Evidence map›Paper›PMID 39928459›Full record

ArticleJournal of counseling psychology2025

Daily minority stressors, threat appraisal, and identity concealment among trauma-exposed sexual minority women and transgender and gender-diverse people.

Jillian R Scheer, Skyler D Jackson, Cory J Cascalheira, Kriti Behari, Emily C Helminen, Abigail W Batchelder, Tami P Sullivan

Abstract read
In one paragraph

Article in Journal of counseling psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jillian R ScheerDepartment of Psychology, University of Rhode Island.ORCID 0000-0002-7311-5904
Skyler D JacksonDepartment of Social and Behavioral Sciences, Yale School of Public Health.
Cory J CascalheiraVeterans Affairs Puget Sound Health Care System.
Kriti BehariDepartment of Psychology, Syracuse University.
Emily C HelminenCenter for Alcohol and Addiction Studies, Brown University School of Public Health.
Abigail W BatchelderDepartment of Psychiatry, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine.
Tami P SullivanDepartment of Psychiatry, Yale University School of Medicine.

Funding

Substance Abuse Intervention/Outcome Research TrainingT32DA016184 · NIDA · BROWN UNIVERSITY · PI Damaris J. Rohsenow, JENNIFER W. TIDEY · 2003 to 2026
$6.1M
Understanding and Addressing Internalized Stigma and Shame as Barriers to Engagement in HIV Care among Men who Have Sex with Men who Use Substances.K23DA043418 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI BATCHELDER, ABIGAIL WINSTON · 2017 to 2021
$1.1M
Testing a Biopsychosocial Model of Violence Exposure, Minority Stressors, and Hazardous Drinking among Sexual Minority WomenK01AA028239 · NIAAA · UNIVERSITY OF RHODE ISLAND · PI SCHEER, JILLIAN R · 2021 to 2025
$1.0M
NIAAA NIH HHS K01 AA028239NIDA NIH HHS K23 DA043418NIDA NIH HHS T32 DA016184NIH HHSYale UniversityYale University; Women's Faculty
6 · The paper itself

Abstract

Recent calls have been made to decolonize White-dominated, Western narratives around concealment (e.g., that disclosure should be prioritized) and instead to examine psychosocial factors associated with concealment. Existing literature lacks exploration into daily variations of sexual or gender identity concealment (hereafter, "concealment") among sexual and gender minority people, especially sexual minority women (SMW) and transgender and gender-diverse (TGD) individuals who have experienced trauma. Additionally, there is little research delving into individual characteristics, such as trait-based avoidance coping, and specific contexts, including daily minority stressors and threat appraisal, prompting trauma-exposed SMW and TGD people to conceal their identities. Addressing these gaps, we aimed to develop and test an innovative model that advances stress and coping frameworks by integrating minority stress and social safety theories. We used data from a 14-day intensive longitudinal study among 57 trauma-exposed SMW and TGD people. Minority stressors and threat appraisal were associated with concealment at both the within- and between-person levels, respectively. Trait-based general avoidance coping predicted identity concealment and moderated the link between daily minority stressors and concealment. Daily minority stressors were associated with greater concealment only among those who reported lower avoidance coping. Concealment may operate as an experiential avoidance behavior among those who habitually cope by using avoidance and as a goal-directed coping response among trauma-exposed SMW and TGD people who face acute minority stressors and report less avoidance coping. Counseling psychologists exploring the function of concealment with trauma-exposed SMW and TGD people should attend to stigma exposure, threat appraisal, and avoidance coping. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Adaptation, PsychologicalMinority GroupsSexual and Gender MinoritiesStress, PsychologicalTransgender PersonsAdultFemaleHumansLongitudinal StudiesMaleMiddle AgedYoung Adult

Identifiers

PMID39928459
PMCPMC11949702

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.