Evidence map›Paper›PMID 40758265›Full record

ArticlePsychological trauma : theory, research, practice and policy2026

Avoidant coping behaviors as risk factor in the relationship between heterosexism and PTSD severity among young sexual minority women.

Stephanie Balters, Zoe Morris Feldman Brier, Debra Kaysen

Abstract read
In one paragraph

Article in Psychological trauma : theory, research, practice and policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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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

1 citing paper in PubMed.

  1. Article
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

3 authors.

Stephanie BaltersDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University.ORCID 0000-0002-3106-3261
Zoe Morris Feldman BrierDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University.
Debra KaysenDepartment of Psychiatry and Behavioral Sciences, School of Medicine, Stanford University.ORCID 0000-0001-7961-2787

Funding

A BIOBEHAVIORAL RESEARCH TRAINING PROGRAMT32MH019938 · NIMH · STANFORD UNIVERSITY · PI Corey J Keller, RACHEL MANBER · 1994 to 2026
$9.4M
Testing a multistage model of risk factors for cannabis use utilizing a measurement burst design among sexual minority women, sexual minority gender diverse individuals, and heterosexual womenR01DA058642 · NIDA · OHIO STATE UNIVERSITY · PI CHRISTINA DYAR · 2023 to 2026
$2.8M
High Risk Drinking in Emerging Adult at Risk WomenR01AA018292 · NIAAA · UNIVERSITY OF WASHINGTON · PI KAYSEN, DEBRA L · 2010 to 2014
$1.9M
Towards elucidating PTSD pathogenesis with ultra-portable and low-cost neuroimagingK99MH132880 · NIMH · STANFORD UNIVERSITY · PI BALTERS, STEPHANIE · 2023 to 2024
$253k
NIAAA NIH HHS R01 AA018292NIDA NIH HHS R01 DA058642NIH HHSNIMH NIH HHS K99 MH132880NIMH NIH HHS T32 MH019938
6 · The paper itself

Abstract

objectiveSexual minority women (SMW) are at high risk of traumatic events and developing posttraumatic stress disorder (PTSD). The minority stress model suggests that SMW face significant mental health impacts from minority-specific discrimination (i.e., heterosexism). This study examines the impact of heterosexism on PTSD risk, controlling for trauma exposure, and tests coping strategies as potential risk and protective factors.

methodWe analyzed data from 324 young bisexual and lesbian women (aged 18-25 years; all were assigned a female at birth) with trauma histories. An analysis of direct and indirect effects assessed the impact of coping behaviors (i.e., avoidant and approach) on the association between heterosexism and PTSD severity, considering total trauma exposure. A prediction model using support vector regression identified coping behaviors predicting PTSD severity.

resultsThe analysis revealed that heterosexism had a direct positive association with PTSD severity (

conclusionsThese findings highlight avoidant coping behaviors' role in the relationship between heterosexism and PTSD severity among SMW. Clinicians should consider interventions to reduce avoidant coping (denial and self-blame) when treating PTSD in SMW, given ongoing heterosexism exposure. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Indexed as

Adaptation, PsychologicalCoping SkillsSexual and Gender MinoritiesStress Disorders, Post-TraumaticAdolescentAdultFemaleHumansRisk FactorsSeverity of Illness IndexYoung Adult

Identifiers

PMID40758265
PMCPMC12863095

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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.