2024
Sexual Orientation Differences in age of First Treatment for a Mental Health Diagnosis: A Population-based Study of Childhood and Adolescence
Bränström R, Pachankis J. Sexual Orientation Differences in age of First Treatment for a Mental Health Diagnosis: A Population-based Study of Childhood and Adolescence. Journal Of The American Academy Of Child & Adolescent Psychiatry 2024 PMID: 39098721, DOI: 10.1016/j.jaac.2024.07.916.Peer-Reviewed Original ResearchSexual orientation differencesSexual orientation disparitiesMental health diagnosesOrientation disparitiesSwedish National Public Health SurveyInternalizing disorder diagnosesPopulation-based studySexual minority identitySexual minority individualsHealth diagnosisNational Public Health SurveyNeurodevelopmental disorder diagnosisStudies of childhoodHeterosexual identityNational health care registriesDisorder diagnosisMinority identityMinority individualsPublic health surveyHealth care registriesOrientation differencesPopulation-based sampleBenefits of interventionsLikelihood of treatmentHealth SurveyGuided 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, 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 supportHealthPrepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men
Lelutiu-Weinberger C, Filimon M, Zavodszky A, Lixandru M, Hanu L, Fierbinteanu C, Patrascu R, Streinu-Cercel A, Luculescu S, Bora M, Filipescu I, Jianu C, Heightow-Weidman L, Rochelle A, Yi B, Buckner N, Golub S, van Dyk I, Burger J, Li F, Pachankis J. Prepare Romania: study protocol for a randomized controlled trial of an intervention to promote pre-exposure prophylaxis adherence and persistence among gay, bisexual, and other men who have sex with men. Trials 2024, 25: 470. PMID: 38987812, PMCID: PMC11238350, DOI: 10.1186/s13063-024-08313-4.Peer-Reviewed Original ResearchConceptsGBMSM livingPrEP adherenceRandomized controlled trial designMobile health interventionsRollout of PrEPMonths post-randomizationPre-exposure prophylaxisPre-exposure prophylaxis adherenceSelf-report surveyRandomized controlled trialsPromotion interventionsPrescribed PrEPEfficacy of toolsHealth interventionsNational rolloutHealth systemPrEP rolloutDiscussionThe knowledgeIntervention efficacyEffectiveness trialBlood spot testingPost-randomizationHigh-risk groupHIV transmissionDried blood spot testingAssociations between violence, distress, and cancer in transgender and non-transgender people.
Alpert A, Sayegh S, Cunliffe S, Sevelius J, Operario D, Pachankis J, Irwin M, Cerulli C, Griggs J, Strawderman M. Associations between violence, distress, and cancer in transgender and non-transgender people. Journal Of Clinical Oncology 2024, 42: 10566-10566. DOI: 10.1200/jco.2024.42.16_suppl.10566.Peer-Reviewed Original ResearchCancer risk factorsDiagnosis codesRisk factorsRates of violenceElectronic medical record dataTransgender peopleCross-sectional cohort studyMedical record dataGender identity informationGender identityIncreased cancer morbidityBias-corrected bootstrap confidence intervalsAssess distressProbability of cancerScreening questionsCancer riskCancer morbidityChi-square testComparison of violenceExperiences of violenceCohort studyAcademic hospitalVariable of violenceIndirect pathsRecord dataReckoning With Our Past and Righting Our Future: Report From the Behavior Therapy Task Force on Sexual Orientation and Gender Identity/Expression Change Efforts (SOGIECEs)
Comer J, Georgiadis C, Schmarder K, Chen D, Coyne C, Gudiño O, Kazantzis N, Langer D, LeBeau R, Liu R, McLean C, Sloan D, Williams M, Pachankis J. Reckoning With Our Past and Righting Our Future: Report From the Behavior Therapy Task Force on Sexual Orientation and Gender Identity/Expression Change Efforts (SOGIECEs). Behavior Therapy 2024, 55: 649-679. PMID: 38937042, DOI: 10.1016/j.beth.2024.05.006.Peer-Reviewed Original ResearchAn 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 diagnosisLGBQ-affirming clinical recommendations for compulsive sexual behavior disorder
Jennings T, Gleason N, Pachankis J, Bőthe B, Kraus S. LGBQ-affirming clinical recommendations for compulsive sexual behavior disorder. Journal Of Behavioral Addictions 2024, 13: 413-428. PMID: 38592797, PMCID: PMC11220820, DOI: 10.1556/2006.2024.00012.Peer-Reviewed Original ResearchCompulsive sexual behavior disorderMental health professionalsSexual behavior disorderBehavioral disordersMinority stress theoryHealth professionalsClinical recommendationsPreliminary clinical recommendationsMental health conditionsLGBQ clientsDevelopment of mental health conditionsTheoretical orientationTreatment recommendationsLGBQ populationInternational Classification of DiseasesPreliminary natureLGBQClassification of DiseasesEvidence-based principlesAssessment recommendationsDisordersStress theorySociocultural contextInternational ClassificationClientsThreats 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 orientationParent Responses to Their Sexual and Gender Minority Children: Implications for Parent-Focused Supportive Interventions
van Dyk I, Clark K, Dougherty L, Pachankis J. Parent Responses to Their Sexual and Gender Minority Children: Implications for Parent-Focused Supportive Interventions. Psychology Of Sexual Orientation And Gender Diversity 2024, 11: 1-16. DOI: 10.1037/sgd0000589.Peer-Reviewed Original ResearchSGM childrenSGM identitiesParental supportSGM youthParent-child relationshipParent-focused interventionsParent subgroupsGender minority youthPoor mental healthParental rejectionParental acceptanceParents' responsesIntervention formatPerson interventionsParental engagementMinority youthMental healthIntervention contentSupportive interventionsMinority childrenMixed-method studySuch interventionsMore sessionsYouthParentsStigma 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 consequencesState of the Science: LGBTQ-affirmative Psychotherapy
Burger J, Pachankis J. State of the Science: LGBTQ-affirmative Psychotherapy. Behavior Therapy 2024 DOI: 10.1016/j.beth.2024.02.011.Peer-Reviewed Original ResearchNegative self-schemasTreatment delivery modalityLevels of depressionTreatment mechanismsMental health fieldClinically relevant researchPotential treatment mechanismsEmotion dysregulationSelf-schemaTherapist trainingTreatment moderatorsPsychotherapyBehavioral comorbiditiesClient characteristicsMental healthSGM populationsPsychosocial processesCisgender individualsStigma exposureAffirmative approachSGM individualsTherapistsDelivery modalitiesHealth fieldTreatment protocolsMental health inequality in young LGBT+ people demands early universal interventions
Ingram E, Schlief M, Pachankis J, Levy G, Stefanidou T, Wright T, Lewis G. Mental health inequality in young LGBT+ people demands early universal interventions. Nature Mental Health 2024, 2: 257-258. DOI: 10.1038/s44220-024-00201-9.Peer-Reviewed Original ResearchStructural stigma and LGBTQ+ health: a narrative review of quantitative studies
Hatzenbuehler M, Lattanner M, McKetta S, Pachankis J. Structural stigma and LGBTQ+ health: a narrative review of quantitative studies. The Lancet Public Health 2024, 9: e109-e127. PMID: 38307678, DOI: 10.1016/s2468-2667(23)00312-2.Peer-Reviewed Original ResearchConceptsHealth disparitiesLGBTQ+ healthStructural stigmaRisk of poor healthDevelopment of public health interventionsReview of quantitative studiesMeasure of structural stigmaStudy health disparitiesArea-level covariatesPublic health interventionsLGBTQ+ individualsSocietal-level conditionsHealth outcomesHealth interventionsPoor healthHealth burdenHealthComparison groupNarrative reviewTest mediationMultiple outcomesMethodological strengthsNon-LGBTQ+StigmaGender identityA 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 attitudesPromoting 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“There's a lot of conflict between your queer identity and also your Muslim or Arab identity;” A qualitative exploration of the intersectional minority stressors of U.S.-born Arab sexual minority cisgender men
Abboud S, Chaudhry A, Taweh O, Pachankis J. “There's a lot of conflict between your queer identity and also your Muslim or Arab identity;” A qualitative exploration of the intersectional minority stressors of U.S.-born Arab sexual minority cisgender men. SSM - Qualitative Research In Health 2024, 5: 100393. PMID: 39105055, PMCID: PMC11299854, DOI: 10.1016/j.ssmqr.2024.100393.Peer-Reviewed Original Research
2023
Mental Health Provider Training to Improve LGBTQ Competence and Reduce Implicit and Explicit Bias: A Randomized Controlled Trial of Online and In-Person Delivery
Lelutiu-Weinberger C, Clark K, Pachankis J. Mental Health Provider Training to Improve LGBTQ Competence and Reduce Implicit and Explicit Bias: A Randomized Controlled Trial of Online and In-Person Delivery. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 589-599. PMID: 38239562, PMCID: PMC10794005, DOI: 10.1037/sgd0000560.Peer-Reviewed Original ResearchExplicit biasMental health trainingMental health providersLGBTQ clientsHealth trainingAffirmative careSupervision sessionsBenefits of supervisionHealth providersMental health careTwo-day trainingFuture researchQueer individualsParticipantsStrong stigmaTrainingOnline modalityCompetenceSupervisionCisgender femalesPersonsStigmaBiasOnline supervisionPractice intentionsAge-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study
Bränström R, Fellman D, Pachankis J. Age-Varying Sexual Orientation Disparities in Mental Health, Treatment Utilization, and Social Stress: A Population-Based Study. Psychology Of Sexual Orientation And Gender Diversity 2023, 10: 686-698. DOI: 10.1037/sgd0000572.Peer-Reviewed Original ResearchNational health care registriesHealth care registriesSexual orientation disparitiesCare registriesRisk of exposureMental healthHigh-risk alcohol useOrientation disparitiesHealth Survey 2018Population-based surveySymptoms of depressionMental health problemsSocial stressSocial stressorsSexual minority individualsHeterosexual individualsTreatment utilizationElevated riskAge 70Age patterningHealth problemsAge groupsMinority individualsAlcohol useDepressionTreatment 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