Evidence map›Paper›PMID 41523705›Full record

ArticlePCN reports : psychiatry and clinical neurosciences2026

Relationally specific sexual identity concealment and loneliness among sexual and gender minority women in Japan: A culturally situated analysis.

Maya Hayakawa, Junichi Fujita, Yusuke Saigusa, Yuriko Tanabe, Akitoyo Hishimoto, Takeshi Asami

Abstract read
In one paragraph

Article in PCN reports : psychiatry and clinical neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Maya HayakawaDepartment of Psychiatry Yokohama City University Graduate School of Medicine Yokohama Japan.ORCID https://orcid.org/0000-0001-5684-3187
Junichi FujitaDepartment of Child Psychiatry Yokohama City University Hospital Yokohama Japan.
Yusuke SaigusaDepartment of Biostatistics Yokohama City University School of Medicine Yokohama Japan.
Yuriko TanabeDepartment of Nursing Yokohama City University School of Medicine Yokohama Japan.
Akitoyo HishimotoDepartment of Psychiatry Kobe University Graduate School of Medicine Kobe City Japan.
Takeshi AsamiDepartment of Psychiatry Yokohama City University Graduate School of Medicine Yokohama Japan.ORCID https://orcid.org/0000-0003-3089-3578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: To examine whether sexual identity concealment is differentially associated with loneliness across relational domains-parents and heterosexual friends-among sexual and gender minority (SGM) women in Japan, and to interpret these patterns within cultural norms. Methods: We conducted a cross-sectional, self-administered paper questionnaire study of SGM women in Japan ( Results: Concealment from heterosexual friends was associated with higher loneliness, whereas concealment from parents showed no clear association with loneliness. Bisexual identity, compared with lesbian identity, and past-year psychiatric service use were also related to greater loneliness. Conclusion: Sexual identity concealment is not monolithic; its association with loneliness depends on relational context. Peer-based concealment appears more consequential for loneliness than parent-directed concealment among SGM women in Japan. Interventions should address culturally situated norms in peer relationships, promote alternative pathways to connection, and avoid pathologizing strategic silence while mitigating its emotional costs.

Indexed as

concealmentcultural normslonelinessrelational contextsexual and gender minority women

Identifiers

PMID41523705
PMCPMC12783912

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.