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 researchResearch
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
Introduction 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
2020
A Transdiagnostic Minority Stress Intervention for Gender Diverse Sexual Minority Women’s Depression, Anxiety, and Unhealthy Alcohol Use: A Randomized Controlled Trial
Pachankis JE, McConocha EM, Clark KA, Wang K, Behari K, Fetzner BK, Brisbin CD, Scheer JR, Lehavot K. A Transdiagnostic Minority Stress Intervention for Gender Diverse Sexual Minority Women’s Depression, Anxiety, and Unhealthy Alcohol Use: A Randomized Controlled Trial. Journal Of Consulting And Clinical Psychology 2020, 88: 613-630. PMID: 32437174, PMCID: PMC7597069, DOI: 10.1037/ccp0000508.Peer-Reviewed Original ResearchConceptsCognitive-behavioral treatmentSexual minority womenTransdiagnostic cognitive-behavioral treatmentMinority womenAlcohol useBehavioral healthUnhealthy alcohol useEvidence-based treatmentsDepression/anxietyUniversal risk factorEvidence-based supportHeavy alcohol useBehavioral health problemsControlled TrialsAlcohol use problemsRisk factorsYoung Adult Sexual Minority WomenSexual minority menHealth problemsAdult sexual minority womenWomen's depressionTreatment developmentWomenExpert providersUse problems
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
2017
Victimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping
Hughto J, Pachankis JE, Willie TC, Reisner SL. Victimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping. Journal Of Counseling Psychology 2017, 64: 41-51. PMID: 28068130, PMCID: PMC5226079, DOI: 10.1037/cou0000184.Peer-Reviewed Original ResearchConceptsDepressive symptomologyDepressive symptomsPublic health problemBehavioral health costsMental health sequelaeUseful intervention targetsOne-time surveyHealth sequelaeAvoidant copingHealth problemsDistress symptomsSymptomsIntervention targetsVulnerable populationsHealth costsTransgender adultsCommunity sampleSymptomologyCopingSequelaeTransgender communityClinicians
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
LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach
Pachankis JE, Hatzenbuehler ML, Rendina HJ, Safren SA, Parsons JT. LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach. Journal Of Consulting And Clinical Psychology 2015, 83: 875-889. PMID: 26147563, PMCID: PMC4573250, DOI: 10.1037/ccp0000037.Peer-Reviewed Original ResearchConceptsCo-occurring health problemsStandard evidence-based treatmentBisexual menSignificant greater improvementCo-occurring health risksEvidence-based treatmentsMental health disparitiesMinority stress processesTransdiagnostic cognitive-behavioral treatmentTreatment guidelinesAlcohol use problemsEvidence-based practicePreliminary efficacyImmediate treatmentCognitive-behavioral treatmentCasual partnersCondomless sexDepressive symptomsHealth problemsCondom useFirst interventionRisk behaviorsTreatment adaptationHealth disparitiesHeavy drinkingA 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