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 researchResearchGuided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China
Yi M, Li X, Chiaramonte D, Sun S, Pan S, Soulliard Z, Eisenstadt B, Ljótsson B, Hagaman A, Pachankis J. Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China. Behaviour Research And Therapy 2024, 181: 104605. PMID: 39029333, PMCID: PMC11371497, DOI: 10.1016/j.brat.2024.104605.Peer-Reviewed Original ResearchInternet-based CBTCognitive-behavioral therapySexual minority menSocial-cognitive mechanismsYoung sexual minority menMinority stressMinority menSession completionBehavioral healthSexual minority individualsModeration analysisAlcohol useMinority individualsMental healthInternalized stigmaFollow-upStigma experiencesRandomized controlled trialsSessionsTreatment efficacySecondary outcomesControlled trialsPrimary outcomeAffirmative supportHealthState of the Science: LGBTQ-Affirmative Psychotherapy
Burger J, Pachankis J. State of the Science: LGBTQ-Affirmative Psychotherapy. Behavior Therapy 2024, 55: 1318-1334. PMID: 39443068, DOI: 10.1016/j.beth.2024.02.011.Peer-Reviewed Original ResearchNegative self-schemasTreatment delivery modalityLevels of depressionTreatment mechanismsMental health fieldClinically relevant researchPotential treatment mechanismsEmotion dysregulationSelf-schemaTherapist trainingTreatment moderatorsPsychotherapyBehavioral comorbiditiesClient characteristicsMental healthSGM populationsPsychosocial processesCisgender individualsStigma exposureAffirmative approachSGM individualsTherapistsDelivery modalitiesHealth fieldTreatment protocolsParent Responses to Their Sexual and Gender Minority Children: Implications for Parent-Focused Supportive Interventions
van Dyk I, Clark K, Dougherty L, Pachankis J. Parent Responses to Their Sexual and Gender Minority Children: Implications for Parent-Focused Supportive Interventions. Psychology Of Sexual Orientation And Gender Diversity 2024, 11: 1-16. DOI: 10.1037/sgd0000589.Peer-Reviewed Original ResearchSGM childrenSGM identitiesParental supportSGM youthParent-child relationshipParent-focused interventionsParent subgroupsGender minority youthPoor mental healthParental rejectionParental acceptanceParents' responsesIntervention formatPerson interventionsParental engagementMinority youthMental healthIntervention contentSupportive interventionsMinority childrenMixed-method studySuch interventionsMore sessionsYouthParentsStigma 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 consequencesA Qualitative Exploration of Minority Stress, Mental Health, and Sexual Health Among Arab Immigrant Sexual Minority Men in the United States
Abboud S, Chaudhry A, Pachankis J. A Qualitative Exploration of Minority Stress, Mental Health, and Sexual Health Among Arab Immigrant Sexual Minority Men in the United States. Cultural Diversity & Ethnic Minority Psychology 2024 PMID: 38300597, DOI: 10.1037/cdp0000645.Peer-Reviewed Original ResearchSexual minority menMental healthSexual healthCoping strategiesDevelopment of mental health interventionsSexual minority stressorsExperiences of immigrantsMental health interventionsUnited States objectivesCommunity-based organizationsAdaptive coping strategiesUnited StatesIntersectional identitiesMinority stressMinority stressorsCisgender menHealth interventionsMinority menSocial supportThematic analysisInterview transcriptsState objectivesSalient themesU.S. statesQualitative explorationGlobal 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 useDepressionExperiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study
Abboud S, Seal D, Pachankis J, Khoshnood K, Khouri D, Fouad F, Heimer R. Experiences of stigma, mental health, and coping strategies in Lebanon among Lebanese and displaced Syrian men who have sex with men: A qualitative study. Social Science & Medicine 2023, 335: 116248. PMID: 37742387, DOI: 10.1016/j.socscimed.2023.116248.Peer-Reviewed Original ResearchMental healthAvailable mental health servicesMental health servicesSexual health risksMental health resourcesMental health risksHealth risksAdverse childhood experiencesSocial support interventionsQualitative studyExperiences of stigmaHealth servicesRecent exposureSupport interventionsLarger studyHealth resourcesMSMCommon stigmaSocial isolationMenHigh rateSexSyrian menChildhood experiencesHealthGuided 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 comparisonsParticipantsThe 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 experienceStigmaEmotionsAnxietyHypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults
Hollinsaid N, Pachankis J, Bränström R, Hatzenbuehler M. Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults. Clinical Psychological Science 2023, 11: 954-973. DOI: 10.1177/21677026231159050.Peer-Reviewed Original ResearchRejection sensitivitySexual minority young adultsInternalizing psychopathologySexual minority mental healthYoung adultsSexual minoritiesSymptoms 2 yearsTransdiagnostic mechanismsPsychological mechanismsPsychological interventionsStigma-related experiencesDistinct constructsHypervigilanceLongitudinal relationshipRuminationMental healthProspective associationsPsychopathologyConstructsStigmaAdultsDiscriminationInterventionImplicationsMinorityWhy 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 benefitsHealthWritingSocial Anxiety Across Sexual and Gender Identity Subpopulations
Mahon C, Pachankis J, Kiernan G, Gallagher P. Social Anxiety Across Sexual and Gender Identity Subpopulations. Annals Of LGBTQ Public And Population Health 2023, 4: 26-41. DOI: 10.1891/lgbtq-2020-0017.Peer-Reviewed Original ResearchCisgender womenCisgender menSexual minority sampleGay/lesbianGender minority populationsSexual minority individualsSexual identity subgroupsGender identity groupsSexual minority adultsRepublic of IrelandNon-binary individualsIdentity groupsIdentity labelsMinority individualsMental health experiencesSexual minority mental healthMinority adultsHealth experiencesMinority populationsIdentity subgroupsMinority mental healthOnline surveyDiverse groupLesbiansMental healthA Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice
Pachankis J, Soulliard Z, Morris F, van Dyk I. A Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice. Cognitive And Behavioral Practice 2023, 30: 1-17. DOI: 10.1016/j.cbpra.2021.11.005.Peer-Reviewed Original ResearchCase conceptualizationSexual minority clientsClient presentationsMinority stressAdaptation modelMinority clientsCognitive-behavioral treatmentCognitive behavioral therapySexual minority individualsMental health fieldCoping skillsCurrent distressClinical trialsTranstheoretical approachMental healthMinority individualsConceptualization approachAffirmative practiceFuture researchConceptualizationEvidence-based practiceTherapeutic techniquesReal-world clinical practiceCase exampleDiverse therapeutic modalities
2022
Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries
Pachankis J, Hatzenbuehler M, Bränström R, Schmidt A, Berg R, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries. European Journal Of Public Health 2022, 32: ckac129.195. PMCID: PMC9594207, DOI: 10.1093/eurpub/ckac129.195.Peer-Reviewed Original ResearchMental healthSexual minority menMen's Internet SurveyMinority menStructural stigmaRisk factorsLower oddsLower riskPsychosocial mediatorsGreater riskMen's depressionEuropean menDepressionSuicidalitySocial isolationMenHealthStigmaSmall indirect effectMediatorsCurrent studyRiskExposureLonger exposureObjective indicatorsA 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 burdenLesbiansTransgenderMental Health, Alcohol Use, and Substance Use Correlates of Sexism in a Sample of Gender-Diverse Sexual Minority Women
Scheer JR, Batchelder AW, Wang K, Pachankis JE. Mental Health, Alcohol Use, and Substance Use Correlates of Sexism in a Sample of Gender-Diverse Sexual Minority Women. Psychology Of Sexual Orientation And Gender Diversity 2022, 9: 222-235. PMID: 35677582, PMCID: PMC9173652, DOI: 10.1037/sgd0000477.Peer-Reviewed Original ResearchSexual minority womenDrug-related consequencesGender minoritiesPsychological distressMinority womenMental healthTraditional gender normsPatriarchal social structuresSelf-report measuresAlcohol-related consequencesBehavioral health outcomesHegemonic masculinityGender normsSocial structureHeterosexual womenSexismSubstance use correlatesBehavioral health issuesCisgender womenCultural practicesAlcohol usePrior researchBehavioral healthCurrent studyHealth outcomesEmotion 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 levelsPerception