ArticleJournal of consulting and clinical psychology2022
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.
Article in Journal of consulting and clinical psychology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- Emotion Regulation Differences Between Gender and Sexuality Groups: A Systematic Review and Meta-Analysis.Archives of sexual behavior · 2025Pooled it
- Sexual orientation differences in trauma exposure and posttraumatic stress symptoms among adults in treatment for obsessive-compulsive disorder.Journal of traumatic stress · 2026Article
- Restrictive abortion policy climate is associated with increased depression symptoms among women in the United States: Findings from a 25-year longitudinal study.SSM. Mental health · 2026Article
- Discrimination, relationship quality, and the mental health of sexual minority men in relationships: A test of the psychological mediation hypothesis.Psychology of sexual orientation and gender diversity · 2026Article
- The impact of stress experienced by sexual minorities on depression among chinese men who have sex with men: an analysis of the mediating effects of social support and intimate partner violence.BMC public health · 2026Article
- Affect regulation in the context of sexual and gender minority stress: A scoping review protocol.PloS one · 2026Article
- Identity centrality as a double-edged sword: mental health mechanisms among lesbian/gay and bisexual university students in China.Frontiers in psychology · 2026Article
- LGBTQ+ policies in the United States and mental health: The mediating role of sexual orientation discrimination among sexual minority women and gender diverse individuals assigned female at birth.Sexuality research & social policy : journal of NSRC : SR & SP · 2025Article
- Intimate Partner Violence Perpetration and PrEP Use Among Sexual Minority Men: The Mediating Roles of Internalized Homonegativity and PrEP Stigma.AIDS and behavior · 2025Article
- Examining Longitudinal Risk and Strengths-Based Factors Associated with Depression Symptoms Among Sexual Minority Men in Canada.Behavioral sciences (Basel, Switzerland) · 2025Article
- Relationship Quality and Minority Stressors Predict Mental Health Symptoms among Partnered Adolescent Sexual Minority Males.Couple & family psychology · 2025Article
- Intersectional discrimination, psychological distress, and physical health symptoms among Latine sexual minority adults.Stigma and health · 2025Article
- Violence Victimization and Depressive Symptoms Among a Sub-Sample of Sexual and Gender Minority Adults in a Population-Based South African Study.Journal of interpersonal violence · 2024Article
- Minority Stress, Mental Health, and Mindfulness and Self-Compassion as Moderators among Young Sexual Minority Men: A Moderated Structural Equation Analysis.Journal of contextual behavioral science · 2024Article
- The associations of sexual desire, daily stress, and intimacy in gay men in long-term relationships.International journal of impotence research · 2024Article
- Preliminary Psychometric Evaluation of Novel Measures of Therapist Practice Related to LGBTQ+ Clients.Healthcare (Basel, Switzerland) · 2024Article
- The roles of identity centrality and affirmation in the associations between discrimination and mental health among bi+ adults.Journal of bisexuality · 2024Article
- 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 · 2023Article
- Incorporating macro-social contexts into emotion research: Longitudinal associations between structural stigma and emotion processes among gay and bisexual men.Emotion (Washington, D.C.) · 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
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveGay and bisexual men have significantly higher rates of depression than heterosexual men. The minority stress theory (Meyer, 2003) proposed that distal minority stressors, like interpersonal discrimination, contribute to this disparity. The psychological mediation framework (Hatzenbuehler, 2009) posited several psychosocial mechanisms through which distal minority stress creates elevations in depression among sexual minorities. Despite accumulating support for this framework, there are a number of limitations to existing research, including largely relying on cross-sectional designs; focusing on a small subset of mechanisms and moderators; and using nonprobability samples.
methodWe recruited a sample of gay and bisexual men (N = 502) obtained from a population-based data set of U.S. adults. Participants completed validated measures of distal minority stress (i.e., interpersonal discrimination), psychosocial mechanisms (i.e., rumination, emotional clarity, and social support), identity-related moderators (i.e., identity centrality, stigma consciousness, and sexual orientation identity), and depressive symptoms at baseline, 6-month follow-up, and 1-year follow-up.
resultsRumination (b = 0.38, 95% CI [0.13, 0.84]), lack of emotional clarity (b = 0.43, 95% CI [0.11, 0.83]), and lack of social support (b = 0.21, 95% CI [0.04, 0.45]) each individually mediated the prospective relationship between interpersonal discrimination and depressive symptoms, controlling for initial symptoms, age, and education. These indirect effects were not moderated by identity-related characteristics or sexual identity.
conclusionOur study provides some of the strongest empirical evidence for the psychological mediation framework to date and suggests targets for interventions focused on reducing the mental health consequences of minority stress for sexual minority men. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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