2024
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
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 diagnosis
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 comparisonsParticipants
2022
A 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 ResearchMeSH KeywordsHIV InfectionsHomosexuality, MaleHumansMaleMental HealthSexual and Gender MinoritiesSkin PigmentationSocial StigmaConceptsStigma 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 lengthTransgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models
Bränström R, Stormbom I, Bergendal M, Pachankis JE. Transgender‐based disparities in suicidality: A population‐based study of key predictions from four theoretical models. Suicide And Life-Threatening Behavior 2022, 52: 401-412. PMID: 35067978, PMCID: PMC10138751, DOI: 10.1111/sltb.12830.Peer-Reviewed Original ResearchConceptsPopulation-based studyElevated riskFirst population-based studyPopulation-based sampleRisk of suicidalityGeneral risk factorsTransgender individualsCisgender individualsRisk factorsHigh prevalenceHigh riskDepressive symptomsSuicidalityHealth threatIndividual exposureRiskSocial supportExposureNumerous studiesIndividualsTransgender peopleFactorsSymptomsPrevalenceStudy
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 ResearchMeSH KeywordsBisexualityCross-Sectional StudiesHomosexuality, MaleHumansMaleMental HealthSexual and Gender MinoritiesConceptsLogistic 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 resilienceOddsMenLifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants
van der Star A, Bränström R, Pachankis JE. Lifecourse-varying structural stigma, minority stress reactions and mental health among sexual minority male migrants. European Journal Of Public Health 2021, 31: 803-808. PMID: 34008014, PMCID: PMC8527997, DOI: 10.1093/eurpub/ckab032.Peer-Reviewed Original ResearchMeSH KeywordsAgedHumansMaleMenMental HealthSexual and Gender MinoritiesSocial StigmaStress, PsychologicalTransients and MigrantsConceptsStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperiencePotential implicationsHealthMinoritySurveyImplicationsWho Aren’t We Reaching? Young Sexual Minority Men’s Non-participation in an HIV-Prevention and Mental Health Clinical Trial
Harkness A, Rogers BG, Balise R, Mayo D, Weinstein ER, Safren SA, Pachankis JE. Who Aren’t We Reaching? Young Sexual Minority Men’s Non-participation in an HIV-Prevention and Mental Health Clinical Trial. AIDS And Behavior 2021, 25: 2195-2209. PMID: 33483898, PMCID: PMC8169533, DOI: 10.1007/s10461-020-03148-x.Peer-Reviewed Original ResearchConceptsUnknown HIV statusLatinx sexual minority menYoung sexual minority menHIV statusSexual minority menClinical trialsMental health clinical trialsHealth clinical trialsMental health trialsHIV prevention trialsHIV prevention interventionsSuccessful clinical trialsMinority menNew York CityHealth trialsHIV preventionBaseline assessmentLogistic regressionTrialsWhite sexual minority menYork CityRegression tree analysisHIVStatusMen
2020
Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health.
Pachankis JE, Clark KA, Burton CL, Hughto JMW, Bränström R, Keene DE. Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health. Journal Of Personality And Social Psychology 2020, 119: 713-740. PMID: 31928026, PMCID: PMC7354883, DOI: 10.1037/pspp0000282.Peer-Reviewed Original ResearchConceptsBisexual men's mental healthMen's mental healthStatus concernsGay communityBisexual menCommunity stressMinority stress theorySociological accountsQualitative interviewingCommunity exclusionSexual orientationGayCommunity focusSexual relationshipsMen's feelingsMinority stressorsMental healthSocial statusCommunity statusCompetitive pressureExclusionCommunityMultistage studyPartial supportStress theoryToward Rigorous Methodologies for Strengthening Causal Inference in the Association Between Gender-Affirming Care and Transgender Individuals’ Mental Health: Response to Letters
Bränström R, Pachankis JE. Toward Rigorous Methodologies for Strengthening Causal Inference in the Association Between Gender-Affirming Care and Transgender Individuals’ Mental Health: Response to Letters. American Journal Of Psychiatry 2020, 177: 769-772. PMID: 32741272, DOI: 10.1176/appi.ajp.2020.20050599.Peer-Reviewed Original ResearchConceptsMental healthAddressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China
Sun S, Pachankis JE, Li X, Operario D. Addressing Minority Stress and Mental Health among Men Who Have Sex with Men (MSM) in China. Current HIV/AIDS Reports 2020, 17: 35-62. PMID: 31950336, PMCID: PMC7050812, DOI: 10.1007/s11904-019-00479-w.Peer-Reviewed Original ResearchConceptsMinority stress theoryMental health issuesPsychological healthMinority stressPsychological distressMental healthChinese MSMProximal minority stressPrevalent mental health issuesFuture intervention researchMental health interventionsStress theoryHealth issuesElevated riskMental health disparitiesPrejudice eventsStress processIntervention researchHIV/STI riskMental health servicesHIV prevention effortsSexual minoritiesRecent FindingsResultsAlcohol dependenceSuicidal behavior
2019
Minority stress, social integration, and the mental health needs of LGBTQ asylum seekers in North America
Fox SD, Griffin RH, Pachankis JE. Minority stress, social integration, and the mental health needs of LGBTQ asylum seekers in North America. Social Science & Medicine 2019, 246: 112727. PMID: 31881451, DOI: 10.1016/j.socscimed.2019.112727.Peer-Reviewed Original ResearchReduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study
Bränström R, Pachankis JE. Reduction in Mental Health Treatment Utilization Among Transgender Individuals After Gender-Affirming Surgeries: A Total Population Study. American Journal Of Psychiatry 2019, 177: 727-734. PMID: 31581798, DOI: 10.1176/appi.ajp.2019.19010080.Peer-Reviewed Original ResearchConceptsGender-affirming hormonesHealth care visitsGender-affirming surgeryMental health treatmentCare visitsTotal population studyHealth treatmentAnxiolytic prescriptionsSurgical treatmentSuicide attemptsMental health treatment utilizationSwedish Total Population RegisterPrescribed Drug RegisterNational Patient RegisterPrevalence of moodTotal Population RegisterPopulation studiesGender incongruenceTransgender individualsEntire Swedish populationDrug RegisterPatient RegisterSurgical interventionTreatment utilizationOutcome measuresProject ESTEEM protocol: a randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men’s mental and sexual health
Pachankis JE, McConocha EM, Reynolds JS, Winston R, Adeyinka O, Harkness A, Burton CL, Behari K, Sullivan TJ, Eldahan AI, Esserman DA, Hatzenbuehler ML, Safren SA. Project ESTEEM protocol: a randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men’s mental and sexual health. BMC Public Health 2019, 19: 1086. PMID: 31399071, PMCID: PMC6688287, DOI: 10.1186/s12889-019-7346-4.Peer-Reviewed Original ResearchConceptsCo-occurring health risksYoung gayHIV riskSubstance useHealth disparitiesCommunity mental health treatmentMental healthAbsence of PrEPUndetectable viral loadHigh-risk groupSexual health problemsCondomless anal sexSkills-building interventionMental health treatmentAdult Sexual Minority MenSubstance use problemsBisexual men’s healthSecondary outcomesHIV counselingHIV infectionPrEP uptakePrimary outcomeViral loadEvidence-based practicePsychiatric morbidity
2018
The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice
Pachankis JE. The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice. American Psychologist 2018, 73: 1207-1219. PMID: 30525805, PMCID: PMC6291842, DOI: 10.1037/amp0000357.Peer-Reviewed Original ResearchMeSH KeywordsEvidence-Based PracticeHumansMental HealthPsychosocial Support SystemsSexual and Gender MinoritiesSocial StigmaConceptsMental health treatmentPsychological scienceHealth treatmentMental healthFuture mental healthMinority mental healthEvidence-based treatmentsMental health professionsProgram of researchPsychotherapy process researchTreatment moderatorsComparison conditionAffirmative treatmentClear treatment targetsFuture research directionsAffirmative practiceTreatment studiesEvidence-based practiceEmpirical researchProcess researchTreatment targetsSexual orientationResearch directionsSGM populationsSurest routeYoung Adult Gay and Bisexual Men’s Stigma Experiences and Mental Health: An 8-Year Longitudinal Study
Pachankis JE, Sullivan TJ, Feinstein BA, Newcomb ME. Young Adult Gay and Bisexual Men’s Stigma Experiences and Mental Health: An 8-Year Longitudinal Study. Developmental Psychology 2018, 54: 1381-1393. PMID: 29620387, DOI: 10.1037/dev0000518.Peer-Reviewed Original ResearchA multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA
Hughto JMW, Reisner SL, Kershaw TS, Altice FL, Biello KB, Mimiaga MJ, Garofalo R, Kuhns LM, Pachankis JE. A multisite, longitudinal study of risk factors for incarceration and impact on mental health and substance use among young transgender women in the USA. Journal Of Public Health 2018, 41: 100-109. PMID: 29474682, PMCID: PMC6490767, DOI: 10.1093/pubmed/fdy031.Peer-Reviewed Original ResearchConceptsYoung transgender womenIllicit drug useRisk factorsTransgender womenRecent incarcerationDrug useSignificant independent predictorsIndividual risk factorsSubstance use disordersIndependent predictorsDepressive symptomsGeneral populationUse disordersMultilevel interventionsSomatic symptomsPoor healthRecent homelessnessMental healthStudy periodSubstance useWomenMixed effects modelsLongitudinal studySymptomsEffects model
2016
Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults
Reisner SL, Hughto J, Gamarel KE, Keuroghlian AS, Mizock L, Pachankis JE. Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults. Journal Of Counseling Psychology 2016, 63: 509-519. PMID: 26866637, PMCID: PMC4981566, DOI: 10.1037/cou0000143.Peer-Reviewed Original ResearchConceptsEveryday discrimination experiencesPTSD symptomsDiscrimination experiencesPosttraumatic stress disorder (PTSD) symptomsPrior trauma experiencesCross-sectional self-report surveySelf-report surveyMental health sequelaeDomains of discriminationPTSD symptomatologyTraumatic stressorsDiscrimination attributionsDisorder symptomsCommunity-based sampleTrauma experiencesTransgender peoplePrior traumaPsychosocial comorbiditiesHealth sequelaeDiscrimination scoresTransgender adultsCurrent studyGender identitySexual orientationFeminine appearanceFeasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and Bisexual Men with Sexual Compulsivity
Parsons JT, Rendina HJ, Moody RL, Gurung S, Starks TJ, Pachankis JE. Feasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and Bisexual Men with Sexual Compulsivity. AIDS And Behavior 2016, 21: 1540-1549. PMID: 27573858, PMCID: PMC5332525, DOI: 10.1007/s10461-016-1533-4.Peer-Reviewed Original ResearchConceptsHIV-positive GBMSession attendanceHIV transmission risk behaviorsBisexual menTransmission risk behaviorsHIV-positive gaySexual compulsivityUnified ProtocolBaseline interviewHIV riskDrug useRisk behaviorsMental healthIntervention sessionsEmotion regulation interventionTransdiagnostic TreatmentEmotional disordersInterventionPsychological outcomesHigh rateTreatmentRegulation interventionsGBMMenSessionsExtending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior
Rendina HJ, Gamarel KE, Pachankis JE, Ventuneac A, Grov C, Parsons JT. Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior. Annals Of Behavioral Medicine 2016, 51: 147-158. PMID: 27502073, PMCID: PMC5299076, DOI: 10.1007/s12160-016-9822-8.Peer-Reviewed Original ResearchConceptsHIV-positive GBMMental healthAnal sexSerodiscordant condomless anal sexInternalized stigmaRole of HIVCondomless anal sexHIV-positive gayDepression/anxietySexual risk behaviorsSexual behavior outcomesDevelopment of interventionsDiverse convenience sampleRisk behaviorsHealth disparitiesMinority stress modelHIVBehavioral interventionsBisexual menConvenience sampleEmotion dysregulationSexual behaviorBisexual men's experiencesBehavior outcomesInterventionNew to New York: Ecological and Psychological Predictors of Health Among Recently Arrived Young Adult Gay and Bisexual Urban Migrants
Pachankis JE, Eldahan AI, Golub SA. New to New York: Ecological and Psychological Predictors of Health Among Recently Arrived Young Adult Gay and Bisexual Urban Migrants. Annals Of Behavioral Medicine 2016, 50: 692-703. PMID: 27094938, DOI: 10.1007/s12160-016-9794-8.Peer-Reviewed Original ResearchConceptsYoung gayBisexual menStructural stigmaNew York CityUrban ecologyNew urban experienceHigh-risk migrationYoung Adult GayMigrant experienceYoung migrantsYork CityMigration motivationsDomestic migrationUrban migrantsUS migrationUrban enclavesHomophobic environmentSocial freedomUrban experienceGayVulnerable segmentsAdult gayInterpersonal discriminationMigrantsIndividual-level interventions