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 interviewsThreats to social safety and neuro-inflammatory mechanisms underlying sexual orientation disparities in depression symptom severity: A prospective cohort study of young adults
Bränström R, Hatzenbuehler M, Lattanner M, Hollinsaid N, McDade T, Pachankis J. Threats to social safety and neuro-inflammatory mechanisms underlying sexual orientation disparities in depression symptom severity: A prospective cohort study of young adults. Brain Behavior And Immunity 2024, 119: 211-219. PMID: 38548185, DOI: 10.1016/j.bbi.2024.03.036.Peer-Reviewed Original ResearchDepressive symptom severitySexual minoritiesChronically elevated inflammationInterpersonal eventsRisk of depressionDepressive symptomsSocial safetySymptom severityElevated inflammationSocial Signal Transduction Theory of DepressionSexual minority individualsElevated risk of depressionSexual orientation disparitiesHeterosexual young adultsChronic inflammationTheory of depressionCohort study of young adultsPopulation-based evidencePre-registered analysesStudy of young adultsSevere depressive symptomsYoung adultsNationally representative sampleProspective cohort studySexual orientationPromoting Resilience to Improve Disordered Eating (PRIDE): A case series of an eating disorder treatment for sexual minority individuals
Brown T, Klimek‐Johnson P, Siegel J, Convertino A, Douglas V, Pachankis J, Blashill A. Promoting Resilience to Improve Disordered Eating (PRIDE): A case series of an eating disorder treatment for sexual minority individuals. International Journal Of Eating Disorders 2024, 57: 648-660. PMID: 38279188, DOI: 10.1002/eat.24150.Peer-Reviewed Original ResearchED symptomsEating disordersSM individualsED treatmentEnhanced cognitive behaviour therapyED diagnosisCognitive behavioral therapyStress reactionsActive control conditionEating disorder treatmentSexual orientation concealmentSexual minoritiesSexual minority individualsCase seriesFollow-upCBT-EBehavioral therapyBody dissatisfactionDisorder treatmentDisordered eatingPreliminary efficacy resultsWeekly sessionsAssociated with improvementsMixed-methods studyClinical impairment
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 sampleThe Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma
Pachankis J, Hatzenbuehler M, Klein D, Bränström R. The Role of Shame in the Sexual-Orientation Disparity in Mental Health: A Prospective Population-Based Study of Multimodal Emotional Reactions to Stigma. Clinical Psychological Science 2023, 12: 486-504. PMID: 38938414, PMCID: PMC11210704, DOI: 10.1177/21677026231177714.Peer-Reviewed Original ResearchStigma theoryMental healthRole of shameIndirect effectsSexual minoritiesSexual orientation disparitiesMental health sequelaeSocial anxietyAdverse mental healthEmotional reactionsMental health disparitiesRelated constructsInterpersonal stigmaInternalized stigmaShameSuicidal thoughtsYoung adultsProspective populationHeterosexual young adultsRepresentative cohortTreatment targetsLater experienceStigmaEmotionsAnxietyHypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults
Hollinsaid N, Pachankis J, Bränström R, Hatzenbuehler M. Hypervigilance: An Understudied Mediator of the Longitudinal Relationship Between Stigma and Internalizing Psychopathology Among Sexual-Minority Young Adults. Clinical Psychological Science 2023, 11: 954-973. DOI: 10.1177/21677026231159050.Peer-Reviewed Original ResearchRejection sensitivitySexual minority young adultsInternalizing psychopathologySexual minority mental healthYoung adultsSexual minoritiesSymptoms 2 yearsTransdiagnostic mechanismsPsychological mechanismsPsychological interventionsStigma-related experiencesDistinct constructsHypervigilanceLongitudinal relationshipRuminationMental healthProspective associationsPsychopathologyConstructsStigmaAdultsDiscriminationInterventionImplicationsMinorityWhy Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults
Chaudoir S, Behari K, Williams S, Pachankis J. Why Do Brief Online Writing Interventions Improve Health? Examining Mediators of Expressive Writing and Self-Affirmation Intervention Efficacy Among Sexual Minority Emerging Adults. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 103-116. DOI: 10.1037/sgd0000507.Peer-Reviewed Original ResearchHealth risk behaviorsExpressive writingMental healthSexual minoritiesOnline expressive writingMental health problemsMental health benefitsPsychological interventionsEmerging AdultsWriting interventionBrief interventionNeutral controlIntervention efficacyPresent researchSalubrious effectsNovel evidenceInterventionAdultsRecent trialsHealth problemsBehaviorPutative mechanismsHealth benefitsHealthWriting
2022
Sexual 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 ResearchThe 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 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 sample
2021
Cultural 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 supportLifecourse-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 implicationsHealthMinoritySurveyImplications
2020
Gender-based Structural Stigma and Intimate Partner Violence Across 28 Countries: A Population-based Study of Women Across Sexual Orientation, Immigration Status, and Socioeconomic Status
Scheer JR, Pachankis JE, Bränström R. Gender-based Structural Stigma and Intimate Partner Violence Across 28 Countries: A Population-based Study of Women Across Sexual Orientation, Immigration Status, and Socioeconomic Status. Journal Of Interpersonal Violence 2020, 37: np8941-np8964. PMID: 33302766, PMCID: PMC8190183, DOI: 10.1177/0886260520976212.Peer-Reviewed Original ResearchConceptsIntimate partner violenceStructural stigmaSexual minority womenMinority womenIPV experiencesIPV riskImmigrant womenPartner violenceImmigration statusSexual orientationCountry-level structural stigmaDisproportionate riskEuropean Union countriesPolice involvementGender inequitySexual minoritiesStructural driversWomen SurveyMajority womenViolenceUnion countriesMinority statusStructural contextRelated circumstancesMinority populationsCountry-Level Structural Stigma, School-Based and Adulthood Victimization, and Life Satisfaction Among Sexual Minority Adults: A Life Course Approach
van der Star A, Pachankis JE, Bränström R. Country-Level Structural Stigma, School-Based and Adulthood Victimization, and Life Satisfaction Among Sexual Minority Adults: A Life Course Approach. Journal Of Youth And Adolescence 2020, 50: 189-201. PMID: 33196894, PMCID: PMC7815544, DOI: 10.1007/s10964-020-01340-9.Peer-Reviewed Original ResearchConceptsSchool bullyingCountry-level structural stigmaSexual minority adultsMinority adultsAdulthood victimizationMental health costsStructural stigmaSchool-BasedAdulthood experiencesLife course approachHealth costsBullyingCountry-level indicesAdultsHigh rateLife satisfactionSchoolsSexual minoritiesInternalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study
Chi Y, Huang D, Pachankis J, Valimaki M, Shen Y, Li X. Internalized Sexual Minority Stigma is Associated With HIV Testing Behavior Among Chinese Men Who Have Sex With Men: A Cross-Sectional Study. Journal Of The Association Of Nurses In AIDS Care 2020, 32: 578-588. PMID: 35137720, DOI: 10.1097/jnc.0000000000000205.Peer-Reviewed Original ResearchLifecourse-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 patternsSurveyAddressing 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
Untethered lives: Barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis J. Untethered lives: Barriers to societal integration as predictors of the sexual orientation disparity in suicidality. European Journal Of Public Health 2019, 29: ckz185.141. DOI: 10.1093/eurpub/ckz185.141.Peer-Reviewed Original ResearchRisk factorsSexual orientation disparitiesPublic health surveyNational Public Health SurveyDeterminants of suicidalityOrientation disparitiesHealth SurveyElevated riskGeneral populationPreventive interventionsSuicidal ideationSuicidality risk factorsSuicidalityDisproportionate barriersSexual minority populationsMinority populationsSexual orientation differencesSexual minoritiesImportant contributorPopulationDisparities