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 diagnosisStructural 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
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 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 ResearchModerators 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 ResearchA 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 reductionTherapyOutcomesIndividual, 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 counselingComing 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 sampleA Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color
Jackson SD, Wagner KR, Yepes M, Harvey TD, Higginbottom J, Pachankis JE. A Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color. Psychotherapy 2022, 59: 96-112. PMID: 35025569, PMCID: PMC9345305, DOI: 10.1037/pst0000417.Peer-Reviewed Original ResearchConceptsStigma copingMental healthMinority stressHIV riskCognitive-behavioral treatmentStigma-related stressorsSexual healthCondom use efficacyCo-occurring health risksSexual minority stressHuman immunodeficiency virusHealth risksGroup therapy treatmentIntersectional stigmaMental health risksSexual health risksGroup treatmentOpen pilotYoung blacksPosttreatment assessmentPartial supportImmunodeficiency virusSexual compulsivityAlcohol useTreatment length
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 resilienceOddsMenEarly 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 development