2024
Sexual 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 orientationSessionsClientsAnxietyAn mHealth Intervention for Gay and Bisexual Men’s Mental, Behavioral, and Sexual Health in a High-Stigma, Low-Resource Context (Project Comunică): Protocol for a Randomized Controlled Trial
Leluțiu-Weinberger C, Filimon M, Hoover D, Lixandru M, Hanu L, Dogaru B, Kovacs T, Fierbințeanu C, Ionescu F, Manu M, Mariș A, Pană E, Dorobănțescu C, Streinu-Cercel A, Pachankis J. An mHealth Intervention for Gay and Bisexual Men’s Mental, Behavioral, and Sexual Health in a High-Stigma, Low-Resource Context (Project Comunică): Protocol for a Randomized Controlled Trial. JMIR Research Protocols 2024, 13: e52853. PMID: 38709550, PMCID: PMC11106696, DOI: 10.2196/52853.Peer-Reviewed Original ResearchConceptsINTERNATIONAL REGISTERED REPORT IDENTIFIERRandomized controlled trialsHIV incidenceBisexual menSexually transmitted infection testingHIV transmission risk behaviorsHIV risk reduction strategiesAttention control conditionCognitive behavioral therapy skillsHigh HIV incidenceInformation-motivation-behaviorRisk of HIVTransmission risk behaviorsSexual health communicationParticipant follow-upFollow-upLow-resource contextsLow-resource countriesSexual health goalsBehavioral therapy skillsMHealth interventionsRisk reduction strategiesFinding social supportHeavy alcohol useHIV diagnosisStigma 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 ResearchMeSH KeywordsFemaleGender IdentityHumansMaleSexual and Gender MinoritiesSexual BehaviorSexually Transmitted DiseasesSocial StigmaConceptsHealth 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
Incorporating 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 ResearchMeSH KeywordsEmotionsFemaleHomosexuality, MaleHumansLongitudinal StudiesMaleSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentConceptsEmotion 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 ResearchMeSH KeywordsBiasCognitionCross-Sectional StudiesDepressionDepressive Disorder, MajorFemaleHumansMaleSexual BehaviorYoung AdultConceptsInformation 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 ResearchExplicit 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
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 ResearchMeSH KeywordsAdaptation, PsychologicalAdolescentDisclosureFemaleHumansMaleSexual and Gender MinoritiesSexual BehaviorSocial StigmaConceptsDevelopmental 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 ResearchMeSH KeywordsFemaleHumansMaleProspective StudiesSexual and Gender MinoritiesSexual BehaviorSuicidal IdeationSuicideSwedenYoung AdultTraining 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 ResearchMeSH KeywordsAdultBisexualityCognitive Behavioral TherapyCultural CompetencyFemaleHumansSexual and Gender MinoritiesSexual BehaviorConceptsCognitive 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 conditionsA Relational Framework for Engaging Latino Sexual Minority Men in Sexual and Behavioral Health Research
Harkness A, Rogers BG, Mayo D, Smith-Alvarez R, Pachankis JE, Safren SA. A Relational Framework for Engaging Latino Sexual Minority Men in Sexual and Behavioral Health Research. Archives Of Sexual Behavior 2022, 51: 2399-2412. PMID: 35763160, PMCID: PMC9549688, DOI: 10.1007/s10508-021-02237-9.Peer-Reviewed Original ResearchConceptsLatino sexual minority menBehavioral health researchHealth researchSexual minority menBehavioral health concernsMinority menBehavioral health disparitiesHealth disparitiesHealth concernRecruitment strategiesMenRelational factorsCurrent studyThematic analysisStudy findingsKey informantsFactorsFindingsFacilitatorsLGBQ-Affirmative Cognitive-Behavioral Therapy for Young Gay and Bisexual Men’s Mental and Sexual Health: A Three-Arm Randomized Controlled Trial
Pachankis JE, Harkness A, Maciejewski KR, Behari K, Clark KA, McConocha E, Winston R, Adeyinka O, Reynolds J, Bränström R, Esserman DA, Hatzenbuehler ML, Safren SA. LGBQ-Affirmative Cognitive-Behavioral Therapy for Young Gay and Bisexual Men’s Mental and Sexual Health: A Three-Arm Randomized Controlled Trial. Journal Of Consulting And Clinical Psychology 2022, 90: 459-477. PMID: 35482652, PMCID: PMC9446477, DOI: 10.1037/ccp0000724.Peer-Reviewed Original ResearchConceptsHIV transmission risk behaviorsTransmission risk behaviorsHIV testingCognitive behavioral therapyRisk behaviorsSexual healthTransdiagnostic cognitive-behavioral therapyEffect sizeYoung sexual minority menSecondary outcomesPrimary outcomeControl conditionThree-armLarge effect sizesSexual minority menModerate benefitFirst interventionNonsignificant differenceStatistical significanceYoung gayCounselingMonthsGreater reductionTherapyOutcomesComing 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 developmentA 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 ResearchMeSH KeywordsFemaleHumansMaleMotivationSexual and Gender MinoritiesSexual BehaviorSocial StigmaSurveys and QuestionnairesConceptsStructural stigmaConcealment motivationGeographic levelsIdentity concealmentGay menSexual orientationStigmatizing environmentsBisexual menContextual approachSocial environmentStigmaImmediate situationPsychological theoriesSurvey itemsMotivationPsychological studiesSubjective perceptionUltimate sourceMenStructural formsPerceptionConcealmentMost studiesIndirect effectsDecisionsDevelopment and Validation of Two Abbreviated Intraminority Gay Community Stress Scales
Maiolatesi AJ, Satyanarayana S, Bränström R, Pachankis JE. Development and Validation of Two Abbreviated Intraminority Gay Community Stress Scales. Assessment 2021, 30: 84-101. PMID: 34496672, PMCID: PMC10431943, DOI: 10.1177/10731911211042933.Peer-Reviewed Original Research