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 orientationSessionsClientsAnxietyStigma 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 consequences
2023
Explicit 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
Transgender‐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
2020
Risk From Within: Intraminority Gay Community Stress and Sexual Risk-Taking Among Sexual Minority Men
Burton CL, Clark KA, Pachankis JE. Risk From Within: Intraminority Gay Community Stress and Sexual Risk-Taking Among Sexual Minority Men. Annals Of Behavioral Medicine 2020, 54: 703-712. PMID: 32206770, PMCID: PMC7459184, DOI: 10.1093/abm/kaaa014.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsHuman immunodeficiency virusSexual minority menCondom useRisk behaviorsMinority menSelf-reported exposureMen's risk behaviorsHIV infectionImmunodeficiency virusClear predictorsGeneral life stressCommunity stressLife stressRecent evidenceMenNational surveyLarge national surveyInfectionRiskSocial stressGay communityOverlooked predictorPredictorsParticipants
2019
HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States.
Dodge B, Ford J, Bo N, Tu W, Pachankis J, Herbenick D, Mayer K, Hatzenbuehler ML. HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2019, 82: 355-361. PMID: 31517706, PMCID: PMC6817401, DOI: 10.1097/qai.0000000000002151.Peer-Reviewed Original ResearchConceptsHIV riskNational HIV/AIDS StrategyUS National HIV/AIDS StrategyPrevention outcomesPrimary health care providersHIV/AIDS StrategyBisexual menHalf of GBMsMajority of HIVUndetectable viral loadPre-exposure prophylaxisHIV-positive GBMRecent male partnersHealth care providersCross-sectional surveySample of gayAntiretroviral treatmentViral loadPrEP usersHIV preventionAIDS StrategyCare providersDaily adherenceGeneral populationHIVPsychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals
Scheer JR, Pachankis JE. Psychosocial Syndemic Risks Surrounding Physical Health Conditions Among Sexual and Gender Minority Individuals. LGBT Health 2019, 6: 377-385. PMID: 31644383, PMCID: PMC6918840, DOI: 10.1089/lgbt.2019.0025.Peer-Reviewed Original ResearchConceptsPhysical health conditionsPhysical health outcomesGender minority individualsSyndemic riskPhysical healthHealth conditionsMinority individualsIndividual's physical healthPosttraumatic stress disorderHealth outcomesSGM adultsOverall health burdenStress disorderPsychosocial risksSexual assaultDisparate exposuresSGM identitiesSubstance useSyndemic conditionsHealth burdenHigh prevalenceSyndemic frameworkComprehensive interventionHealth disparitiesOnline surveyUntethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis JE. Untethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality. Social Psychiatry And Psychiatric Epidemiology 2019, 55: 89-99. PMID: 31300892, DOI: 10.1007/s00127-019-01742-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildCommunity IntegrationCross-Sectional StudiesDepressionFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedOdds RatioRisk FactorsSexual and Gender MinoritiesSexual BehaviorSocial SupportSubstance-Related DisordersSuicidal IdeationSuicide, AttemptedSwedenYoung AdultConceptsSexual orientation disparitiesSocietal integrationSexual minoritiesOrientation disparitiesGay men/lesbiansNational Public Health SurveyLGB individuals' experiencesSexual orientation differencesSexual minority populationsSexual minority individualsSocial institutionsSexual orientationSocietal normsHeterosexual individualsDisproportionate barriersMinority individualsSupportive attitudesIndividual experiencesMinority populationsLegal protectionInnovative waysDeterminants of suicidalityRecent decadesRole of barriersPublic health surveyPrevalence of Psychiatric Disorders at the Intersection of Race and Sexual Orientation: Results From the National Epidemiologic Survey of Alcohol and Related Conditions-III
Rodriguez-Seijas C, Eaton NR, Pachankis JE. Prevalence of Psychiatric Disorders at the Intersection of Race and Sexual Orientation: Results From the National Epidemiologic Survey of Alcohol and Related Conditions-III. Journal Of Consulting And Clinical Psychology 2019, 87: 321-331. PMID: 30883161, DOI: 10.1037/ccp0000377.Peer-Reviewed Original ResearchConceptsPrevalence of disordersDisorder prevalenceRace/ethnicityLow prevalenceMental healthMinority mental healthPrevalence of psychopathologySubstance use disordersNational Epidemiologic SurveyRelated Conditions-IIISexual minority individualsSimilar prevalenceSexual minority statusHigh prevalencePsychiatric disordersUse disordersEpidemiologic SurveyEthnic minority mental healthMinority individualsPrevalenceProtective factorsSimilar findingsMinority statusDisordersWhite individuals
2018
Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body
Cai X, Hughto JMW, Reisner SL, Pachankis JE, Levy BR. Benefit of Gender-Affirming Medical Treatment for Transgender Elders: Later-Life Alignment of Mind and Body. LGBT Health 2018, 6: 34-39. PMID: 30562128, PMCID: PMC6909671, DOI: 10.1089/lgbt.2017.0262.Peer-Reviewed Original ResearchThe Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe
Leluţiu-Weinberger C, Rendina HJ, Mirandola M, Gios L, Folch C, Rafila A, Pachankis JE. The Role of Gay-Related Stigma in HIV-Risk Behavior Among Sexual Minority Men in Europe. AIDS And Behavior 2018, 23: 684-694. PMID: 30302655, PMCID: PMC6452636, DOI: 10.1007/s10461-018-2306-z.Peer-Reviewed Original ResearchConceptsSexual orientation stigmaSexual minority menOdds of sexMinority menSocial contextLast sexual encounterSexual encountersSexual orientation-related stigmaSexual minority stigmaHIV risk-related behaviorsCross-sectional survey sampleHIV-negative sexual minority menHIV contractionEastern EuropeEuropean countriesCasual partnersStructural interventionsHIV infectionStigmatized individualsHIV risk behaviorsCondomless sexStigmaSexual riskContextEuropeValidating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison
Bränström R, Pachankis JE. Validating the Syndemic Threat Surrounding Sexual Minority Men's Health in a Population-Based Study With National Registry Linkage and a Heterosexual Comparison. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2018, 78: 376-382. PMID: 29940602, DOI: 10.1097/qai.0000000000001697.Peer-Reviewed Original ResearchConceptsHIV infectionSyndemic conditionsElevated riskSexual minority menStockholm Public Health CohortBisexual menPsychosocial health disparitiesHealth threatHealth registry dataTimes higher riskNational health registry dataPopulation-based examinationHIV prevention interventionsHeterosexual menMinority menMinority men's healthRegistry linkageHealth cohortRegistry dataHigh riskAdult menHealth disparitiesMen's healthInfectionMenCreating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Creating, reinforcing, and resisting the gender binary: a qualitative study of transgender women’s healthcare experiences in sex-segregated jails and prisons. International Journal Of Prison Health 2018, 14: 69-88. PMID: 29869582, PMCID: PMC5992494, DOI: 10.1108/ijph-02-2017-0011.Peer-Reviewed Original ResearchConceptsGender binaryTransgender womenHealthcare experiencesWomen's healthcare experiencesResearch limitations/implications FindingsCorrectional healthcare providersProviders' limited knowledgeDesign/methodology/approachSemi-structured interviewsWomen ActFirst-hand accountsWomen's accessMethodology/approachOriginality/valueInstitutional cultureMulti-level barriersStructural stigmaFeminine identityInstitutional policiesFindings ParticipantsImplications FindingsQualitative studyHealthcare barriersInsufficient accessPrisonSexual orientation differences in outpatient psychiatric treatment and antidepressant usage: evidence from a population-based study of siblings
Bränström R, Hatzenbuehler ML, Tinghög P, Pachankis JE. Sexual orientation differences in outpatient psychiatric treatment and antidepressant usage: evidence from a population-based study of siblings. European Journal Of Epidemiology 2018, 33: 591-599. PMID: 29766438, PMCID: PMC5995973, DOI: 10.1007/s10654-018-0411-y.Peer-Reviewed Original ResearchConceptsOutpatient psychiatric treatmentMood disordersPsychiatric treatmentDisorder treatmentOutpatient health care visitsGreater likelihoodPopulation-based health surveyLongitudinal cohort study designStockholm Public Health CohortRandom population-based sampleAntidepressant medication usageSubstance use disorder treatmentHealth care visitsCohort study designHealth registry dataPopulation-based studyPrescription drug usePsychiatric outpatient treatmentUse disorder treatmentPopulation-based sampleHealth record dataCertain psychiatric disordersPsychiatric disorders treatmentCare visitsMedication usageHidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries
Pachankis JE, Bränström R. Hidden From Happiness: Structural Stigma, Sexual Orientation Concealment, and Life Satisfaction Across 28 Countries. Journal Of Consulting And Clinical Psychology 2018, 86: 403-415. PMID: 29683698, DOI: 10.1037/ccp0000299.Peer-Reviewed Original ResearchSexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015)
Bränström R, Pachankis JE. Sexual orientation disparities in the co-occurrence of substance use and psychological distress: a national population-based study (2008–2015). Social Psychiatry And Psychiatric Epidemiology 2018, 53: 403-412. PMID: 29450600, PMCID: PMC5862943, DOI: 10.1007/s00127-018-1491-4.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overComorbidityCrime VictimsCross-Sectional StudiesDiagnosis, Dual (Psychiatry)Discrimination, PsychologicalFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedPrevalenceSexual and Gender MinoritiesSexual BehaviorSocial IsolationSocial StigmaStress, PsychologicalSubstance-Related DisordersSwedenYoung AdultConceptsSubstance usePsychological distressElevated prevalenceSexual orientation disparitiesNational population-based studyHigh-risk alcohol useDaily tobacco smokingPopulation-based studyOverall response rateSocial isolationPublic health surveyNational Public Health SurveyMental health problemsOrientation disparitiesSexual minoritiesCo-occurring problemsTobacco smokingHealth SurveyElevated riskMultiple mediation analysisStigma-related stressResponse rateHealth problemsAlcohol useConclusionsThis study
2017
Anti-LGBT and Anti-immigrant Structural Stigma
Pachankis JE, Hatzenbuehler ML, Berg RC, Fernández-Dávila P, Mirandola M, Marcus U, Weatherburn P, Schmidt AJ. Anti-LGBT and Anti-immigrant Structural Stigma. JAIDS Journal Of Acquired Immune Deficiency Syndromes 2017, 76: 356-366. PMID: 28787329, PMCID: PMC5659919, DOI: 10.1097/qai.0000000000001519.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overCultural CharacteristicsDirective CounselingEmigrants and ImmigrantsEuropeHIV InfectionsHumansInternal-External ControlInternetMaleMiddle AgedPatient Acceptance of Health CarePrevalenceRisk FactorsRisk-TakingSexual and Gender MinoritiesSexual BehaviorSocial EnvironmentSocial StigmaSocial SupportYoung AdultConceptsStructural stigmaSexual minoritiesHIV preventionIntersectional populationHIV prevention outcomesHome countryNational attitudesHIV prevention knowledgeUnequal treatmentMigrantsImmigrantsNational lawEuropean countriesHIV riskEuropean MSM Internet SurveyCountriesStigmaPrecautionary behaviorLinguistic statusGlobal HIV epidemicStructural determinantsMinorityService coverageDiverse sampleInternet surveyDepression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping
Wang K, Burton CL, Pachankis JE. Depression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping. Substance Use & Misuse 2017, 53: 859-866. PMID: 29125383, PMCID: PMC5884706, DOI: 10.1080/10826084.2017.1391011.Peer-Reviewed Original ResearchConceptsDepression-related stigmaEmotion dysregulationStigma copingSubstance useEmotion regulation modelSelf-report measuresSample of individualsRole of stigmaSubstance use problemsPrevention intervention effortsPsychological distressRemitted depressionIntervention effortsInitial supportUse problemsRegulation modelCopingLittle researchCurrent studyDepressionStigmaDrug useGreater tendencyDysregulationDistressImproving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention
Hughto J, Clark KA, Altice FL, Reisner SL, Kershaw TS, Pachankis JE. Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention. Social Science & Medicine 2017, 195: 159-169. PMID: 29096945, PMCID: PMC5712271, DOI: 10.1016/j.socscimed.2017.10.004.Peer-Reviewed Original ResearchConceptsCorrectional healthcare providersGender-affirming careTransgender patientsHealthcare providersClinical competenceTransgender careTransgender cultural competenceFuture efficacy testingLinear mixed-effects regression modelsHealthcare providers' abilityQualitative exit interviewsMixed effects regression modelsGroup-based interventionHormone therapyPatientsProviders' willingnessTransgender womenStudy outcomesExit interviewsCareEfficacy testingInterventionProviders' abilityEffects regression modelsConfidential surveyVictimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping
Hughto J, Pachankis JE, Willie TC, Reisner SL. Victimization and Depressive Symptomology in Transgender Adults: The Mediating Role of Avoidant Coping. Journal Of Counseling Psychology 2017, 64: 41-51. PMID: 28068130, PMCID: PMC5226079, DOI: 10.1037/cou0000184.Peer-Reviewed Original ResearchConceptsDepressive symptomologyDepressive symptomsPublic health problemBehavioral health costsMental health sequelaeUseful intervention targetsOne-time surveyHealth sequelaeAvoidant copingHealth problemsDistress symptomsSymptomsIntervention targetsVulnerable populationsHealth costsTransgender adultsCommunity sampleSymptomologyCopingSequelaeTransgender communityClinicians