2023
What Do We Know About Interventions to Reduce Intersectional Stigma and Discrimination in the Context of HIV? A Systematic Review
Stangl A, Atkins K, Leddy A, Sievwright K, Sevelius J, Lippman S, Veras M, Zamudio-Haas S, Smith M, Pachankis J, Logie C, Rao D, Weiser S, Nyblade L. What Do We Know About Interventions to Reduce Intersectional Stigma and Discrimination in the Context of HIV? A Systematic Review. Stigma And Health 2023, 8: 393-408. DOI: 10.1037/sah0000414.Peer-Reviewed Original ResearchContext of HIVIntersectional stigmaSystematic reviewHuman immunodeficiency virus (HIV) stigmaMeta-Analyses (PRISMA) guidelinesPoor health outcomesPreferred Reporting ItemsStigma reduction interventionsPositive intervention effectsStigma domainsReporting ItemsHealth outcomesHIVSexual healthReduction interventionsAspects of stigmaMajority of studiesMost interventionsIntervention effectsStigma measuresInterventionOutcomesStigma outcomesStructural interventionsStigmaHypervigilance: 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
Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members
Scheer J, Clark K, McConocha E, Wang K, Pachankis J. Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members. Cognitive And Behavioral Practice 2022, 30: 471-494. PMID: 37547128, PMCID: PMC10403251, DOI: 10.1016/j.cbpra.2022.02.019.Peer-Reviewed Original ResearchMental health needsSexual minority womenMental health servicesMinority womenCognitive behavioral therapy interventionDelivery of CBTMental health problemsCognitive behavioral therapyClinical providersElevated riskCommunity members' perspectivesTherapy interventionClinical practiceHealth problemsHealth needsHealth servicesCBT interventionTrauma exposureAlcohol useHeavy drinkingWomenCBT approachUnique needsContent expertsIntervention
2021
Does Stigma Moderate the Efficacy of Mental- and Behavioral-Health Interventions? Examining Individual and Contextual Sources of Treatment-Effect Heterogeneity
Hatzenbuehler M, Pachankis J. Does Stigma Moderate the Efficacy of Mental- and Behavioral-Health Interventions? Examining Individual and Contextual Sources of Treatment-Effect Heterogeneity. Current Directions In Psychological Science 2021, 30: 476-484. DOI: 10.1177/09637214211043884.Peer-Reviewed Original ResearchEarly Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15
Pachankis JE, Clark KA, Klein DN, Dougherty LR. Early Timing and Determinants of the Sexual Orientation Disparity in Internalizing Psychopathology: A Prospective Cohort Study from Ages 3 to 15. Journal Of Youth And Adolescence 2021, 51: 458-470. PMID: 34731394, PMCID: PMC9307058, DOI: 10.1007/s10964-021-01532-x.Peer-Reviewed Original ResearchConceptsProspective cohort studySexual orientation disparitiesCohort studyAnxiety symptomsDepression symptomsOrientation disparitiesHigher depression symptomsEarly determinantsSymptomsSupportive interventionsAppropriate interventionsOptimal timingAge 15Poor parental relationshipsAge 12Mother-child relationshipAge 3Social stressDepressionInterventionAgeInternalizing psychopathologyDisparitiesPeer victimizationEarly development
2020
Brief Online Interventions for LGBTQ Young Adult Mental and Behavioral Health: A Randomized Controlled Trial in a High-Stigma, Low-Resource Context
Pachankis JE, Williams SL, Behari K, Job S, McConocha EM, Chaudoir SR. Brief Online Interventions for LGBTQ Young Adult Mental and Behavioral Health: A Randomized Controlled Trial in a High-Stigma, Low-Resource Context. Journal Of Consulting And Clinical Psychology 2020, 88: 429-444. PMID: 32271053, PMCID: PMC7153536, DOI: 10.1037/ccp0000497.Peer-Reviewed Original ResearchConceptsLow-resource settingsSexual minority young adultsMinority young adultsMental healthYoung adultsAppalachian TennesseePopulation-level implementationYoung adult sexual minoritiesHealth risk behaviorsAdult sexual minoritiesControlled TrialsGeneral psychological distressDepressive symptomsBrief online interventionSuicidal ideationScalable interventionsBehavioral healthDrug abuseExpressive writing interventionHigh stigmaPsychological distressMinority mental healthOnline interventionInterventionNeutral control
2017
A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals
Feinstein BA, Dyar C, Pachankis JE. A Multilevel Approach for Reducing Mental Health and Substance Use Disparities Affecting Bisexual Individuals. Cognitive And Behavioral Practice 2017, 26: 243-253. PMID: 31160876, PMCID: PMC6544045, DOI: 10.1016/j.cbpra.2017.10.003.Peer-Reviewed Original ResearchBisexual health disparitiesBisexual individualsMental healthHealth disparitiesBisexual clientsSubstance use problemsEvidence-based interventionsStriking health disparitiesClinical trainingPopulation-level interventionsUse problemsClinician's abilityMultilevel approachCompetent careSubstance use disparitiesCliniciansMulti-level approachTrainingIndividualsInterventionHealthCareClientsDisparitiesPrejudiceImproving 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 surveyWhat 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 Research
2016
Feasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and Bisexual Men with Sexual Compulsivity
Parsons JT, Rendina HJ, Moody RL, Gurung S, Starks TJ, Pachankis JE. Feasibility of an Emotion Regulation Intervention to Improve Mental Health and Reduce HIV Transmission Risk Behaviors for HIV-Positive Gay and Bisexual Men with Sexual Compulsivity. AIDS And Behavior 2016, 21: 1540-1549. PMID: 27573858, PMCID: PMC5332525, DOI: 10.1007/s10461-016-1533-4.Peer-Reviewed Original ResearchConceptsHIV-positive GBMSession attendanceHIV transmission risk behaviorsBisexual menTransmission risk behaviorsHIV-positive gaySexual compulsivityUnified ProtocolBaseline interviewHIV riskDrug useRisk behaviorsMental healthIntervention sessionsEmotion regulation interventionTransdiagnostic TreatmentEmotional disordersInterventionPsychological outcomesHigh rateTreatmentRegulation interventionsGBMMenSessionsExtending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior
Rendina HJ, Gamarel KE, Pachankis JE, Ventuneac A, Grov C, Parsons JT. Extending the Minority Stress Model to Incorporate HIV-Positive Gay and Bisexual Men's Experiences: a Longitudinal Examination of Mental Health and Sexual Risk Behavior. Annals Of Behavioral Medicine 2016, 51: 147-158. PMID: 27502073, PMCID: PMC5299076, DOI: 10.1007/s12160-016-9822-8.Peer-Reviewed Original ResearchConceptsHIV-positive GBMMental healthAnal sexSerodiscordant condomless anal sexInternalized stigmaRole of HIVCondomless anal sexHIV-positive gayDepression/anxietySexual risk behaviorsSexual behavior outcomesDevelopment of interventionsDiverse convenience sampleRisk behaviorsHealth disparitiesMinority stress modelHIVBehavioral interventionsBisexual menConvenience sampleEmotion dysregulationSexual behaviorBisexual men's experiencesBehavior outcomesIntervention
2015
Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions
Hughto J, Reisner SL, Pachankis JE. Transgender stigma and health: A critical review of stigma determinants, mechanisms, and interventions. Social Science & Medicine 2015, 147: 222-231. PMID: 26599625, PMCID: PMC4689648, DOI: 10.1016/j.socscimed.2015.11.010.Peer-Reviewed Original ResearchConceptsAdverse health-related effectsForms of stigmaTransgender peopleSocial ecological modelStigma preventionMental healthTransgender stigmaStigma determinantsWidespread prejudiceMulti-level interventionsStigmaAdverse healthEcological modelMultiple levelsCritical domainsLimit opportunitiesAdditional researchCritical reviewInterventionPeopleHealth-related effectsTransgender populationCausal relationshipModeratorPrejudice
2014
Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men
Pachankis JE. Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men. Clinical Psychology Science And Practice 2014, 21: 313-330. PMID: 25554721, PMCID: PMC4278648, DOI: 10.1111/cpsp.12078.Peer-Reviewed Original ResearchBisexual menRelated health risksMental healthEvidence-based interventionsHealth risksMental health practicePsychosocial interventionsCognitive-behavioral therapy approachClinical principlesExperience depressionPsychosocial pathwaysHealth practicesBehavioral therapy approachMinority stressTherapy approachesExpert providersMenSexual minority stressProfessional guidelinesDepressionStress copingInterventionRiskHealthAnxietyFeasibility, Acceptability, and Preliminary Efficacy of a Live-Chat Social Media Intervention to Reduce HIV Risk Among Young Men Who Have Sex With Men
Lelutiu-Weinberger C, Pachankis JE, Gamarel KE, Surace A, Golub SA, Parsons JT. Feasibility, Acceptability, and Preliminary Efficacy of a Live-Chat Social Media Intervention to Reduce HIV Risk Among Young Men Who Have Sex With Men. AIDS And Behavior 2014, 19: 1214-1227. PMID: 25256808, PMCID: PMC4375068, DOI: 10.1007/s10461-014-0911-z.Peer-Reviewed Original ResearchMeSH KeywordsAdultCognitive Behavioral TherapyFeasibility StudiesHealth Knowledge, Attitudes, PracticeHIV InfectionsHomosexuality, MaleHumansMaleMotivational InterviewingOutcome Assessment, Health CarePatient Acceptance of Health CarePilot ProjectsRisk Reduction BehaviorRisk-TakingSexual BehaviorSexually Transmitted DiseasesSocial MediaUnited StatesYoung AdultConceptsPreliminary efficacyHIV riskAnal sexSocial media-delivered interventionsKnowledge of HIVCondomless anal sexYoung menReduction of daysSocial media interventionsPre-post designHIV ratesControl groupChat interventionPast monthIntervention blueprintAlcohol usePilot studyIntervention sessionsSubstance useMedia interventionsInterventionSexMenYMSMVulnerable groups
2007
The Psychological Implications of Concealing a Stigma: A Cognitive–Affective–Behavioral Model
Pachankis JE. The Psychological Implications of Concealing a Stigma: A Cognitive–Affective–Behavioral Model. Psychological Bulletin 2007, 133: 328-345. PMID: 17338603, DOI: 10.1037/0033-2909.133.2.328.Peer-Reviewed Original ResearchConceptsConcealable stigmaPsychological implicationsBehavioral process modelsPsychological challengesSocial situationsPotential future routesVisible stigmaDifficult predicamentRecent researchAmount of researchConsiderable stressorsStigmaIndividualsProcess modelRelevant findingsImplicationsPotential pointsStressorsResearchFuture routesInterventionDifficultiesAmbiguityFindingsCohesive model