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Abstract: Presents a collection of abstracts from Volume 10, Issue 1 edition of Psychology of Sexual Orientation and Gender Diversity. These articles are clinically oriented and deal with sexual orientation, gender diversity, sexual assault, body satisfaction, gender minority, trauma, and mental health. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 06 Apr 2023 00:00:00 GMT DOI: 10.1037/sgd0000639
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Abstract: The present study tested the integrative mediation model of minority stress theory by simultaneously examining both group-specific proximal minority stressors (expectations of rejection, internalized heterosexism, outness) and general psychological processes (rumination, self-esteem, social support) as mediators of the association of heterosexist discrimination with internalizing mental health concerns in a sample of 434 sexual minority adults. Bivariate associations were largely consistent with the expectation that minority stressors and general psychological processes were significantly associated with internalizing symptoms. Results of latent variable structural equation modeling indicated that heterosexist discrimination, internalized heterosexism, rumination, self-esteem, and social support were each uniquely related to internalizing symptoms, although internalized heterosexism’s unique relation with internalizing symptoms was negative rather than positive. Rumination, self-esteem, and social support—but not the proximal minority stressors—mediated the relation of heterosexist discrimination with internalizing symptoms. Implications of these findings for clinical work and research with sexual minority people are discussed. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 24 Mar 2022 00:00:00 GMT DOI: 10.1037/sgd0000498
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Abstract: Transgender and gender diverse (TGD) individuals are faced with various societal factors that contribute to health disparities. As COVID-19 spreads, health disparities that existed prior to the pandemic have become exacerbated. The current study aims to address factors that may be negatively impacting TGD individuals during the COVID-19 pandemic by exploring their experiences related to symptoms of depression, symptoms of anxiety, employment, and housing. TGD participants (N = 342) were recruited from an online participant recruitment platform and answered questions related to their psychological well-being and changes in employment and housing since the start of the pandemic. Adverse changes in employment since the start of the pandemic were reported by almost 1/3 of participants and were associated with higher depression and anxiety. Changes in housing were reported by almost 1/4 of participants and were associated with higher anxiety. Experiencing COVID-19 symptoms or receiving a COVID-19 diagnosis were also associated with higher anxiety. Findings indicate TGD individuals who experienced changes in employment and housing since the start of the COVID-19 pandemic experience greater levels of psychological distress. Findings may inform mental health providers and policymakers on the repercussions the pandemic has had on TGD individuals. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Mon, 31 Jan 2022 00:00:00 GMT DOI: 10.1037/sgd0000555
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Abstract: In this study, we examined the relations between participation in lesbian, gay, bisexual, and queer (LGBQ) activism and posttraumatic growth and positive affect among 516 sexual minority persons. We also examined meaning in life, community connection, and problem-solving coping as potential explanatory variables in these links. We found that more participation in LGBQ activism was related to greater posttraumatic growth and more positive affect at the bivariate level. We also found that participation in LGBQ activism was indirectly related to posttraumatic growth through meaning in life, community connection, and problem-solving coping. Participation in LGBQ activism was indirectly related to positive affect through meaning in life and problem-solving coping. That is, more participation in LGBQ activism was related to more meaning in life, greater community connection, and more active coping when dealing with minority stress, which in turn was related to greater positive psychological functioning. When working with LGBQ clients, professionals might explore activism-based strategies as a potential collective coping response to heterosexism that may foster positive psychological outcomes. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 21 Oct 2021 00:00:00 GMT DOI: 10.1037/sgd0000499
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Abstract: A limited number of studies have examined mechanisms undergirding interventions that mitigate mental health problems or health-risk behaviors that disproportionately burden sexual minorities. A recent trial of expressive writing and self-affirmation writing found that these brief interventions had salubrious effects on mental health and health-risk behaviors; the present research examines the putative mechanisms underlying these effects. Sexual minority emerging adults (N = 108) completed a brief online expressive writing, self-affirmation writing, or neutral control writing intervention and, at baseline and 3-month follow-up, completed measures of mental health, health-risk behaviors, stress, and self-regulation. Expressive writing yielded improvements in mental health and these effects were mediated by reductions in perceived stress. Self-affirmation caused improvements in health-risk behaviors, though neither stress nor self-regulation mediated these effects. This finding provides preliminary novel evidence regarding a mechanism underlying a widely used psychological intervention with documented mental health benefits for sexual minorities and other populations disproportionately affected by stress. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 14 Oct 2021 00:00:00 GMT DOI: 10.1037/sgd0000507
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Abstract: Sexual minority young persons may be at risk for compounding mental health effects of the COVID-19 pandemic due to their existing vulnerabilities for psychological inequities. Indeed, recent research has documented that sexual minority young persons are experiencing compounding psychiatric effects associated with the COVID-19 pandemic. Furthermore, researchers and practitioners have hypothesized that sexual minority youth and young adults may experience unique hardships related to their sexual and gender identities and familial conflict as a result of the COVID-19 pandemic and living arrangement changes with their parents and families. This study aims to investigate whether there are changes in sexual minority (and nonsexual minority) young adults’ (SMYAs’) mental health and well-being among those living with and living without their parents before and after the start of COVID-19. Among a cross-sectional sample of SMYAs (n = 294; Mage = 22 years; age range = 18–26) and non-SMYAs (n = 874; Mage = 22 years; age range = 18–26) defined by whether they were living with or living without their parents before and after the start of COVID-19, we retrospectively analyzed changes in psychological distress and well-being. SMYAs who returned to their parents’ homes during post-onset of COVID-19 reported greater mental distress and lower well-being, followed by those who were living with their parents both before and after the start of COVID-19. Patterns were not consistent among non-SMYAs, and lower magnitudes of change were seen. There is a significant public health need for mental health services and family education resources for supporting SMYAs in the context of COVID-19 and beyond. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Mon, 13 Sep 2021 00:00:00 GMT DOI: 10.1037/sgd0000520
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Abstract: For lesbian, gay, bisexual, transgender, and queer (LGBTQ) people, community and cultural values have served as protective factors during large scale events such as the HIV/AIDS epidemic and the 2016 Orlando Pulse Nightclub massacre. Little is known about how LGBTQ people are drawing on such values during the current coronavirus disease 2019 (COVID-19) epidemic. The current study sought to explore this gap in the literature. Using thematic analysis, a sample of 130 LGBTQ participants shared how community and cultural values informed their experiences and reactions to the COVID-19 pandemic, including: (a) activism; (b) authenticity, pride, and visibility; (c) collective intergenerational resilience; (d) centering mental health; and (e) intersectionality and centering those most marginalized. Discussion focuses on implications for practice and activism for LGBTQ people such as addressing ways in which sense of community increases psychological well-being among LGBTQ people and partnering with community agencies to provide comprehensive services to LGBTQ people who are most marginalized. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 09 Sep 2021 00:00:00 GMT DOI: 10.1037/sgd0000516
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Abstract: Minority stress experiences have been linked to sexual minority individuals’ disproportionately high incidence of mental and physical health concerns relative to heterosexuals. However, an absence of experimental methods for manipulating minority stress in laboratory settings limits the potential to draw causal links between minority stress and health outcomes. We describe the development and preliminary validation of a short, novel film-based minority stress induction in 3 studies (N = 686). Study 1 was conducted online with a sample of sexual minority adults and demonstrated the ability of the minority stress induction to induce negative emotional responses. Study 2 compared the induction to a neutral control in a sample of heterosexual and sexual minority adults and showed the induction’s unique emotional impact on sexual minorities. Study 3 used sexual minorities’ qualitative responses to the induction to demonstrate its ability to elicit 5 minority stress themes in sexual minority participants. The 3 studies outline a model for the creation of new experimental stimuli in the sexual minority stress field and highlight the need for testing of new stimuli in numerous samples to establish validity. We also outline a method for evaluating open-response text from participants for minority stress content using the Linguistic Inquiry and Word Count (LIWC) software. These new tools will allow experimental researchers to elicit minority stress in sexual minority participants in a controlled experimental fashion, and in turn may inform future prevention and intervention efforts with this population. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 02 Sep 2021 00:00:00 GMT DOI: 10.1037/sgd0000509
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Abstract: Utilizing mini-Delphi and critical communicative methods, the present study developed a fact sheet focused on consensual nonmonogamy (CNM). The fact sheet focused on topics from research and clinical practice, including: (a) definitions of relationship types (e.g., polyamory, swinging); (b) common questions (e.g., what are the relationship and health outcomes of people engaged in CNM'); (c) inclusive practices for researchers (e.g., include multioption relationship status questions); and (d) evidence-based recommendations for clinicians (e.g., create inclusive environments). Two panels of professional experts (three researchers and three clinicians) and community members (six people engaged in CNM) provided feedback on content, clarity, and accessibility. Across two surveys and iterations of the fact sheet, all panel members had high agreement on the clarity and comprehension of the content. Moreover, researchers and clinicians reported that, based on their professional experience, the information was accurate and the recommendations would be feasible for psychologists to implement. Similarly, community members agreed that the recommendations for inclusive research and clinical practice would benefit them, if implemented, as a research participant or client. A secondary goal of the present study was to provide a guide for developing evidence-based and expert driven education materials that are inclusive of insight from multiple stakeholders. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 26 Aug 2021 00:00:00 GMT DOI: 10.1037/sgd0000487
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Abstract: Marriage equality legislation was introduced in Australia in 2017 following a national survey of enrolled voters conducted via the postal system (“the postal survey”). Consistent with other major anti-LGBTQ rights campaigns, research has demonstrated that this event posed a unique source of social stress for LGBTQ people. This study seeks to expand the clinical utility of previous research by employing a cognitive–behavioral lens to explore the life stressors reported by LGBTQ Australians during the postal survey. During the postal survey period, a sample of 2,200 LGBTQ Australians answered the open-ended question, “Do you think the public discussion about marriage equality and the marriage equality postal survey has affected you and/or your family' If so, how'” Seven-hundred of these responses were randomly selected and analyzed using reflexive thematic analysis. Cognitive themes were hyperawareness of stigma, social and political exclusion, changes in self-perception, and fear of harm. Affective themes were anger, anxiety, and sadness. Behavioral themes were avoidance, changing social relationships, hiding identity, and preoccupation. The physiological theme was exhaustion. The results have implications for the assessment and treatment of LGBTQ people experiencing distress in the face of future anti-LGBTQ rights campaigns. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 19 Aug 2021 00:00:00 GMT DOI: 10.1037/sgd0000511
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Abstract: Bisexual women experience high rates of sexual victimization, receive more negative social reactions from others upon disclosing experiences of sexual assault, and report greater hazardous alcohol use compared to heterosexual and lesbian women. The current study examined how experienced and internalized binegativity and bisexual identity affirmation relate to these disparities among a sample of 130 bisexual women who disclosed their sexual assault experience to at least 1 person. A moderated-mediation model was tested, which specified that experienced binegativity would indirectly relate to increased alcohol use via the impact of negative social reactions to assault disclosure, and that this indirect effect would be moderated by internalized binegativity and identity affirmation. Results indicated greater experienced binegativity predicted greater negative reactions to sexual assault disclosure, which predicted increased hazardous alcohol use. This indirect effect was qualified by internalized binegativity, such that negative social reactions to disclosure predicted hazardous alcohol use only in the context of higher internalized binegativity. Bisexual identity affirmation did not moderate the link between reactions to disclosure and drinking. Findings identify experienced and internalized antibisexual stigma as important targets for intervention efforts and highlight the need for campaigns that reduce binegativity at the individual and population level. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 29 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000490
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Abstract: Historically, feelings of community connection have been linked to decreases in negative mental health outcomes for lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. However, scholarship has consistently focused this research on lesbian women and gay men, without acknowledging the potential nuances within the LGBTQ community. The present study assessed 250 sexual and gender minority individuals’ perceptions of their own feelings of rumination and connection to the LGBTQ community as well as the mental health outcomes of anxiety and depression during the Trump administration. A moderation analysis using the PROCESS macro assessed the impact that connection to community had on the relationship between sexual orientation rumination and anxiety and depression during the Trump administration. Results indicate that within the overall sample, having a stronger connection to community was associated with more negative mental health outcomes. However, results also indicate that the closer an individual felt to the LGBTQ community, the more they acknowledged rumination. Discussion focuses on how mental health providers can work to help LGBTQ clients build community, interrupt ruminative processes, and facilitate lower psychological distress in order to enhance psychological health and wellness. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 29 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000497
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Abstract: Sexual and gender minority individuals (SGM) experience higher rates and greater severity of psychopathology than cisgender heterosexual persons. SGM individuals also seek mental health treatment with greater frequency than cisgender heterosexual individuals. Studies have investigated types of SGM affirmative mental health treatment, but few studies have examined whether standard mental health treatment is satisfactory for the SGM community. The current study took place in a general partial hospital program and compared satisfaction with an initial psychiatric meeting and with end-of-treatment satisfaction between cisgender heterosexual and SGM patients. We compared initial satisfaction between (a) cisgender heterosexual patients (N = 1253) and SGM patients (N = 334) and (b) cisgender heterosexual patients and cisgender but not heterosexual patients (N = 276), and transgender or gender diverse (TGD) patients (N = 58). We compared end-of-treatment satisfaction between (a) cisgender heterosexual patients (N = 1044) and SGM patients (N = 284) and (b) cisgender heterosexual patients and cisgender but not heterosexual patients (N = 235), TGD patients (N = 49). SGM patients were less satisfied with their initial psychiatric meeting than non-SGM patients. We found no overall differences in satisfaction between the two groups, but breakdown analyses revealed SGM patients were less satisfied with certain group therapies than non-SGM patients. This exploratory study adds to the nascent research investigating SGM patient satisfaction within one standard acute care setting. Future research into the development of assessment measures for SGM patient satisfaction is encouraged, particularly given the dearth of existing tailored satisfaction measures. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 29 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000505
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Abstract: This study explored the potential barriers to the success of sexual and gender minority (SGM) students in school psychology programs by assessing their experiences in academic and professional environments. The sample consisted of 34 SGM and 170 non-SGM school psychology graduate students in the United States. Results revealed that SGM and non-SGM students reported similar levels of academic engagement, peer and faculty support, self-efficacy, and perceived stress. However, SGM students, when compared to non-SGM students, perceived their academic and professional environments as less supportive of their gender and sexual identities. In addition, SGM students, especially those perceiving higher levels of microaggressions, reported significantly higher levels of worry about their future employment opportunity and job security as school psychologists. Training program and faculty support were related to SGM graduate students’ psychological distress and sense of career perspectives. Implications suggest a need for creating more supportive academic and professional environments for SGM school psychology students. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 22 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000485
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Abstract: This study examines the relationship between minority stressors such as internalized biphobia (modified short form of the Lesbian Internalized Homophobia Scale) and internalized racism (Appropriated Racial Oppression Scale), respectively, to body satisfaction (Body Areas Satisfaction Scale) when mediated by body surveillance (Body Surveillance subscale of the Objectified Body Consciousness Scale) of 292 plurisexual women of color (P-WOC). In addition, it explores any significant differences between internalized racism, internalized biphobia, body satisfaction, and body surveillance between racial/ethnic groups. Results indicated that internalized racism and internalized biphobia, respectively, were significant predictors of body dissatisfaction in the mediated model for P-WOC. Results also revealed that the mean score for internalized racism for the Black/African American participants was significantly different from the mean score of the Asian/Asian American participants. Findings of the study show that participants who experience high levels of internalized racism/biphobia are also more likely to be dissatisfied with their bodies. Results of this study expand on the limited current literature on P-WOC. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 01 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000488
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Abstract: Bisexual women are at elevated risk of contracting sexually transmitted infections and HIV relative to other groups of women, which may be linked with their engagement in sexual risk behaviors. Though a sizable body of research has used objectification theory to test predictors of women’s disordered eating, few studies have considered women’s sexual risk behaviors. This study tested interrelations of objectification theory constructs (i.e., sexual objectification, internalization of sociocultural standards of attractiveness [internalization], body shame, body surveillance, appearance anxiety during sexual activity) and antibisexual discrimination with sexual risk behaviors in a sample of 352 bisexual women (age range = 18–59). Latent variable structural equation modeling was used to analyze the data. Inspection of alternative measurement models indicated that fit would improve if sexual objectification and antibisexual discrimination were predicted by a higher-order “marginalization” variable. Results indicated that marginalization yielded significant direct positive relations with internalization and sexual risk behaviors. Internalization yielded significant direct positive links with body shame and body surveillance. Body surveillance yielded a significant direct positive relation with body shame, which yielded a significant unique positive link with appearance anxiety during sexual activity. Marginalization yielded significant indirect positive links with body surveillance and body shame. Thus, interventions that combat the marginalization of bisexual women may improve aspects of their mental and sexual health. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 01 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000492
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Abstract: Lesbian and bisexual women (LBW), regardless of where they live in the world, are at increased risk for traumatic experiences and negative mental health sequelae. LBW in Rwanda are an underresearched, at-risk population group that likely experiences substantial trauma associated with their sexual identity (and in some cases their nontraditional gender presentation). We interviewed 20 Rwandan LBW about their stressful and traumatic experiences, perceptions of their mental health, and their experiences with health care providers. Thematic analyses revealed multiple traumatic and stress ful experiences related to harassment, violence, and abuse, including rape and other forms of sexual violence; marriage to a male partner (forced or chosen); rejection or abandonment by family and friends; and being forced to break up or end a relationship with a female partner. Participants reported feelings of stress, sadness, hopelessness, and depression; suicidal thoughts; and social isolation. While a few participants reported positive experiences with health care providers, many reported concealing their sexual identity from health care providers or experiencing discrimination—factors that limited receipt of needed care. These results suggest a need for expanded systemic support for lesbian and bisexual women, and the broader sexual and gender minority community in Rwanda. Cultural acceptance and legal protections, as well as enhanced training opportunities for health providers is recommended. (PsycInfo Database Record (c) 2023 APA, all rights reserved) PubDate: Thu, 01 Jul 2021 00:00:00 GMT DOI: 10.1037/sgd0000417