ArticleJournal of consulting and clinical psychology2017
Sexual orientation differences in functional limitations, disability, and mental health services use: Results from the 2013-2014 National Health Interview Survey.
Article in Journal of consulting and clinical psychology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Exploring the global prevalence of mood and anxiety disorders in LGBTIQ+ people: A systematic review.Frontiers in psychiatry · 2025Pooled it
- Training in LGBTQ-affirmative cognitive behavioral therapy: A randomized controlled trial across LGBTQ community centers.Journal of consulting and clinical psychology · 2022Trial
- LGBQ-affirmative cognitive-behavioral therapy for young gay and bisexual men's mental and sexual health: A three-arm randomized controlled trial.Journal of consulting and clinical psychology · 2022Trial
- A transdiagnostic minority stress intervention for gender diverse sexual minority women's depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.Journal of consulting and clinical psychology · 2020Trial
- Mental health service experiences regarding sexual orientation: Relations with demographics, depression, and suicidality among queer adults.Psychological services · 2026Article
- Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT.Cognitive and behavioral practice · 2025Article
- Protocol for a scoping review of PTSD and minority stress interventions for LGBTQIA + adults.Discover psychology · 2025Article
- Advancing Psychosocial Treatment for Body Dysmorphic Disorder: A State-of-the-Science Review.Behavior therapy · 2024Review
- Health care: life stories by trans women in Colombia.International journal for equity in health · 2024Article
- Assessing the Implementation of an LGBTQ+ Mental Health Services Training Program to Determine Feasibility and Acceptability During the COVID-19 Pandemic.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Mental Health Treatment Experiences among Sexual and Gender Minority Individuals: Trauma Exposure, Barriers, Microaggressions, and Treatment Satisfaction.Journal of gay & lesbian mental health · 2024Article
- Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members.Cognitive and behavioral practice · 2023Article
- Self-schemas and information processing biases as mechanisms underlying sexual orientation disparities in depressive symptoms: Results from a longitudinal, population-based study.Journal of psychopathology and clinical science · 2023Article
- How to Ensure Inclusivity in Large-Scale General Population Cohort Studies? Lessons Learned with Regard to Including and Assessing Sex, Gender, and Sexual Orientation.Archives of sexual behavior · 2023Article
- A randomized trial of acceptance-based behavioral therapy to improve mental health outcomes for LGBTQ+ persons: Study protocol.Contemporary clinical trials · 2023Article
- Sexual-orientation differences in risk of health-related impaired ability to work and to remain in the paid workforce: a prospective population-based twin study.BMC public health · 2023Article
- Changes in General Health and Mental Health Outcomes in an Urban Population Over a Decade: A Population-Representative Analysis Stratified by Sexual Orientation.LGBT health · 2022Article
- Mechanisms linking distal minority stress and depressive symptoms in a longitudinal, population-based study of gay and bisexual men: A test and extension of the psychological mediation framework.Journal of consulting and clinical psychology · 2022Article
- Intersecting racism and homonegativism among sexual minority men of color: Latent class analysis of multidimensional stigma with subgroup differences in health and sociostructural burdens.Social science & medicine (1982) · 2022Article
- Current Capacity and Future Implementation of Mental Health Services in U.S. LGBTQ Community Centers.Psychiatric services (Washington, D.C.) · 2021Article
Corrections and comments
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Authors and funding
3 authors at 3 institutions in 2 countries.
Funding
Abstract
objectivesThe authors investigated sexual orientation differences in risk for mental health morbidity, functional limitations/disability, and mental health services use among adults interviewed in the nationally representative 2013-2014 National Health Interview Survey.
methodRespondents were 68,816 adults (67,152 heterosexual and 1,664 lesbian, gay, and bisexual [LGB] individuals), age 18 and older. Fully structured interviews assessed sexual orientation identity, health status, and services use. Using sex-stratified analyses while adjusting for demographic confounding, the authors compared LGB and heterosexual individuals for evidence of mental health-related impairments and use of mental health services.
resultsLGB adults, as compared to heterosexual adults, demonstrated higher prevalence of mental health morbidity and functional limitations. However, this varied by gender with LGB women evidencing elevated risk for both mental health and substance abuse (MHSA) and non-MHSA limitations. Among men, sexual orientation differences clustered among MHSA-related limitations. Overall, LGB adults were more likely than heterosexual adults to use services, with the source of functional limitations moderating these effects among men.
conclusionMHSA-related morbidity is a significant concern among LGB individuals and is associated with higher levels of functional limitations/disability. The findings highlight that LGB persons use MHSA-related treatment at higher rates than heterosexuals do, and, among men, are more likely to do so absent MHSA or non-MHSA-related functional limitations. This presents a unique set of concerns within the integrated care setting, including the need to deliver culturally competent care sensitive to the context of probable sex differences among LGB individuals. (PsycINFO Database Record
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Registered trials
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