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 orientationSessionsClientsAnxietyPrepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men
Lelutiu-Weinberger C, Filimon M, Zavodszky A, Lixandru M, Hanu L, Fierbinteanu C, Patrascu R, Streinu-Cercel A, Luculescu S, Bora M, Filipescu I, Jianu C, Heightow-Weidman L, Rochelle A, Yi B, Buckner N, Golub S, van Dyk I, Burger J, Li F, Pachankis J. Prepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men. Trials 2024, 25: 470. PMID: 38987812, PMCID: PMC11238350, DOI: 10.1186/s13063-024-08313-4.Peer-Reviewed Original ResearchConceptsGBMSM livingPrEP adherenceRandomized controlled trial designMobile health interventionsRollout of PrEPMonths post-randomizationPre-exposure prophylaxisPre-exposure prophylaxis adherenceSelf-report surveyRandomized controlled trialsPromotion interventionsPrescribed PrEPEfficacy of toolsHealth interventionsNational rolloutHealth systemPrEP rolloutDiscussionThe knowledgeIntervention efficacyEffectiveness trialBlood spot testingPost-randomizationHigh-risk groupHIV transmissionDried blood spot testingAn 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 ResearchConceptsHealth 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
Guided 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 comparisonsParticipantsIncorporating 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 ResearchConceptsEmotion 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 ResearchConceptsInformation 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 biasModerators of LGBQ-Affirmative Cognitive Behavioral Therapy: ESTEEM Is Especially Effective Among Black and Latino Sexual Minority Men
Keefe J, Rodriguez-Seijas C, Jackson S, Bränström R, Harkness A, Safren S, Hatzenbuehler M, Pachankis J. Moderators of LGBQ-Affirmative Cognitive Behavioral Therapy: ESTEEM Is Especially Effective Among Black and Latino Sexual Minority Men. Journal Of Consulting And Clinical Psychology 2023, 91: 150-164. PMID: 36780265, PMCID: PMC10276576, DOI: 10.1037/ccp0000799.Peer-Reviewed Original ResearchConceptsCognitive behavioral therapyCommunity mental health treatmentBehavioral health concernsBehavioral therapyPotential moderatorsAlcohol/drug use problemsControl conditionAlcohol/drug problemsMinority stress processesBisexual menMinority stress factorsMental health treatmentDrug use problemsHealth concernComorbidity Index scoreSignificant moderatorTransmission risk behaviorsEffective skillsStudy therapistsStress processBehavioral health risksModeratorUse problemsMinority identificationHealth treatment
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 ResearchConceptsDevelopmental 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 ResearchTraining 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 ResearchConceptsCognitive 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 reductionTherapyOutcomesAn Expanded Definition of Intersectional Stigma for Public Health Research and Praxis
Sievwright KM, Stangl AL, Nyblade L, Lippman SA, Logie CH, Veras MASM, Zamudio-Haas S, Poteat T, Rao D, Pachankis JE, Kumi Smith M, Weiser SD, Brooks RA, Sevelius JM. An Expanded Definition of Intersectional Stigma for Public Health Research and Praxis. American Journal Of Public Health 2022, 112: s356-s361. PMID: 35763723, PMCID: PMC9241457, DOI: 10.2105/ajph.2022.306718.Peer-Reviewed Original ResearchIndividual, Interpersonal, and Structural Factors That Influence Intentions to Use Pre-exposure Prophylaxis Among Sexual Minority Men in Miami
Rogers BG, Harkness A, Satyanarayana S, Pachankis J, Safren SA. Individual, Interpersonal, and Structural Factors That Influence Intentions to Use Pre-exposure Prophylaxis Among Sexual Minority Men in Miami. Archives Of Sexual Behavior 2022, 52: 741-750. PMID: 35536492, PMCID: PMC10463180, DOI: 10.1007/s10508-021-02263-7.Peer-Reviewed Original ResearchConceptsPre-exposure prophylaxisYoung sexual minority menSexual minority menPrEP useHIV epicenterMinority menSafety of PrEPUptake of PrEPDaily oral medicationHealth intervention trialHealthcare system barriersLack of insuranceInterpersonal level themesOral medicationsSerodiscordant partnershipsBaseline visitDevelopment of interventionsPrEP uptakeHIV incidenceIntervention trialsHIV epidemicSystem barriersIndividual-level themesMedical providersSTI counseling