. Annual Review Of Clinical Psychology 2024 PMID: 39621422, DOI: 10.1146/annurev-clinpsy-081423-022014.Peer-Reviewed Original ResearchSexual minority individualsMinority individualsSexual minority peopleSexual minority populationsSexual orientation disparitiesMental healthMinority peopleHistorical legacyMental health problemsOrientation disparitiesLegacy of researchMinority populationsExplanatory theoryDisparitiesTheoretical explanationSingular causeEtiological perspectiveHealth problemsAgendaFuture researchResearchGlobal LGBTQ Mental Health
Bränström R, Hughes T, Pachankis J. Global LGBTQ Mental Health. Global LGBTQ Health 2024, 45-78. DOI: 10.1007/978-3-031-36204-0_3.Peer-Reviewed Original ResearchLGBTQ individualsStigma-related stressPoor mental healthLGBTQ peopleLGBTQ populationsGender identityMental healthMinority stress theoryRisk of poor mental healthLow social trustLack of stable housingMental health disparitiesGlobal SouthGlobal NorthHeterosexual individualsStable housingElevated risk of poor mental healthMinority stressSexual orientationSocietal integrationDiscriminatory lawsMental health problemsSocial trustElevated riskSocietal attitudes
2023
Age-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study
Bränström R, Fellman D, Pachankis J. Age-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 686-698. DOI: 10.1037/sgd0000572.Peer-Reviewed Original ResearchNational health care registriesHealth care registriesSexual orientation disparitiesCare registriesRisk of exposureMental healthHigh-risk alcohol useOrientation disparitiesHealth Survey 2018Population-based surveySymptoms of depressionMental health problemsSocial stressSocial stressorsSexual minority individualsHeterosexual individualsTreatment utilizationElevated riskAge 70Age patterningHealth problemsAge groupsMinority individualsAlcohol useDepressionWhy Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults
Chaudoir S, Behari K, Williams S, Pachankis J. Why Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 103-116. DOI: 10.1037/sgd0000507.Peer-Reviewed Original ResearchHealth risk behaviorsExpressive writingMental healthSexual minoritiesOnline expressive writingMental health problemsMental health benefitsPsychological interventionsEmerging AdultsWriting interventionBrief interventionNeutral controlIntervention efficacyPresent researchSalubrious effectsNovel evidenceInterventionAdultsRecent trialsHealth problemsBehaviorPutative mechanismsHealth benefitsHealthWriting
2022
A Study of Parents of Sexual and Gender Minority Children: Linking Parental Reactions With Child Mental Health
Clark K, Dougherty L, Pachankis J. A Study of Parents of Sexual and Gender Minority Children: Linking Parental Reactions With Child Mental Health. Psychology Of Sexual Orientation And Gender Diversity 2022, 9: 300-308. DOI: 10.1037/sgd0000456.Peer-Reviewed Original ResearchRecent mental health problemsChild mental healthSGM childrenStudy of parentsMental healthSGM identitiesParental responsesResponse classesAnxiety/worryMinority childrenLatent profile analysisRecent mental healthYouth mental healthMental health problemsSocial difficultiesParental reactionsNegative responseSubstance useChild sociodemographic characteristicsNegative indicatorsParentsBullyingPositive responseOnline surveyChildrenIntroduction to LGBTQ-Affirmative Cognitive-Behavioral Therapy
Pachankis J, Harkness A, Jackson S, Safren S. Introduction to LGBTQ-Affirmative Cognitive-Behavioral Therapy. 2022, 3-12. DOI: 10.1093/med-psych/9780197643303.003.0001.Peer-Reviewed Original ResearchAnxiety disordersCognitive-behavioral principlesCognitive behavioral therapyTreatment-seeking populationMental health problemsCisgender individualsMental healthDisadvantaged social statusMoodSocial statusLGBTQ populationsLGBTQ peopleDisordersHealth problemsEpidemiological studiesPeopleIndividualsQueer peopleClientsTreatmentStressLGBTQExcess burdenLesbiansTransgenderEmotion Regulation in Context: Expressive Flexibility as a Stigma Coping Resource for Sexual Minority Men
Wang K, Maiolatesi AJ, Burton CL, Scheer JR, Pachankis JE. Emotion Regulation in Context: Expressive Flexibility as a Stigma Coping Resource for Sexual Minority Men. Psychology Of Sexual Orientation And Gender Diversity 2022, 9: 214-221. PMID: 35757788, PMCID: PMC9231373, DOI: 10.1037/sgd0000503.Peer-Reviewed Original ResearchSexual orientation-related discriminationExpressive flexibilityPsychological distressSexual minority menMental healthSelf-report measuresSignificant mental health problemsStigma-related stressMental health problemsEmotion regulationStigma copingMinority menCoping interventionsCoping resourcesMen's mental healthPotential bufferU.S. sampleDistressPresent researchLongitudinal analysisDiscriminationCopingHealth problemsHigh levelsPerceptionToward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members
Scheer J, Clark K, McConocha E, Wang K, Pachankis J. Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members. Cognitive And Behavioral Practice 2022, 30: 471-494. PMID: 37547128, PMCID: PMC10403251, DOI: 10.1016/j.cbpra.2022.02.019.Peer-Reviewed Original ResearchMental health needsSexual minority womenMental health servicesMinority womenCognitive behavioral therapy interventionDelivery of CBTMental health problemsCognitive behavioral therapyClinical providersElevated riskCommunity members' perspectivesTherapy interventionClinical practiceHealth problemsHealth needsHealth servicesCBT interventionTrauma exposureAlcohol useHeavy drinkingWomenCBT approachUnique needsContent expertsInterventionSupervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals.
Harkness A, Pachankis J. Supervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals. 2022, 289-304. DOI: 10.1037/0000314-020.Peer-Reviewed Original ResearchCognitive behavior therapyBehavior therapyEvidence-based cognitive-behavioral treatmentCognitive-behavioral treatmentEvidence-based treatment approachesMental health problemsTransdiagnostic approachMental health disparitiesEmotional disordersBehavioral treatmentUnified ProtocolMinority stressLGBTQ peopleLGBTQ clientsLGBTQ individualsPeople's experiencesStructural stigmaTreatment approachesIndividualsHealth problemsPeopleSupervisorsElevated riskStigmaHealth disparities
2021
Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations
McGarty A, McDaid L, Flowers P, Riddell J, Pachankis J, Frankis J. Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations. BMC Public Health 2021, 21: 2024. PMID: 34742262, PMCID: PMC8572060, DOI: 10.1186/s12889-021-12030-x.Peer-Reviewed Original ResearchConceptsLogistic regression analysisCross-sectional surveyProtective effectMental healthSevere depressionSevere anxietyHealth problemsBinary logistic regression analysisOdds of anxietyCross-sectional studyOnline cross-sectional surveyRegression analysisMental health problemsFinancial worriesMen's mental healthResultsThe prevalenceSense of coherenceSelf-report online surveyGreater riskGBMSMDepressionMinority stressorsRole of resilienceOddsMen
2018
Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)
Bränström R, Pachankis JE. Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015). Social Psychiatry And Psychiatric Epidemiology 2018, 53: 403-412. PMID: 29450600, PMCID: PMC5862943, DOI: 10.1007/s00127-018-1491-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overComorbidityCrime VictimsCross-Sectional StudiesDiagnosis, Dual (Psychiatry)Discrimination, PsychologicalFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedPrevalenceSexual and Gender MinoritiesSexual BehaviorSocial IsolationSocial StigmaStress, PsychologicalSubstance-Related DisordersSwedenYoung AdultConceptsSubstance usePsychological distressElevated prevalenceSexual orientation disparitiesNational population-based studyHigh-risk alcohol useDaily tobacco smokingPopulation-based studyOverall response rateSocial isolationPublic health surveyNational Public Health SurveyMental health problemsOrientation disparitiesSexual minoritiesCo-occurring problemsTobacco smokingHealth SurveyElevated riskMultiple mediation analysisStigma-related stressResponse rateHealth problemsAlcohol useConclusionsThis study
2016
Older Age Associated with Mental Health Resiliency in Sexual Minority US Veterans
Monin JK, Mota N, Levy B, Pachankis J, Pietrzak RH. Older Age Associated with Mental Health Resiliency in Sexual Minority US Veterans. American Journal Of Geriatric Psychiatry 2016, 25: 81-90. PMID: 27769835, PMCID: PMC5291307, DOI: 10.1016/j.jagp.2016.09.006.Peer-Reviewed Original ResearchConceptsMental health problemsLGB veteransHealth problemsU.S. veteransDifferent mental health challengesMental health needsMental health indicatorsMental health resiliencyUS veteransYoung sexual minoritiesMental health challengesLifetime depressionCurrent depressionAge AssociatedHealth needsGreater riskTrauma exposureHealth challengesSmaller social support networksPotential mechanismsHealth indicatorsVeteransMilitary characteristicsSocial isolationHeterosexual veterans
2015
A Minority Stress—Emotion Regulation Model of Sexual Compulsivity Among Highly Sexually Active Gay and Bisexual Men
Pachankis JE, Rendina HJ, Restar A, Ventuneac A, Grov C, Parsons JT. A Minority Stress—Emotion Regulation Model of Sexual Compulsivity Among Highly Sexually Active Gay and Bisexual Men. Health Psychology 2015, 34: 829-840. PMID: 25528179, PMCID: PMC4476950, DOI: 10.1037/hea0000180.Peer-Reviewed Original ResearchConceptsBisexual menSexual healthProximal minority stressorsSignificant public health concernMen's sexual healthPublic health concernPotential treatment targetSexual compulsivityMental health problemsHIV infectionStress mediatorsTreatment targetsDistal minority stressorsHealth problemsSexual partnersHealth concernMental healthMinority stressorsEmotion dysregulationMenMinority stress processesDysregulationEmotion regulation modelActive gayUniversal mediator
2014
Toward Formulating Evidence-Based Principles of LGB-Affirmative Psychotherapy.
Proujansky RA, Pachankis JE. Toward Formulating Evidence-Based Principles of LGB-Affirmative Psychotherapy. Pragmatic Case Studies In Psychotherapy 2014, 10: 117-131. PMID: 26617475, PMCID: PMC4662552, DOI: 10.14713/pcsp.v10i2.1854.Peer-Reviewed Original ResearchSexual minority clientsMinority stressMinority clientsSexual minority individualsMental health problemsEmotion awarenessStress cognitionHealthy identitySkillful approachMental health impactMinority stressorsPsychotherapy principlesTreatment approachesSupportive relationshipsMental healthSubstance abuseEvidence-based principlesMinority individualsUnique strengthsClinical expert consensusInternalized homophobiaEmpirical researchRecent attemptsSpecific principlesGay men