Soc Psychiatry Psychiatr Epidemiol
September 2025
Purpose: Hatzenbuehler's psychological mediation framework proposes that difficulties in emotion regulation (ER), which are driven in part by excess exposure to stigma-related experiences, contribute to sexual orientation-related mental health disparities. However, existing research on the framework has largely focused on a small number of ER variables in non-probability samples.
Methods: To address these limitations, we examined whether a large complement of ER components mediates the prospective association between sexual minority status and depressive symptoms, using longitudinal data from a population-based sample of 1,208 Swedish young adults (aged 18-35).
Trials
September 2025
Res Child Adolesc Psychopathol
May 2025
Sexual and gender minority (SGM) individuals show disproportionately high rates of mental distress relative to their cisgender, heterosexual peers resulting from minority stress, or unique identity-related stressors. The majority of research on minority stress and mental health in SGM individuals has focused on adults, a notable gap given that SGM youth face unique developmental factors that intersect with identity development and availability of support resources. SGM youth therefore represent a critical population for the mental health workforce to serve competently.
View Article and Find Full Text PDFTrials
July 2024
Background: Gay, bisexual, and other men who have sex with men (GBMSM) represent a high-risk group for HIV transmission in Romania, yet they possess few resources for prevention. Despite having no formal access to pre-exposure prophylaxis (PrEP) through the health system, GBMSM in Romania demonstrate a high need for and interest in this medication. In anticipation of a national rollout of PrEP, this study tests the efficacy of a novel strategy, Prepare Romania, that combines two evidence-based PrEP promotion interventions for GBMSM living in Romania.
View Article and Find Full Text PDFObjective: LGBTQ-affirmative cognitive-behavioral therapy (CBT) addresses the adverse impacts of minority stress. However, this treatment has rarely been tested in randomized controlled trials with LGBTQ youth and never using an asynchronous online platform for broad reach. This study examined the feasibility, acceptability, preliminary efficacy, and multi-level stigma moderators of LGBTQ-affirmative internet-based CBT (ICBT).
View Article and Find Full Text PDFSexual minority (SM) individuals experience a disproportionate health burden relative to their heterosexual peers; however, less is known about their experience of insomnia. The sample consisted of a subset of students, = 1543, = 21.25 years, = 3.
View Article and Find Full Text PDFEvid Based Pract Child Adolesc Ment Health
October 2021
Objectives: This randomized controlled trial examined whether an 11-week synchronous (i.e., real-time) online training in lesbian, gay, bisexual, transgender, queer, and other sexual or gender diverse (LGBTQ)-affirmative cognitive behavioral therapy (CBT) could lead to increased uptake of this practice at LGBTQ community centers across 20 U.
View Article and Find Full Text PDFMinority stress is hypothesized to interfere with sexual orientation disclosure and sexual minority wellbeing. In this study, we investigated whether minority stress is causally linked to reduced disclosure in sexual minorities, and whether emotion regulation, a potentially adaptive form of stigma coping, can intervene to promote disclosure even following exposure to minority stress. Sexual minority adults in the US (N = 168) were recruited online and randomized to a 2 x 2 between-subjects experimental design, where they: 1) received either emotion regulation instructions that asked them to either distance themselves from an emotionally evocative film clip or immerse themselves in the clip, and then 2) viewed either an affirming or a minority stress film clip.
View Article and Find Full Text PDFIntroduction: There is a growing interest in examining how interpersonal relationships may shape associations between emotion regulation (ER) strategies and psychopathology.
Methods: We used multilevel modeling to test if respondents' self-reported intrapersonal ER, friends' self-reported intrapersonal ER, and their interaction were associated with psychopathology in a sample of 120 female friend dyads.
Results: Respondents' use of brooding rumination, expressive suppression, and worry were positively associated with respondent psychopathology.
Objective: Lesbian, Gay, and Bisexual (LGB) individuals generally experience eating disorders at higher rates than heterosexual individuals. While there is limited research examining why LGB individuals experience higher levels of eating pathology, emotion regulation (ER) deficits have been associated with higher rates of other forms of psychopathology in this population. The present study examined the impact of specific ER deficits on the relationship between LGB status and eating pathology.
View Article and Find Full Text PDFResearch shows elevated gender variance among autistic people and more autistic traits among gender diverse people, each of which is related to mental health concerns. Little work has explored broad features of these presentations in a non-clinical sample. College students (n = 174) ages 18-22 years completed questionnaires assessing the broader autism phenotype (BAP), autistic features, nonconformity to gender norms, and internalizing symptoms.
View Article and Find Full Text PDFEpidemiological studies suggest that more youth are identifying as gender expansive (e.g., transgender, gender nonconforming) than ever before.
View Article and Find Full Text PDFMinority stress theory posits that members of a stigmatized group, such as sexual minorities (lesbian, gay, bisexual, and other non-heterosexual individuals), are particularly subject to ill effects of minority-specific events (stressors), including overt homonegativity. Although adverse effects of homonegativity are well documented for sexual minorities, little is known about effects of witnessing homonegativity on heterosexual individuals. As a growing number of heterosexual individuals hold accepting views of sexual minority individuals, some detrimental effects of homonegativity may extend to heterosexual individuals.
View Article and Find Full Text PDF