2025
A 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 2025, 31: 375-385. PMID: 38300597, PMCID: PMC11748201, 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 explorationDaily Minority Stressors, Threat Appraisal, and Identity Concealment Among Trauma-Exposed Sexual Minority Women and Transgender and Gender-Diverse People
Scheer J, Jackson S, Cascalheira C, Behari K, Helminen E, Batchelder A, Sullivan T. Daily Minority Stressors, Threat Appraisal, and Identity Concealment Among Trauma-Exposed Sexual Minority Women and Transgender and Gender-Diverse People. Journal Of Counseling Psychology 2025, 72: 211-222. PMID: 39928459, DOI: 10.1037/cou0000782.Peer-Reviewed Original ResearchConceptsSexual minority womenTGD peopleMinority stressorsIdentity concealmentGender minority peopleGender diverse peopleAvoidant copingThreat appraisalMinority stressMinority WomenMinority peopleWhite dominationAssociated with concealmentStigma exposureWestern narrativesLower avoidance copingBetween-person levelGender diversityTransgenderIntensive longitudinal studyTGDMinorityIndividual characteristicsSpecific contextsCounseling psychologistsRandomised controlled trial of LGBTQ-affirmative cognitive-behavioural therapy for sexual minority women’s minority stress, mental health and hazardous drinking: Project EQuIP protocol
Pachankis J, Chiaramonte D, Scheer J, Ankrum H, Eisenstadt B, Hobbs R, Baldwin H, Kidd J, Witkiewitz K, Esserman D, Plourde K, Drabble L, Hughes T. Randomised controlled trial of LGBTQ-affirmative cognitive-behavioural therapy for sexual minority women’s minority stress, mental health and hazardous drinking: Project EQuIP protocol. BMJ Open 2025, 15: e086738. PMID: 40032395, PMCID: PMC11877267, DOI: 10.1136/bmjopen-2024-086738.Peer-Reviewed Original ResearchConceptsCognitive-behavioral therapy interventionSexual minority womenMinority womenHazardous drinkingMinority stressRandomised controlled trialsProportion of heavy drinking daysSessions of supportive counselingComorbid mental health problemsRisk of hazardous drinkingCognitive-behavioral therapyHeavy drinking daysHazardous alcohol useHuman Subjects CommitteeMental health comorbiditiesMental health problemsAnxiety disordersAnxious symptomsDrinking daysEvidence-based interventionsSupportive counselingControlled trialsStress copingComorbid depression/anxietyDisproportionate risk
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 modelsAssociations of Minority Stressors, Alcohol Use Disorder, Resilience, and HIV Testing Self-Efficacy Among Community-Based Black Men Who Have Sex with Men in a Southern U.S. City: A Causal Mediation and Moderation Analysis
Liu Y, Mitchell J, Brown L, Chandler C, Zhang C. Associations of Minority Stressors, Alcohol Use Disorder, Resilience, and HIV Testing Self-Efficacy Among Community-Based Black Men Who Have Sex with Men in a Southern U.S. City: A Causal Mediation and Moderation Analysis. Substance Use & Misuse 2024, 60: 120-129. PMID: 39358912, DOI: 10.1080/10826084.2024.2409770.Peer-Reviewed Original ResearchTesting self-efficacyPerceived HIV stigmaAlcohol use disorder riskMinority stressorsHIV stigmaAlcohol use disorderInternalized homonegativitySelf-efficacyEffects of minority stressHIV testing uptakeHIV testing outcomesSouthern U.S. citySouthern US cityUse disorderMinority stressModeration analysisTesting uptakeCross-sectional dataHIV testingU.S. citiesBlack MenHomonegativityHomophobiaUS citiesBMSMA 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 interviewsGuided 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, PMCID: PMC11371497, 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 supportHealthNon-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older
Wolfe H, Jeon A, Goulet J, Simpson T, Eleazer J, Jasuja G, Blosnich J, Kauth M, Shipherd J, Littman A. Non-affirmation minority stress, internalized transphobia, and subjective cognitive decline among transgender and gender diverse veterans aged 45 years and older. Aging & Mental Health 2024, 28: 1357-1363. PMID: 38567655, DOI: 10.1080/13607863.2024.2335565.Peer-Reviewed Original ResearchInternalized transphobiaMinority stressSubjective cognitive declineMeasures of minority stressPrevalence ratiosAssociated with subjective cognitive declineTrans womenTGD peopleProcess of stigmaTransphobiaConfidence intervalsCalculate prevalence ratiosCross-sectional surveyCognitive declineDiverse veteransTransgenderTGDAnalytic sampleSystem changesAdjusted modelsQuasi-Poisson distributionVeteransGeneralized linear modelGenderWomenGlobal LGBTQ Mental Health
Bränström R, Hughes T, Pachankis J. Global LGBTQ Mental Health. Global LGBTQ 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
2023
Guided LGBTQ-affirmative internet cognitive-behavioral therapy for sexual minority youth's mental health: A randomized controlled trial of a minority stress treatment approach
Pachankis J, Soulliard Z, Layland E, Behari K, Seager van Dyk I, Eisenstadt B, Chiaramonte D, Ljótsson B, Särnholm J, Bjureberg J. Guided LGBTQ-affirmative internet cognitive-behavioral therapy for sexual minority youth's mental health: A randomized controlled trial of a minority stress treatment approach. Behaviour Research And Therapy 2023, 169: 104403. PMID: 37716019, PMCID: PMC10601985, DOI: 10.1016/j.brat.2023.104403.Peer-Reviewed Original ResearchConceptsInternet-based CBTCognitive behavioral therapyPsychological distressAnxiety symptomsMinority stressInternet-based cognitive behavioral therapyInternet cognitive behavioural therapyMental healthHIV transmission risk behaviorsLGBTQ youthYouth mental healthICBT participantsPreliminary efficacyAcceptable treatmentIntervention acceptabilityTreatment approachesAlcohol useMost outcomesStigmatizing conditionSuicidal thoughtsWeekly assessmentsBehavioral healthFuture researchGroup comparisonsParticipantsA Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice
Pachankis J, Soulliard Z, Morris F, van Dyk I. A Model for Adapting Evidence-Based Interventions to Be LGBQ-Affirmative: Putting Minority Stress Principles and Case Conceptualization Into Clinical Research and Practice. Cognitive And Behavioral Practice 2023, 30: 1-17. DOI: 10.1016/j.cbpra.2021.11.005.Peer-Reviewed Original ResearchCase conceptualizationSexual minority clientsClient presentationsMinority stressAdaptation modelMinority clientsCognitive-behavioral treatmentCognitive behavioral therapySexual minority individualsMental health fieldCoping skillsCurrent distressClinical trialsTranstheoretical approachMental healthMinority individualsConceptualization approachAffirmative practiceFuture researchConceptualizationEvidence-based practiceTherapeutic techniquesReal-world clinical practiceCase exampleDiverse therapeutic modalities
2022
Sleep disturbance and suicide risk among sexual and gender minority people
Dolsen EA, Byers AL, Flentje A, Goulet JL, Jasuja GK, Lynch KE, Maguen S, Neylan TC. Sleep disturbance and suicide risk among sexual and gender minority people. Neurobiology Of Stress 2022, 21: 100488. PMID: 36164391, PMCID: PMC9508603, DOI: 10.1016/j.ynstr.2022.100488.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 ResearchA Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color
Jackson SD, Wagner KR, Yepes M, Harvey TD, Higginbottom J, Pachankis JE. A Pilot Test of a Treatment to Address Intersectional Stigma, Mental Health, and HIV Risk Among Gay and Bisexual Men of Color. Psychotherapy 2022, 59: 96-112. PMID: 35025569, PMCID: PMC9345305, DOI: 10.1037/pst0000417.Peer-Reviewed Original ResearchConceptsStigma copingMental healthMinority stressHIV riskCognitive-behavioral treatmentStigma-related stressorsSexual healthCondom use efficacyCo-occurring health risksSexual minority stressHuman immunodeficiency virusHealth risksGroup therapy treatmentIntersectional stigmaMental health risksSexual health risksGroup treatmentOpen pilotYoung blacksPosttreatment assessmentPartial supportImmunodeficiency virusSexual compulsivityAlcohol useTreatment lengthDisordered eating in sexual minority post‐9/11 United States veterans
Serier K, Smith B, Cooper Z, Vogt D, Mitchell K. Disordered eating in sexual minority post‐9/11 United States veterans. International Journal Of Eating Disorders 2022, 55: 470-480. PMID: 35092637, DOI: 10.1002/eat.23680.Peer-Reviewed Original ResearchConceptsSexual minority individualsSexual minoritiesSexual minority veteransMinority individualsPost-9/11 United StatesMinority veteransUnited StatesPost-9/11Lesbian womenIdentity groupsUnique healthcare needsMinority stressRole of discriminationEvidence of disparitiesMilitary experienceRates of DENational sampleHealthcare needsMilitary veteransMinorityDisparitiesGayWomenDiscriminationMental healthSupervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals.
Harkness A, Pachankis J. Supervision and consultation in the delivery of cognitive behavior therapy to LGBTQ individuals. 2022, 289-304. DOI: 10.1037/0000314-020.Peer-Reviewed Original ResearchCognitive behavior therapyBehavior therapyEvidence-based cognitive-behavioral treatmentCognitive-behavioral treatmentEvidence-based treatment approachesMental health problemsTransdiagnostic approachMental health disparitiesEmotional disordersBehavioral treatmentUnified ProtocolMinority stressLGBTQ peopleLGBTQ clientsLGBTQ individualsPeople's experiencesStructural stigmaTreatment approachesIndividualsHealth problemsPeopleSupervisorsElevated riskStigmaHealth disparities
2021
Transgender and Gender Diverse Youth’s Experiences of Gender-Related Adversity
Price M, Hollinsaid N, Bokhour E, Johnston C, Skov H, Kaufman G, Sheridan M, Olezeski C. Transgender and Gender Diverse Youth’s Experiences of Gender-Related Adversity. Child And Adolescent Social Work Journal 2021, 40: 361-380. DOI: 10.1007/s10560-021-00785-6.Peer-Reviewed Original ResearchTGD youthYouth experienceMeasures of adversityClinical interview dataMeasure developmentGender minority stressFuture measure developmentMental health problemsInterview dataGender diverse youthVariety of traumasMinority stressSexual assaultDiverse youthAdversityClinical assessment measuresVerbal abuseAssessment measuresYouthDeductive content analysisGender CenterGender identityFuture avenuesClinical assessmentExperienceA biopsychosocial framework for understanding sexual and gender minority health: A call for action
Christian LM, Cole SW, McDade T, Pachankis JE, Morgan E, Strahm AM, Kamp Dush CM. A biopsychosocial framework for understanding sexual and gender minority health: A call for action. Neuroscience & Biobehavioral Reviews 2021, 129: 107-116. PMID: 34097981, PMCID: PMC8429206, DOI: 10.1016/j.neubiorev.2021.06.004.Peer-Reviewed Original ResearchConceptsElevated psychological distressDifferent sexual identitiesMinority stress theoryMinority stress frameworkIndividual differencesPsychological distressGender minority populationsGender minoritiesSexual minority statusStress frameworkBiopsychosocial frameworkMinority stressIndividual levelSleep disturbancesSexual identityPeople of colorBehavioral factorsMinority statusStress theoryUnique experiencesIntersectional identitiesHealth outcomesQuality of lifeMinority populationsModeratorA Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health
Pan S, Sun S, Li X, Chen J, Xiong Y, He Y, Pachankis JE. A Pilot Cultural Adaptation of LGB-Affirmative CBT for Young Chinese Sexual Minority Men’s Mental and Sexual Health. Psychotherapy 2021, 58: 12-24. PMID: 32538644, PMCID: PMC7736310, DOI: 10.1037/pst0000318.Peer-Reviewed Original ResearchConceptsMinority stressEvidence-based interventionsSexual healthChinese YMSMCognitive behavioral therapySexual minority stressHIV epidemic controlHIV risk behaviorsPre-post comparisonPsychological healthSexual health outcomesOpen pilotEffective skillsHIV infectionMental healthHIV epidemicRisk groupsChinese contextHealth outcomesYMSMHealth systemFamily needsEffective manExpert integrationCultural contextMinority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration
Harvey TD, Keene DE, Pachankis JE. Minority stress, psychosocial health, and survival among gay and bisexual men before, during, and after incarceration. Social Science & Medicine 2021, 272: 113735. PMID: 33561571, DOI: 10.1016/j.socscimed.2021.113735.Peer-Reviewed Original ResearchConceptsMinority stressBisexual menTerms of raceIdentity management techniquesUnique social stressorsPsychosocial health risksSuch incarcerationHegemonic masculinityDepth interviewsRisk of incarcerationUnited States male populationSexual expressionDominant themesIncarcerationReentry supportPublic health policyNew York CityQualitative studyHealth policyYork CityFirst placePsychosocial healthStigmaExperiencePsychosocial risks
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