2024
A 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 interviews
2023
Age-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 useDepression
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 indicatorsAbout Treatments ThatWork™
Pachankis J, Harkness A, Jackson S, Safren S. About Treatments ThatWork™. 2022, v-cp.p13. DOI: 10.1093/med-psych/9780197643303.002.0007.Peer-Reviewed Original ResearchCognitive behavioral therapy techniquesBasic psychological processesLGBTQ clientsSubstance use problemsMental health practitionersMental health challengesPsychological processesDistinct stressorsPsychological distressUse problemsTherapy techniquesUnique needsLGBTQ individualsStressorsHealth practitionersClientsWorkbookAnxietyDistressTherapistsSkillsBeingDepressionHealth challengesIndividualsHistory, Basic Principles, and Outline of LGBTQ-Affirmative Cognitive-Behavioral Therapy
Pachankis J, Harkness A, Jackson S, Safren S. History, Basic Principles, and Outline of LGBTQ-Affirmative Cognitive-Behavioral Therapy. 2022, 13-34. DOI: 10.1093/med-psych/9780197643303.003.0002.Peer-Reviewed Original ResearchUnified ProtocolMaladaptive emotion regulation strategiesEmotion regulation strategiesCognitive-behavioral treatmentMore adaptive waysOverwhelming emotional experiencesStress-related symptomsRegulation strategiesEmotional experienceBehavioral therapyUncomfortable emotionsAdaptive wayEmotionsBehavioral healthLGBTQ peopleCognitiveAnxietyMain premiseDepressionTreatment principlesIndividualsClientsBasic principlesPeopleExperienceModule 2: Understanding the Nature and Emotional Impact of LGBTQ-Related Stress
Pachankis J, Harkness A, Jackson S, Safren S. Module 2: Understanding the Nature and Emotional Impact of LGBTQ-Related Stress. 2022, 95-110. DOI: 10.1093/med-psych/9780197643303.003.0007.Peer-Reviewed Original ResearchForms and Worksheets
Pachankis J, Harkness A, Jackson S, Safren S. Forms and Worksheets. 2022 DOI: 10.1093/med-psych/9780197643303.005.0001.Peer-Reviewed Original ResearchCognitive behavioral therapy techniquesBasic psychological processesLGBTQ clientsSubstance use problemsMental health practitionersMental health challengesPsychological processesDistinct stressorsPsychological distressUse problemsTherapy techniquesUnique needsLGBTQ individualsStressorsHealth practitionersClientsWorkbookAnxietyDistressTherapistsSkillsBeingDepressionHealth challengesIndividualsAbout This Treatment
Pachankis J, Jackson S, Harkness A, Safren S. About This Treatment. 2022, 1-8. DOI: 10.1093/med-psych/9780197643341.003.0001.Peer-Reviewed Original ResearchModule 1: Setting Goals and Building Motivation for LGBTQ-Affirmative Cognitive-Behavioral Therapy
Pachankis J, Jackson S, Harkness A, Safren S. Module 1: Setting Goals and Building Motivation for LGBTQ-Affirmative Cognitive-Behavioral Therapy. 2022, 33-c4.b13. DOI: 10.1093/med-psych/9780197643341.003.0004.Peer-Reviewed Original ResearchModule 5: Increasing Cognitive Flexibility
Pachankis J, Jackson S, Harkness A, Safren S. Module 5: Increasing Cognitive Flexibility. 2022, 117-142. DOI: 10.1093/med-psych/9780197643341.003.0008.Peer-Reviewed Original ResearchNegative thinking stylesCognitive flexibilityAutomatic thoughtsThoughts peopleFacial expressionsThinking stylesSound of carsNegative experiencesUnimportant informationStressful wayCisgender peoplePatients' thoughtsNew situationThoughtPeopleNegative opinionsConversationAnxietyStyleThinkingDepressionSoundPersonsExperienceInformation
2021
Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations
McGarty A, McDaid L, Flowers P, Riddell J, Pachankis J, Frankis J. Mental health, potential minority stressors and resilience: evidence from a cross-sectional survey of gay, bisexual and other men who have sex with men within the Celtic nations. BMC Public Health 2021, 21: 2024. PMID: 34742262, PMCID: PMC8572060, DOI: 10.1186/s12889-021-12030-x.Peer-Reviewed Original ResearchConceptsLogistic regression analysisCross-sectional surveyProtective effectMental healthSevere depressionSevere anxietyHealth problemsBinary logistic regression analysisOdds of anxietyCross-sectional studyOnline cross-sectional surveyRegression analysisMental health problemsFinancial worriesMen's mental healthResultsThe prevalenceSense of coherenceSelf-report online surveyGreater riskGBMSMDepressionMinority stressorsRole of resilienceOddsMenEarly 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 developmentStructural 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 effectMenMediatorsStigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon
Clark K, Pachankis J, Khoshnood K, Bränström R, Seal D, Khoury D, Fouad FM, Barbour R, Heimer R. Stigma, displacement stressors and psychiatric morbidity among displaced Syrian men who have sex with men (MSM) and transgender women: a cross-sectional study in Lebanon. BMJ Open 2021, 11: e046996. PMID: 33986065, PMCID: PMC8126317, DOI: 10.1136/bmjopen-2020-046996.Peer-Reviewed Original ResearchConceptsPsychiatric morbidityPost-traumatic stress disorderTransgender womenStigma-related stressorsStress disorderCross-sectional studyRespondent-driven samplingPsychiatric comorbidityMental health challengesPsychiatric outcomesMorbiditySevere anxietySociodemographic characteristicsHealth challengesMSMGreater BeirutWomenMenLebanese participantsSyrian menTotal sampleDisordersDepressionPerson surveyParticipants
2019
Sexual orientation openness and depression symptoms: A population-based study
van der Star A, Pachankis J, Bränström R. Sexual orientation openness and depression symptoms: A population-based study. European Journal Of Public Health 2019, 29: ckz185.139. DOI: 10.1093/eurpub/ckz185.139.Peer-Reviewed Original ResearchPopulation-based studyEuropean Health Interview SurveySocial supportFollow-back studyHealth Interview SurveyPopulation-based sampleHigh riskLower riskDepression symptomsMental healthHigher depressionNegative mental healthInterview SurveyPotential mediatorsDepressionAssociationDirect associationSexual minoritiesRiskRepresentative surveyLow levelsHeterosexual individualsIndividualsNonheterosexual identityMinority
2017
Depression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping
Wang K, Burton CL, Pachankis JE. Depression and Substance Use: Towards the Development of an Emotion Regulation Model of Stigma Coping. Substance Use & Misuse 2017, 53: 859-866. PMID: 29125383, PMCID: PMC5884706, DOI: 10.1080/10826084.2017.1391011.Peer-Reviewed Original ResearchConceptsDepression-related stigmaEmotion dysregulationStigma copingSubstance useEmotion regulation modelSelf-report measuresSample of individualsRole of stigmaSubstance use problemsPrevention intervention effortsPsychological distressRemitted depressionIntervention effortsInitial supportUse problemsRegulation modelCopingLittle researchCurrent studyDepressionStigmaDrug useGreater tendencyDysregulationDistress
2015
The Mental Health of Sexual Minority Adults In and Out of the Closet: A Population-Based Study
Pachankis JE, Cochran SD, Mays VM. The Mental Health of Sexual Minority Adults In and Out of the Closet: A Population-Based Study. Journal Of Consulting And Clinical Psychology 2015, 83: 890-901. PMID: 26280492, PMCID: PMC4573266, DOI: 10.1037/ccp0000047.Peer-Reviewed Original ResearchConceptsMajor depressive disorderDepressive disorderOdds ratioHigher oddsComposite International Diagnostic Interview Short FormAnxiety disordersPopulation-based sampleMental health correlatesLower oddsHealth correlatesMental healthSexual minority adultsDisordersMental burdenCalifornia QualityMenMinority adultsWomenOddsCloseted menLife SurveyDepressionPsychological tollMinority participantsUnique stressors
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 copingInterventionRiskHealthAnxiety