2024
Guided 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 exploration
2023
Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT
Brisbin C, Soulliard Z, Puccinelli M, Harkness A, Fetzner B, Safren S, Pachankis J. Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT. Cognitive And Behavioral Practice 2023 DOI: 10.1016/j.cbpra.2023.12.002.Peer-Reviewed Original ResearchTreatment goalsSexual minority menDistinct treatment needsMinority menMental health treatmentBehavioral health concernsCisgender sexual minority menEvidence-based practiceTreatment needsGeneral populationHealth treatmentHealth concernTreatment developmentMenCliniciansPresent studyTreatmentCBTPopulationSexual minority identity
2022
Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries
Pachankis J, Hatzenbuehler M, Bränström R, Schmidt A, Berg R, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural stigma and sexual minority men’s depression and suicidality: A multi-level examination of mechanisms and mobility across 48 countries. European Journal Of Public Health 2022, 32: ckac129.195. PMCID: PMC9594207, DOI: 10.1093/eurpub/ckac129.195.Peer-Reviewed Original ResearchMental healthSexual minority menMen's Internet SurveyMinority menStructural stigmaRisk factorsLower oddsLower riskPsychosocial mediatorsGreater riskMen's depressionEuropean menDepressionSuicidalitySocial isolationMenHealthStigmaSmall indirect effectMediatorsCurrent studyRiskExposureLonger exposureObjective indicatorsRejection sensitivity and sexual minority men’s social anxiety disorder: The moderating role of sexual identity strength
Maiolatesi A, Wang K, Burton C, Harkness A, Esserman D, Safren S, Pachankis J. Rejection sensitivity and sexual minority men’s social anxiety disorder: The moderating role of sexual identity strength. Self And Identity 2022, 22: 563-591. PMID: 37346170, PMCID: PMC10281756, DOI: 10.1080/15298868.2022.2125062.Peer-Reviewed Original ResearchSocial anxiety symptomsGay-related rejection sensitivityRejection sensitivitySocial anxiety disorderIdentity strengthAnxiety symptomsSocial anxietyIncremental validitySexual minority menSocial anxiety disorder diagnosisDisorder diagnosisRS scoresAnxiety disorder diagnosisMental health correlatesStructured diagnostic interviewMinority menIndividual differencesAnxiety disordersStudy 1Study 2RS measuresHealth correlatesDiagnostic InterviewRS scaleAnxietyA 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 reductionTherapyOutcomesEmotion Regulation in Context: Expressive Flexibility as a Stigma Coping Resource for Sexual Minority Men
Wang K, Maiolatesi AJ, Burton CL, Scheer JR, Pachankis JE. Emotion Regulation in Context: Expressive Flexibility as a Stigma Coping Resource for Sexual Minority Men. Psychology Of Sexual Orientation And Gender Diversity 2022, 9: 214-221. PMID: 35757788, PMCID: PMC9231373, DOI: 10.1037/sgd0000503.Peer-Reviewed Original ResearchSexual orientation-related discriminationExpressive flexibilityPsychological distressSexual minority menMental healthSelf-report measuresSignificant mental health problemsStigma-related stressMental health problemsEmotion regulationStigma copingMinority menCoping interventionsCoping resourcesMen's mental healthPotential bufferU.S. sampleDistressPresent researchLongitudinal analysisDiscriminationCopingHealth problemsHigh levelsPerceptionIndividual, 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
2021
Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men
Scheer JR, Clark KA, Talan A, Cabral C, Pachankis JE, Rendina HJ. Longitudinal associations between childhood sexual abuse-related PTSD symptoms and passive and active suicidal ideation among sexual minority men. Child Abuse & Neglect 2021, 122: 105353. PMID: 34638046, PMCID: PMC8612966, DOI: 10.1016/j.chiabu.2021.105353.Peer-Reviewed Original ResearchConceptsActive suicidal ideationSexual minority menSuicidal ideationChildhood sexual abusePTSD symptomsElevated suicide riskOne-yearPTSD symptom severitySymptom severityMultivariable logistic regression analysisMinority menLogistic regression analysisLow social supportPassive suicidal ideationSocial supportProspective cohortElevated riskSuicide attempt historyProspective associationsBivariate analysisSymptomsSuicidal thoughtsSuicide riskLongitudinal associationsBaselineCultural Context Matters: Testing the Minority Stress Model Among Chinese Sexual Minority Men
Sun S, Hoyt WT, Tarantino N, Pachankis JE, Whiteley L, Operario D, Brown LK. Cultural Context Matters: Testing the Minority Stress Model Among Chinese Sexual Minority Men. Journal Of Counseling Psychology 2021, 68: 526-537. PMID: 33030914, PMCID: PMC8026770, DOI: 10.1037/cou0000535.Peer-Reviewed Original ResearchConceptsSexual minority menSexual minoritiesMinority menMinority stress theorySexual identity concernsMinority stress modelNorm conformityChinese cultureCultural contextCultural considerationsAlternative model testingDistal minority stressorsMinority stressorsChinese contextIdentity concernsGlobal contextMental health disparitiesProximal minority stressorsLow family supportAcceptance concernsEast Asian countriesWestern samplesContextMinorityFamily supportStructural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries
Pachankis JE, Hatzenbuehler ML, Bränström R, Schmidt AJ, Berg RC, Jonas K, Pitoňák M, Baros S, Weatherburn P. Structural Stigma and Sexual Minority Men’s Depression and Suicidality: A Multilevel Examination of Mechanisms and Mobility Across 48 Countries. Journal Of Psychopathology And Clinical Science 2021, 130: 713-726. PMID: 34780228, DOI: 10.1037/abn0000693.Peer-Reviewed Original ResearchConceptsMental healthAdverse mental health outcomesSocial isolationMen's Internet SurveyMental health outcomesStructural stigmaCountry of birthRisk factorsLower oddsLower riskSexual minority menHealth outcomesPsychosocial mediatorsGreater riskSuicidalityMen's depressionDepressionEuropean menSociocultural determinantsHealthMinority menStigmaSmall indirect effectMenMediatorsSocial Anxiety Among Sexual Minority Individuals: A Systematic Review
Mahon C, Lombard-Vance R, Kiernan G, Pachankis J, Gallagher P. Social Anxiety Among Sexual Minority Individuals: A Systematic Review. Psychology And Sexuality 2021, 13: 818-862. DOI: 10.1080/19419899.2021.1936140.Peer-Reviewed Original ResearchSocial anxiety symptomsSexual minority individualsSocial anxietyAnxiety symptomsMinority individualsPsychological interventionsHigher social anxiety symptomsSocial anxiety levelsSexual minority populationsMinority stress processesMental health symptomsGeneral social processesPsychological concernsHealth symptomsStress processAnxiety levelsAnxietyBisexual individualsLesbian individualsSexual minority menSocial processesSexual minority subgroupsQualitative findingsMinority subgroupsEmpirical literatureLifecourse-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 ResearchConceptsStructural 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 analysisHIVStatusMenSyndemic Profiles and Sexual Minority Men’s HIV-Risk Behavior: A Latent Class Analysis
Scheer J, Clark K, Maiolatesi A, Pachankis J. Syndemic Profiles and Sexual Minority Men’s HIV-Risk Behavior: A Latent Class Analysis. Archives Of Sexual Behavior 2021, 50: 2825-2841. PMID: 33483851, PMCID: PMC8295412, DOI: 10.1007/s10508-020-01850-4.Peer-Reviewed Original ResearchConceptsHIV risk behaviorsSyndemic conditionsSexual minority menLatent class analysisAlcohol misusePolydrug useMinority menHIV acquisitionHIV syndemicClass analysisTransmission riskVulnerable subpopulationsReference groupSocioeconomic distressSyndemic theorySyndemicGroup differencesMenStatus characteristicsSocial status characteristicsLatent classesClass membershipMisuse
2020
Lifecourse-varying exposure to structural stigma, minority stress reactions, and mental health among sexual minority male migrants
van der Star A, Bränström R, Pachankis J. Lifecourse-varying exposure to structural stigma, minority stress reactions, and mental health among sexual minority male migrants. European Journal Of Public Health 2020, 30: ckaa165.282. DOI: 10.1093/eurpub/ckaa165.282.Peer-Reviewed Original ResearchStructural stigmaSexual minority menMigration experienceMale migrantsSexual minoritiesLife courseMen's mental healthMinority menStructural contextMental healthSexual minority mental healthCountriesStigmaContextPoor mental healthMinority mental healthSwedenHomophobiaMigrantsExperienceHealthMinorityImportant implicationsBehavioral patternsSurveyHas depression surpassed HIV as a burden to gay and bisexual men’s health in the United States? A comparative modeling study
Bromberg DJ, Paltiel AD, Busch SH, Pachankis JE. Has depression surpassed HIV as a burden to gay and bisexual men’s health in the United States? A comparative modeling study. Social Psychiatry And Psychiatric Epidemiology 2020, 56: 273-282. PMID: 32785755, PMCID: PMC7870461, DOI: 10.1007/s00127-020-01938-1.Peer-Reviewed Original ResearchConceptsMedical Monitoring ProjectMajor depressive episodeBisexual menDepressive episodeDisability weightsHIV preventionPast-year major depressive episodeMorbidity of HIVPrevalence of HIVHigh-risk groupHigh-risk populationPublic health challengeAdult gayBisexual men’s healthDepression morbidityCalendar year 2015Comprehensive careRisk groupsGlobal burdenHIVSexual minority menAdult menDrug useHealth challengesMen's healthA Transdiagnostic Minority Stress Intervention for Gender Diverse Sexual Minority Women’s Depression, Anxiety, and Unhealthy Alcohol Use: A Randomized Controlled Trial
Pachankis JE, McConocha EM, Clark KA, Wang K, Behari K, Fetzner BK, Brisbin CD, Scheer JR, Lehavot K. A Transdiagnostic Minority Stress Intervention for Gender Diverse Sexual Minority Women’s Depression, Anxiety, and Unhealthy Alcohol Use: A Randomized Controlled Trial. Journal Of Consulting And Clinical Psychology 2020, 88: 613-630. PMID: 32437174, PMCID: PMC7597069, DOI: 10.1037/ccp0000508.Peer-Reviewed Original ResearchConceptsCognitive-behavioral treatmentSexual minority womenTransdiagnostic cognitive-behavioral treatmentMinority womenAlcohol useBehavioral healthUnhealthy alcohol useEvidence-based treatmentsDepression/anxietyUniversal risk factorEvidence-based supportHeavy alcohol useBehavioral health problemsControlled TrialsAlcohol use problemsRisk factorsYoung Adult Sexual Minority WomenSexual minority menHealth problemsAdult sexual minority womenWomen's depressionTreatment developmentWomenExpert providersUse problemsRisk 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