2024
Stressors and symptoms explaining sexual orientation inequalities in mental health services usage: A longitudinal study with young adults
Pachankis J, Bränström R, Roxo L. Stressors and symptoms explaining sexual orientation inequalities in mental health services usage: A longitudinal study with young adults. European Journal Of Public Health 2024, 34: ckae144.401. PMCID: PMC11516426, DOI: 10.1093/eurpub/ckae144.401.Peer-Reviewed Original ResearchSexual minority individualsMinority-specific stressorsMinority individualsMental health symptomsMental health service useMental health servicesHealth service useSexual orientationHealth symptomsHealth servicesService useSexual orientation inequalitiesSexual orientation differencesNegative family reactionsMental health service usagePopulation-based sample of young adultsSexual minoritiesHealth service usageMinority stressPopulation-based sampleHelp-seeking behaviorSample of young adultsYoung adultsFamily reactionsLogistic regression modelsA pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health
Lelutiu-Weinberger C, Filimon M, Chiaramonte D, Leonard S, Dogaru B, Pana E, Pruneanu C, Pachankis J. A pilot trial of an LGBTQ-affirmative cognitive-behavioral therapy for transgender and gender expansive individuals’ mental, behavioral, and sexual health. Behavior Therapy 2024 DOI: 10.1016/j.beth.2024.10.005.Peer-Reviewed Original ResearchCognitive-behavioral therapyMinority stressAnxiety symptomsPreliminary efficacyTGE individualsCisgender sexual minorityTherapeutic allianceTrained psychologistsEvidence-based interventionsBaseline to follow-upTreatment relevanceRisk mechanismsImprove psychosocial healthGender-expansive individualsTGE youthSexual minoritiesAnxietyNorth American contextDepressionRandomized controlled trialsContext of RomaniaPsychosocial healthHealth outcomesFollow-upExit interviewsGuided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China
Yi M, Li X, Chiaramonte D, Sun S, Pan S, Soulliard Z, Eisenstadt B, Ljótsson B, Hagaman A, Pachankis J. Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China. Behaviour Research And Therapy 2024, 181: 104605. PMID: 39029333, PMCID: PMC11371497, DOI: 10.1016/j.brat.2024.104605.Peer-Reviewed Original ResearchInternet-based CBTCognitive-behavioral therapySexual minority menSocial-cognitive mechanismsYoung sexual minority menMinority stressMinority menSession completionBehavioral healthSexual minority individualsModeration analysisAlcohol useMinority individualsMental healthInternalized stigmaFollow-upStigma experiencesRandomized controlled trialsSessionsTreatment efficacySecondary outcomesControlled trialsPrimary outcomeAffirmative supportHealthA Qualitative Exploration of Minority Stress, Mental Health, and Sexual Health Among Arab Immigrant Sexual Minority Men in the United States
Abboud S, Chaudhry A, Pachankis J. A Qualitative Exploration of Minority Stress, Mental Health, and Sexual Health Among Arab Immigrant Sexual Minority Men in the United States. Cultural Diversity & Ethnic Minority Psychology 2024 PMID: 38300597, DOI: 10.1037/cdp0000645.Peer-Reviewed Original ResearchSexual minority menMental healthSexual healthCoping strategiesDevelopment of mental health interventionsSexual minority stressorsExperiences of immigrantsMental health interventionsUnited States objectivesCommunity-based organizationsAdaptive coping strategiesUnited StatesIntersectional identitiesMinority stressMinority stressorsCisgender menHealth interventionsMinority menSocial supportThematic analysisInterview transcriptsState objectivesSalient themesU.S. statesQualitative explorationGlobal LGBTQ Mental Health
Bränström R, Hughes T, Pachankis J. Global LGBTQ Mental Health. 2024, 45-78. DOI: 10.1007/978-3-031-36204-0_3.Peer-Reviewed Original ResearchLGBTQ individualsStigma-related stressPoor mental healthLGBTQ peopleLGBTQ populationsGender identityMental healthMinority stress theoryRisk of poor mental healthLow social trustLack of stable housingMental health disparitiesGlobal SouthGlobal NorthHeterosexual individualsStable housingElevated risk of poor mental healthMinority stressSexual orientationSocietal integrationDiscriminatory lawsMental health problemsSocial trustElevated riskSocietal attitudes
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 comparisonsParticipantsA Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice
Pachankis J, Soulliard Z, Morris F, van Dyk I. A Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice. Cognitive And Behavioral Practice 2023, 30: 1-17. DOI: 10.1016/j.cbpra.2021.11.005.Peer-Reviewed Original ResearchCase conceptualizationSexual minority clientsClient presentationsMinority stressAdaptation modelMinority clientsCognitive-behavioral treatmentCognitive behavioral therapySexual minority individualsMental health fieldCoping skillsCurrent distressClinical trialsTranstheoretical approachMental healthMinority individualsConceptualization approachAffirmative practiceFuture researchConceptualizationEvidence-based practiceTherapeutic techniquesReal-world clinical practiceCase exampleDiverse therapeutic modalities
2022
The buckle of the Bible Belt: Sexual minority emerging adults’ minority stress in South Central Appalachia
Mann A, Williams S, Job S, Pachankis J, Chaudoir S. The buckle of the Bible Belt: Sexual minority emerging adults’ minority stress in South Central Appalachia. Journal Of Gay & Lesbian Mental Health 2022, 27: 439-457. PMID: 38156197, PMCID: PMC10752621, DOI: 10.1080/19359705.2022.2064953.Peer-Reviewed Original ResearchA 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 lengthSupervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals.
Harkness A, Pachankis J. Supervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals. 2022, 289-304. DOI: 10.1037/0000314-020.Peer-Reviewed Original ResearchCognitive behavior therapyBehavior therapyEvidence-based cognitive-behavioral treatmentCognitive-behavioral treatmentEvidence-based treatment approachesMental health problemsTransdiagnostic approachMental health disparitiesEmotional disordersBehavioral treatmentUnified ProtocolMinority stressLGBTQ peopleLGBTQ clientsLGBTQ individualsPeople's experiencesStructural stigmaTreatment approachesIndividualsHealth problemsPeopleSupervisorsElevated riskStigmaHealth disparities
2021
A biopsychosocial framework for understanding sexual and gender minority health: A call for action
Christian LM, Cole SW, McDade T, Pachankis JE, Morgan E, Strahm AM, Kamp Dush CM. A biopsychosocial framework for understanding sexual and gender minority health: A call for action. Neuroscience & Biobehavioral Reviews 2021, 129: 107-116. PMID: 34097981, PMCID: PMC8429206, DOI: 10.1016/j.neubiorev.2021.06.004.Peer-Reviewed Original ResearchConceptsElevated psychological distressDifferent sexual identitiesMinority stress theoryMinority stress frameworkIndividual differencesPsychological distressGender minority populationsGender minoritiesSexual minority statusStress frameworkBiopsychosocial frameworkMinority stressIndividual levelSleep disturbancesSexual identityPeople of colorBehavioral factorsMinority statusStress theoryUnique experiencesIntersectional identitiesHealth outcomesQuality of lifeMinority populationsModeratorA Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health
Pan S, Sun S, Li X, Chen J, Xiong Y, He Y, Pachankis JE. A Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health. Psychotherapy 2021, 58: 12-24. PMID: 32538644, PMCID: PMC7736310, DOI: 10.1037/pst0000318.Peer-Reviewed Original ResearchConceptsMinority stressEvidence-based interventionsSexual healthChinese YMSMCognitive behavioral therapySexual minority stressHIV epidemic controlHIV risk behaviorsPre-post comparisonPsychological healthSexual health outcomesOpen pilotEffective skillsHIV infectionMental healthHIV epidemicRisk groupsChinese contextHealth outcomesYMSMHealth systemFamily needsEffective manExpert integrationCultural contextMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risksRisk and Protective Factors for Social Anxiety Among Sexual Minority Individuals
Mahon CP, Pachankis JE, Kiernan G, Gallagher P. Risk and Protective Factors for Social Anxiety Among Sexual Minority Individuals. Archives Of Sexual Behavior 2021, 50: 1015-1032. PMID: 33398699, DOI: 10.1007/s10508-020-01845-1.Peer-Reviewed Original ResearchConceptsSocial anxietySexual minority individualsLGBTQ community connectednessMinority stress processesExperiences of discriminationRejection sensitivitySexual minority womenMinority individualsConcealment behaviorStress processPsychological mediation frameworkStructural equation modeling analysisCommunity connectednessProximal minority stressMinority stress theoryTerms of implicationsSources of resilienceCisgender sexual minority womenSense of coherenceSexual minority communitiesHypothesized modelMediation frameworkMinority stressAnxietyInternalized homonegativity
2020
“It truly does get better”: Young sexual minority men’s resilient responses to sexual minority stress
Harkness A, Rogers BG, Albright C, Mendez NA, Safren SA, Pachankis JE. “It truly does get better”: Young sexual minority men’s resilient responses to sexual minority stress. Journal Of Gay & Lesbian Mental Health 2020, 24: 258-280. PMID: 32884609, PMCID: PMC7462415, DOI: 10.1080/19359705.2020.1713276.Peer-Reviewed Original ResearchAddressing 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
Sexual risk behaviors in the internet age: the case of Chinese men who have sex with men
Sun S, Hoyt WT, Pachankis JE. Sexual risk behaviors in the internet age: the case of Chinese men who have sex with men. AIDS Care 2019, 32: 302-309. PMID: 31533450, PMCID: PMC6980990, DOI: 10.1080/09540121.2019.1668525.Peer-Reviewed Original ResearchConceptsSexual identity stigmaSocial lifeAnal intercourse partnersIdentity stigmaSexual minority stigmaSocial mediaIntercourse partnersInternet ageInternet useSafer sexCondomless anal intercourseMinority stressMore condom useFrequent useLess condom useCondom useLifeSexual riskChinese menHierarchical regression analysis
2017
What Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”
Chaudoir SR, Wang K, Pachankis JE. What Reduces Sexual Minority Stress? A Review of the Intervention “Toolkit”. Journal Of Social Issues 2017, 73: 586-617. PMID: 29170566, PMCID: PMC5695701, DOI: 10.1111/josi.12233.Peer-Reviewed Original ResearchPsychotherapy for the Spectrum of Sexual Minority Stress: Application and Technique of the ESTEEM Treatment Model
Burton CL, Wang K, Pachankis JE. Psychotherapy for the Spectrum of Sexual Minority Stress: Application and Technique of the ESTEEM Treatment Model. Cognitive And Behavioral Practice 2017, 26: 285-299. PMID: 31592215, PMCID: PMC6779338, DOI: 10.1016/j.cbpra.2017.05.001.Peer-Reviewed Original ResearchNegative psychosocial health outcomesPsychosocial health outcomesRisk factorsTherapeutic principlesHealth outcomesSubstance useMinority stressPsychoeducation contentTherapeutic modelTreatment modelSexual minority stressEvidence pointsMinority stress processesTransdiagnostic mechanismsOutcomesSexual minority individualsEarly stages
2016
Minority Stress and the Risk of Unwanted Sexual Experiences in LGBQ Undergraduates
Murchison G, Boyd M, Pachankis J. Minority Stress and the Risk of Unwanted Sexual Experiences in LGBQ Undergraduates. Sex Roles 2016, 77: 221-238. DOI: 10.1007/s11199-016-0710-2.Peer-Reviewed Original ResearchUnwanted sexual experiencesInternalized homophobiaMinority stressLGBTQ communitySexual experienceExperience risksLGBQ studentsViolence prevention effortsQueer college studentsViolence prevention interventionsSexual minority menGroup social relationshipsSexual violenceHomophobiaSupportive communitySexual victimizationMinority menSexual assaultSocial relationshipsSocial climateCommunityPrevention effortsExperienceSenseHigh school