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 modelsSexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures
Sergi J, Babl A, Warren J, Pachankis J, Eubanks C. Sexual Orientation Microaggression Rating Scale (SOMRS): Development and Association With Alliance Ruptures. Psychotherapy 2024, 61: 191-197. PMID: 39115920, PMCID: PMC11315359, DOI: 10.1037/pst0000536.Peer-Reviewed Original ResearchConceptsSexual minority clientsWithdrawal rupturesMinority clientsRating ScaleIn-session behaviorCognitive behavioral treatmentGood interrater reliabilitySexual orientation microaggressionsSexual minority individualsAlliance rupturesTherapeutic allianceBehavioral treatmentSessions of treatmentReducing depressionSubstance useSelf-reportObservational measuresMinority individualsInterrater reliabilityMicroaggressionsBisexual menSexual orientationSessionsClientsAnxietyReckoning 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 ResearchThreats 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 orientationGlobal 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 attitudes
2022
A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth
Pachankis JE, Jackson SD. A Developmental Model of the Sexual Minority Closet: Structural Sensitization, Psychological Adaptations, and Post-closet Growth. Archives Of Sexual Behavior 2022, 52: 1869-1895. PMID: 35978203, PMCID: PMC9935753, DOI: 10.1007/s10508-022-02381-w.Peer-Reviewed Original ResearchConceptsDevelopmental modelSexual minority identity formationSexual minority individualsMental health effectsPsychological adaptationVicarious learningSources of supportTemporal contextFuture research directionsSensitive periodMinority individualsCentral identityIdentity formationSexual identityMultilevel interventionsSexual orientationResearch directionsTestable hypothesesOrientation awarenessAdolescenceStressorsLearningIdentityClosetIndividualsRejection 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
A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels
Lattanner MR, Ford J, Bo N, Tu W, Pachankis JE, Dodge B, Hatzenbuehler ML. A Contextual Approach to the Psychological Study of Identity Concealment: Examining Direct, Interactive, and Indirect Effects of Structural Stigma on Concealment Motivation Across Proximal and Distal Geographic Levels. Psychological Science 2021, 32: 1684-1696. PMID: 34543132, PMCID: PMC8907493, DOI: 10.1177/09567976211018624.Peer-Reviewed Original ResearchConceptsStructural stigmaConcealment motivationGeographic levelsIdentity concealmentGay menSexual orientationStigmatizing environmentsBisexual menContextual approachSocial environmentStigmaImmediate situationPsychological theoriesSurvey itemsMotivationPsychological studiesSubjective perceptionUltimate sourceMenStructural formsPerceptionConcealmentMost studiesIndirect effectsDecisions
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 populationsSex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health.
Pachankis JE, Clark KA, Burton CL, Hughto JMW, Bränström R, Keene DE. Sex, status, competition, and exclusion: Intraminority stress from within the gay community and gay and bisexual men’s mental health. Journal Of Personality And Social Psychology 2020, 119: 713-740. PMID: 31928026, PMCID: PMC7354883, DOI: 10.1037/pspp0000282.Peer-Reviewed Original ResearchConceptsBisexual men's mental healthMen's mental healthStatus concernsGay communityBisexual menCommunity stressMinority stress theorySociological accountsQualitative interviewingCommunity exclusionSexual orientationGayCommunity focusSexual relationshipsMen's feelingsMinority stressorsMental healthSocial statusCommunity statusCompetitive pressureExclusionCommunityMultistage studyPartial supportStress theoryParent versus child report of children's sexual orientation: associations with psychiatric morbidity in the Adolescent Brain Cognitive Development study
Clark KA, Mennies RJ, Olino TM, Dougherty LR, Pachankis JE. Parent versus child report of children's sexual orientation: associations with psychiatric morbidity in the Adolescent Brain Cognitive Development study. Annals Of Epidemiology 2020, 45: 1-4. PMID: 32439147, PMCID: PMC7245580, DOI: 10.1016/j.annepidem.2020.03.009.Peer-Reviewed Original ResearchConceptsChild's sexual orientationAdolescent Brain Cognitive Development (ABCD) studyCognitive Development StudyParent-child dyadsChild reportsChild psychiatric morbiditySexual orientationAgreement/disagreementYES/Psychiatric morbidityDevelopment studiesParent reportLifetime psychiatric morbidityDyadsEarly vulnerabilityDyad groupLower psychiatric morbidityParentsBaseline assessmentSexual orientation disparitiesOrientation disparitiesChildrenPTSDMorbidity
2019
The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe
Bränström R, Pachankis J. The role of country-level structural stigma on sexual orientation disclosure and discrimination in health care settings among lesbian, gay, and bisexuals across Europe. European Journal Of Public Health 2019, 29: ckz185.467. DOI: 10.1093/eurpub/ckz185.467.Peer-Reviewed Original ResearchUntethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality
Bränström R, van der Star A, Pachankis JE. Untethered lives: barriers to societal integration as predictors of the sexual orientation disparity in suicidality. Social Psychiatry And Psychiatric Epidemiology 2019, 55: 89-99. PMID: 31300892, DOI: 10.1007/s00127-019-01742-6.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overChildCommunity IntegrationCross-Sectional StudiesDepressionFemaleHealth Status DisparitiesHeterosexualityHumansMaleMiddle AgedOdds RatioRisk FactorsSexual and Gender MinoritiesSexual BehaviorSocial SupportSubstance-Related DisordersSuicidal IdeationSuicide, AttemptedSwedenYoung AdultConceptsSexual orientation disparitiesSocietal integrationSexual minoritiesOrientation disparitiesGay men/lesbiansNational Public Health SurveyLGB individuals' experiencesSexual orientation differencesSexual minority populationsSexual minority individualsSocial institutionsSexual orientationSocietal normsHeterosexual individualsDisproportionate barriersMinority individualsSupportive attitudesIndividual experiencesMinority populationsLegal protectionInnovative waysDeterminants of suicidalityRecent decadesRole of barriersPublic health survey
2018
The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice
Pachankis JE. The Scientific Pursuit of Sexual and Gender Minority Mental Health Treatments: Toward Evidence-Based Affirmative Practice. American Psychologist 2018, 73: 1207-1219. PMID: 30525805, PMCID: PMC6291842, DOI: 10.1037/amp0000357.Peer-Reviewed Original ResearchConceptsMental health treatmentPsychological scienceHealth treatmentMental healthFuture mental healthMinority mental healthEvidence-based treatmentsMental health professionsProgram of researchPsychotherapy process researchTreatment moderatorsComparison conditionAffirmative treatmentClear treatment targetsFuture research directionsAffirmative practiceTreatment studiesEvidence-based practiceEmpirical researchProcess researchTreatment targetsSexual orientationResearch directionsSGM populationsSurest routeSocietal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden
Hatzenbuehler M, Bränström R, Pachankis J. Societal-Level Explanations for Reductions in Sexual Orientation Mental Health Disparities: Results From a Ten-Year, Population-Based Study in Sweden. Stigma And Health 2018, 3: 16-26. DOI: 10.1037/sah0000066.Peer-Reviewed Original ResearchHealth disparitiesMental health disparitiesPsychological distressSexual orientation disparitiesNationwide population-based cross-sectional surveyPopulation-based cross-sectional surveyAdverse mental health outcomesStructural stigmaCross-sectional surveyMental health outcomesSexual orientationOrientation disparitiesGay men/lesbians
2016
Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults
Reisner SL, Hughto J, Gamarel KE, Keuroghlian AS, Mizock L, Pachankis JE. Discriminatory Experiences Associated With Posttraumatic Stress Disorder Symptoms Among Transgender Adults. Journal Of Counseling Psychology 2016, 63: 509-519. PMID: 26866637, PMCID: PMC4981566, DOI: 10.1037/cou0000143.Peer-Reviewed Original ResearchConceptsEveryday discrimination experiencesPTSD symptomsDiscrimination experiencesPosttraumatic stress disorder (PTSD) symptomsPrior trauma experiencesCross-sectional self-report surveySelf-report surveyMental health sequelaeDomains of discriminationPTSD symptomatologyTraumatic stressorsDiscrimination attributionsDisorder symptomsCommunity-based sampleTrauma experiencesTransgender peoplePrior traumaPsychosocial comorbiditiesHealth sequelaeDiscrimination scoresTransgender adultsCurrent studyGender identitySexual orientationFeminine appearanceThe Geography of Sexual Orientation: Structural Stigma and Sexual Attraction, Behavior, and Identity Among Men Who Have Sex with Men Across 38 European Countries
Pachankis JE, Hatzenbuehler ML, Mirandola M, Weatherburn P, Berg RC, Marcus U, Schmidt AJ. The Geography of Sexual Orientation: Structural Stigma and Sexual Attraction, Behavior, and Identity Among Men Who Have Sex with Men Across 38 European Countries. Archives Of Sexual Behavior 2016, 46: 1491-1502. PMID: 27620320, PMCID: PMC5346459, DOI: 10.1007/s10508-016-0819-y.Peer-Reviewed Original ResearchConceptsCountry-level structural stigmaStructural stigmaSexual minoritiesSexual attractionSexual orientationHeterosexual attractionSexual orientation identificationEuropean countriesBehavior of menMSM’s sexual behaviorSexual identityLocal contextKey correlatesMeasures of attitudesNational lawSexualitySexual behaviorEuropean MSM Internet SurveyMulti-component assessmentContext-dependent natureHeterosexual behaviorMinorityCountriesIdentityStigmaSexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective.
Bränström R, Hatzenbuehler ML, Pachankis JE, Link BG. Sexual Orientation Disparities in Preventable Disease: A Fundamental Cause Perspective. American Journal Of Public Health 2016, 106: 1109-15. PMID: 26985608, PMCID: PMC4880229, DOI: 10.2105/ajph.2016.303051.Peer-Reviewed Original ResearchConceptsFundamental cause theoryFundamental cause perspectiveSexual orientation health disparitiesSexual orientation differencesHealth-protective resourcesSupportive social connectionsSexual orientation disparitiesHealth disparitiesBisexual womenSexual orientationGeneral population-based studyStockholm Public Health CohortBisexual menPopulation-based studySocial connectionsUnequal distributionHeterosexual menOrientation disparitiesHealth cohortPreventable diseaseMorbidity dataGreater riskOrientation differencesDiseaseDisparities
2011
The Influence of Sexual Orientation and Masculinity on Young Men's Tobacco Smoking
Pachankis JE, Westmaas JL, Dougherty LR. The Influence of Sexual Orientation and Masculinity on Young Men's Tobacco Smoking. Journal Of Consulting And Clinical Psychology 2011, 79: 142-152. PMID: 21443320, DOI: 10.1037/a0022917.Peer-Reviewed Original ResearchConceptsGay menSexual orientationGender nonconformityHeterosexual university studentsGender role variablesSexual orientation concealmentGay participantsHeterosexual participantsHealth risk disparitiesMasculinityParticipants' attemptsHeterosexual menGayNonconformityRole variablesYoung menRisk disparitiesAverage oddsDiary dataUniversity students
2010
Expressive Writing for Gay-Related Stress: Psychosocial Benefits and Mechanisms Underlying Improvement
Pachankis JE, Goldfried MR. Expressive Writing for Gay-Related Stress: Psychosocial Benefits and Mechanisms Underlying Improvement. Journal Of Consulting And Clinical Psychology 2010, 78: 98-110. PMID: 20099955, DOI: 10.1037/a0017580.Peer-Reviewed Original ResearchConceptsGay-related stressExpressive writing taskPsychosocial functioningNeutral topicSocial supportWriting tasksStigma-related stressExpressive writing interventionOverall psychological distressPhysical health symptomsMental health outcomesGay-related rejection sensitivityEmotional expressionRejection sensitivityNegative affectSexual orientationExpressive writingPsychological distressEmotional engagementWriting interventionSocial functioningMale college studentsHealth symptomsPsychosocial benefitsGay male college students