Evidence map›Paper›PMID 40286461›Full record

ArticleJournal of psychiatric research2025

Mental disorders and sexual orientation in college students across 13 countries of differing levels of LGBTQ+ acceptance.

Roberto Rentería, Claes Andersson, Marcus Bendtsen, Philippe Mortier, Randy P Auerbach, Jason Bantjes, Harald Baumeister, Anne H Berman, Erik Bootsma, Ronny Bruffaerts and 36 more

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

46 authors.

Roberto RenteríaDepartment of Psychology, University of Massachusetts Boston, Boston, MA, USA. Electronic address: roberto.renteria@umb.edu.
Claes AnderssonDepartment of Criminology, Malmö University, Malmö, Sweden; Department of Psychology, Uppsala University, Uppsala, Sweden.
Marcus BendtsenDepartment of Health Medicine and Caring Sciences, Linköping University, Linköping, Sweden.
Philippe MortierHealth Services Research Group, Hospital del Mar Research Institute, Barcelona, Spain; CIBER de Epidemiología y Salud Pública, Instituto de Salud Carlos III, Madrid, Spain.
Randy P AuerbachDepartment of Psychiatry, Columbia University, New York, NY, USA; Division of Clinical Developmental Neuroscience, Sackler Institute, New York, NY, USA.
Jason BantjesMental Health, Alcohol, Substance Use and Tobacco (MAST) Research Unit, South African Medical Research Council, South Africa; Department of Psychiatry and Mental Health, University of Cape Town, South Africa.
Harald BaumeisterDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, Faculty of Engineering, Ulm University, Ulm, Germany.
Anne H BermanDepartment of Psychology, Uppsala University, Uppsala, Sweden.
Erik BootsmaDepartment of Microbiology and Immunology, Rega Institute, KU Leuven, Belgium.
Ronny BruffaertsUniversitair Psychiatrisch Centrum - Katholieke Universiteit Leuven (UPC-KUL), Campus Gasthuisberg, Leuven, Belgium.
Irina F CohutCareer Counseling and Guidance Center, Technical University of Cluj-Napoca, Romania.
Marcelo A CrockettMillennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile.
Pim CuijpersFaculty of Behavioural and Movement Science, Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands; International Institute for Advanced Studies in Psychotherapy and Applied Mental Health, Babeş-Bolyai University, Cluj-Napoca, Romania.
Oana A DavidInternational Institute for Advanced Studies in Psychotherapy and Applied Mental Health, Babeş-Bolyai University, Cluj-Napoca, Romania; Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, Cluj-Napoca, Romania.
David D EbertSchool of Medicine and Health, Department for Sport and Health Sciences, Technische Universität München, München, Germany.
Raúl A Gutierrez-GarcíaFacultad de Estudios Superiores, Universidad De La Salle Bajío, Salamanca, Mexico.
Penelope A HaskingSchool of Population Health, Faculty of Health Sciences, Curtin University, Perth, Australia.
Xanthe HuntMental Health, Alcohol, Substance Use and Tobacco (MAST) Research Unit, South African Medical Research Council, South Africa; Africa Health Research Institute (AHRI), Durban, South Africa.
Petra HurksFaculty of Psychology and Neuroscience, Maastricht University, Maastricht, the Netherlands.
Mathilde M HuskyBordeaux Population Health Research Center, ACTIVE Team, INSERM U1219, University of Bordeaux, Bordeaux, France.
Ana Lucia JimenezFacultad de Ciencias Administrativas y Sociales, Universidad Autónoma de Baja California, Ensenada, Mexico.
Fanny KählkeFaculty of Applied Health Sciences, Deggendorf Institute of Technology, Deggendorf, Germany.
Ann-Marie KüchlerDepartment of Clinical Psychology and Psychotherapy, Institute of Psychology and Education, Faculty of Engineering, Ulm University, Ulm, Germany.
Scarlett Mac-GintyMillennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile; Department of Health Service and Population Research, Institute of Psychiatry, Psychology and Neuroscience, King's College London, United Kingdom.
Arthur D P MakCambridge and Peterborough NHS Foundation Trust, Cambridge, United Kingdom; Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR.
Vania MartínezMillennium Nucleus to Improve the Mental Health of Adolescents and Youths (Imhay), Santiago, Chile; Centro de Medicina Reproductiva y Desarrollo Integral del Adolescente (CEMERA), Facultad de Medicina, Universidad de Chile, Santiago, Chile.
Margaret McLaffertyPersonalised Medicine Centre, School of Medicine, Ulster University, Derry/Londonderry, United Kingdom; Atlantic Technological University, Donegal, Ireland.
Iris R Monroy-VelascoFacultad de Psicología, Universidad Autónoma de Coahuila, Saltillo, Mexico.
Elaine K MurrayPersonalised Medicine Centre, School of Medicine, Ulster University, Derry/Londonderry, United Kingdom.
Siobhan O'NeillSchool of Psychology, Ulster University, Coleraine, Co. Derry, United Kingdom.
Claudiu C PapasteriDepartment of Psychology and Cognitive Science, Faculty of Psychology and Educational Sciences, University of Bucharest, Bucharest, Romania.
Priscilla PazDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Codruta A PopescuDepartment of Human Sciences, ''Iuliu Hatieganu'' University of Medicine and Pharmacy, Cluj-Napoca, Romania.
Kealagh RobinsonSchool of Psychology, Massey University, Wellington, New Zealand.
Elske SaleminkFaculty of Social and Behavioural Sciences, Department of Clinical Psychology, Utrecht University, Utrecht, the Netherlands.
Oi-Ling SiuDepartment of Psychology, Lingnan University, Hong Kong, Hong Kong SAR.
Dan J SteinDepartment of Psychiatry and Mental Health, University of Cape Town, South Africa; South African Medical Council Research Unit on Risk and Resilience in Mental Disorders, University of Cape Town, Cape Town, South Africa.
Sascha Y StruijsFaculty of Behavioural and Movement Science, Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit, Amsterdam, the Netherlands.
Cristina TomoiagaInternational Institute for Advanced Studies in Psychotherapy and Applied Mental Health, Babeş-Bolyai University, Cluj-Napoca, Romania.
Sanne van LuenenFaculty of Social and Behavioural Sciences, Department of Clinical Psychology, Leiden University, Leiden, the Netherlands.
Daniel V VigoDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada; School of Population and Public Health, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Angel Y WangDepartment of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Reinout W WiersFaculty of Social and Behavioural Sciences, Programme Group Developmental Psychology, University of Amsterdam, Amsterdam, the Netherlands.
Samuel Y S WongJockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong SAR.
Corina BenjetCenter for Global Mental Health, National Institute of Psychiatry Ramón de La Fuente Muñiz, Mexico City, Mexico.
WMH-ICS collaborators

Funding

Risk Factors for Psychopathology in the WHO WMH SurveysR01MH070884 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2005 to 2009
$6.0M
Social Role Disability and Mental-Physical Co-MorbidityR01MH069864 · NIMH · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI VON KORFF, MICHAEL R · 2004 to 2007
$2.2M
CROSS-NATIONAL STUDIES OF DRUG INVOLVEMENT: WMH2000R01DA016558 · NIDA · MICHIGAN STATE UNIVERSITY · PI ANTHONY, JAMES CHRISTOPHER · 2003 to 2008
$1.7M
World Mental Health Consortium Annual Meeting 2003-07R13MH066849 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HEERINGA, STEVEN G · 2003 to 2007
$735k
Predicting Internet-Based Treatment Response for Major Depressive DisorderR56MH109566 · NIMH · MCLEAN HOSPITAL · PI AUERBACH, RANDY PATRICK · 2016 to 2017
$685k
Lebanon-Epidemiology: The NCS Replication StudyR03TW006481 · FIC · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI KESSLER, RONALD C · 2004 to 2006
$142k
A longitudinal investigation of intersectional discrimination, alcohol use outcomes, and underlying mechanisms among bisexual people of colorF32AA031149 · NIAAA · ROSALIND FRANKLIN UNIV OF MEDICINE & SCI · PI RENTERIA, ROBERTO · 2023 to 2023
$69k
FIC NIH HHS R03 TW006481NIAAA NIH HHS F32 AA031149NIDA NIH HHS R01 DA016558NIMH NIH HHS R01 MH069864NIMH NIH HHS R01 MH070884NIMH NIH HHS R13 MH066849NIMH NIH HHS R56 MH109566
6 · The paper itself

Abstract

Mental health disparities have been reported among sexual minority individuals; minority stress theory posits that such disparities are a result of stigma and discrimination. We estimated the prevalence of mental disorders across sexual orientation groups among first-year college students and whether differences across sexual orientation groups varied by gender and country-level LGBTQ+ (lesbian, gay, bisexual, transgender, queer) social acceptance. Using data (N = 53,175; 13 countries) from the World Mental Health Surveys International College Surveys, we performed multilevel logistic regressions to estimate the associations between sexual orientation (i.e., heterosexual, heterosexual with same-gender attraction [SGA], gay/lesbian, bisexual, asexual, questioning, and other) and five twelve-month DSM-5 disorders (major depressive disorder, generalized anxiety disorder, panic disorder, alcohol use disorder, drug use disorder). Heterosexual students with SGA (AORs 1.30-2.15), gay/lesbian (AORs 1.49-2.70), bisexual (AORs 2.26-3.49), questioning (AORs 1.38-2.04), and "other" (AORs 1.76-2.94) students had higher odds of all disorders compared to heterosexual students with no SGA; asexual students did not. Significant interactions with gender show that the gender difference in prevalence was greater among bisexual individuals for most disorders and among all sexual minorities (except "other") for drug use disorder. Significant interactions with country level LGBT+ social acceptance showed some sexual minority groups had lower odds (AORs 0.83-0.95) of disorder as country-level acceptance increased. These findings provide further evidence of mental disorder disparities across a wide range of sexual orientations and how these disparities vary by gender and societal LGBTQ+ acceptance in students from diverse countries.

Indexed as

Mental DisordersSexual and Gender MinoritiesSexual BehaviorStudentsAdolescentAdultFemaleHumansMalePrevalenceUniversitiesYoung AdultCollege studentCross-nationalDSM-5Mental disorderSexual orientationSocial acceptance

Identifiers

PMID40286461
PMCPMC12068959

What OpenQuestion holds

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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.