Associations of LGBTQ+ Identities With Acceptability and Efficacy of Online Single-Session Youth Mental Health Interventions

Barriers such as stigma, financial costs, and provider shortages prevent large portions of youth with depression and related difficulties from accessing treatment; lesbian, gay, bisexual, transgender, queer/questioning sexual orientation, or other non-heterosexual identity (LGBTQ+) youth are burdened with additional barriers related to minority stress. Single-session interventions (SSIs) have been found to benefit youth and help reduce depression symptoms, and since many SSIs are brief, cost-free, and accessible online, they may circumvent several access barriers. However, prior to recommending non-community-tailored SSIs as a useful resource for minoritized youths, we first assessed whether LGBTQ+ youth respond as positively to SSIs as do cisgender heterosexual youth. In a subsample of youths recruited via online advertisements from September 2019 to August 2020 (N = 258, 81.4% female-assigned sex at birth, 60.5% LGBTQ+, 47.3% youth of color), we investigated whether changes in hopelessness, agency, and self-hate from before to after completing online self-directed SSIs differed as a function of LGBTQ+ identity. We also quantitatively and qualitatively compared intervention acceptability ratings and feedback across LGBTQ+ and cisgender heterosexual youths. Analyses revealed no significant differences between cisgender LGBQ+, trans and gender diverse, and cisgender heterosexual youths for any intervention outcomes. Likewise, no group differences emerged in intervention acceptability ratings or written program feedback. Self-selection bias and underrepresentation of certain populations, such as American Indian and Alaskan Native youths, may limit generalizability of results. Results suggest that online mental health SSIs are equally acceptable and useful to LGBTQ+ and cisgender heterosexual youth alike, even prior to culturally specific tailoring.     

Minority stress and health: Implications for lesbian,gay, bisexual,transgender, and questioning (LGBTQ) young people

Historically, the pathologization of lesbian, gay, bisexual, transgender, and questioning (LGBTQ) orientations shaped research and professional practice, while the impact of stigma was not considered. Within a minority stress conceptualization however, stigma-related prejudice and discrimination experienced by LGBTQ people constitute chronically stressful events that can lead to negative health outcomes. Minority stress has been linked to psychological distress among gay men and lesbians and may contribute to elevated rates of distress frequently observed among LGBTQ youth. This study explored the impact of minority stress on psychological distress among LGBTQ youth in Ireland. Measures assessing three components of minority stress (sexual identity distress, stigma consciousness, and heterosexist experiences) were administered online to LGBTQ youth aged 16–24 years (N = 301). Each minority stressor had a significant independent association with distress. Stepwise regression analyses identified the linear combination of minority stressors as significantly predictive of distress [F(3,201) = 30.80, p ≤ 0.001]. Results suggest that the oppressive social environment created through sexual/transgender identity-related stigma negatively impacts on the well-being of LGBTQ youth. These findings have implications for health professionals and policy makers interested in the concerns of LGBTQ youth experiencing difficulties related to minority status and will facilitate the development and tailoring of interventions aimed at reaching those most at risk.     

Examining Care and Opposition in the Narratives of U.S. Local Women of Color Activists

As a result of persisting stigma, transgender people experience vastly higher rates of harassment, violence, and mental health issues compared to cisgender people. The current study experimentally evaluated a computer-mediated intergroup contact strategy, called E-contact, to reduce transgender stigma. E-contact is a synchronous, cooperative, goal-directed online interaction which is informed by Allport’s intergroup contact theory. In total, 114 cisgender, heterosexual, Australian undergraduates and community members (83 women, 31 men) were randomly allocated to E-contact with an online confederate who either disclosed that they were a transgender woman or a cisgender woman. Following the online interaction, participants then completed measures assessing prior transgender contact and transgender stigma. The findings revealed that transgender E-contact reduced stigma for cisgender men whereas it had no impact on women’s already lower levels of stigma. These novel findings have important implications for researchers, policymakers and counsellors interested in developing transgender stigma reduction interventions by (a) highlighting the importance of transgender contact for those individuals with low or poor prior contact and (b) targeting prejudice-prone populations, such as men, who stand to gain the most from such cooperative, goal-directed interventions.

     

Affective responses to non-sexual imagery depicting gay men and lesbian women

ABSTRACT

When examining negative attitudes and behaviors directed toward gay men and lesbian women (i.e., homonegativity), researchers tend to use measures that require participants to respond to belief statements. This methodology is problematic for two reasons: 1) it focuses on the social categories “gay men” and “lesbian women” and ignores the practices of relational intimacy engaged in by gay and lesbian persons (practices that, arguably, are at the crux of homonegativity); and 2) it overlooks the affective responses that sexual minorities evoke in heterosexual people. These issues were tackled in the current study. Specifically, heterosexual participants (N = 241) were asked to report their affective state using six basic emotions while viewing photos depicting male-male, female-female, and heterosexual couples. Findings demonstrated that participants, regardless of gender, reacted most negatively to images of female-female couples engaging in everyday intimacies. Theoretical explanations for these findings are explored.     

Transactional pathways of transgender identity development in transgender and gender-nonconforming youth and caregiver perspectives from the Trans Youth Family Study

Background: A growing body of research has examined transgender identity development, but no studies have investigated developmental pathways as a transactional process between youth and caregivers, incorporating perspectives from multiple family members. The aim of this study was to conceptualize pathways of transgender identity development using narratives from both transgender and gender-nonconforming (TGN) youth and their cisgender (nontransgender) caregivers.

Methods: The sample included 16 families, with 16 TGN youth, ages 7 to 18 years, and 29 cisgender caregivers (N = 45 family members). TGN youth represented multiple gender identities, including trans boy (n = 9), trans girl (n = 5), gender-fluid boy (n = 1), and girlish boy (n = 1). Caregivers included mothers (n = 17), fathers (n = 11), and one grandmother. Participants were recruited from LGBTQ community organizations and support networks for families with transgender youth in the Midwest, Northeast, and South regions of the United States. Each family member completed a one-time, in-person semistructured qualitative interview that included questions about transgender identity development.

Results: Analyses revealed seven overarching themes of transgender identity development, which were organized into a conceptual model: Trans identity development, sociocultural influences/societal discourse, biological influences, family adjustment/impact, stigma/cisnormativity, support/resources, and gender affirmation/actualization.

Conclusions: Findings underscore the importance of assessing developmental processes among TGN youth as transactional, impacting both youth and their caregivers.     

Beyond Similarities: Cross-Gender and Cross-Orientation Best Friendship in a Sample of Sexual Minority and Heterosexual Young Adults

The research investigates differences between heterosexual (n?=?714) and lesbian and gay men (n?=?386) young adults regarding best friendship patterns, well-being, and social anxiety. Based on data from a paper-pencil survey of 1,100 Italian young adults aged 18 to 26, this study underlines the importance of the best friend in young adults’ psychological adjustment, highlighting patterns of friendship in heterosexual and lesbian and gay men young adults. Overall, the majority of participants declared that they had best friends; in the total sample, significant differences were found between women and men, and between lesbian/gay men participants and heterosexual young adults. Lesbian and gay men participants reported more cross-gender best friendships than heterosexual participants did, as well as more cross-orientation best friendships. Gender differences were found only with regards to cross-gender friendships: gay men reported more cross-gender friendships than lesbians did, while heterosexual females reported a higher percentage of cross-gender best friendship than heterosexual males did. MANOVA analysis, only in the gay and lesbian sample, showed the effect of gender, cross-gender, and cross-orientation on well-being and social anxiety. For the well-being dimension, gay men participants with female best friends reported higher scores. In terms of social anxiety, lesbian and gay young adults with cross-gender and cross-orientation best friends reported lower levels of social anxiety.     

Using Intergroup Contact Theory to Reduce Stigma Against Transgender Individuals: Impact of a Transgender Speaker Panel Presentation

Sexual minorities experience significant stigma and prejudice. Much research has examined sexual stigma and prejudice impacting gay and lesbian individuals, but limited research has examined other sexual minorities, such as transgender persons or individuals whose gender identity or expression is incongruent with their assigned gender or anatomical sex. Research has found that interpersonal contact with sexual minorities is associated with lower sexual stigma and prejudice. Intergroup contact theory predicts that interaction between groups can reduce stereotyping and improve intergroup relationships. Using a randomized crossover design, this study compared the impact of exposure to a transgender speaker panel vs. a traditional transgender lecture presentation on transphobia. Results indicated greater immediate reductions of transphobia following the transgender speaker panel than traditional lecture.     

Safe and supportive schools for LGBT youth: Addressing educational inequities through inclusive policies and practices

Inclusive policies that attend to sexual orientation and gender identity (SOGI) are associated with more supportive school environments for lesbian, gay, bisexual, and transgender (LGBT) youth. We use the 2013–2015 California Healthy Kids Survey (n = 113,148) matched with principal reports of school policies from the 2014 California School Health Profiles to examine differential effects of SOGI-focused policies for LGB and transgender youth. SOGI-focused policies had a direct association with less truancy, and moderated the association between sexual orientation/gender identity and other school outcomes. SOGI-focused policies were associated with more positive experiences and perceptions of school climate for LGB youth and, to a lesser extent, transgender youth. Findings underscore the importance of inclusive policies, especially those that address the unique needs of transgender students.     

Minority Stress,Activism, and Health in the Context of Economic Precarity: Results from a National Participatory Action Survey of Lesbian,Gay, Bisexual,Transgender, Queer,and Gender Non‐Conforming Youth

Lesbian, gay, bisexual, transgender, queer, and gender non‐conforming (LGBTQ & GNC) youth experience more economic hardship and social stress than their heterosexual and cisgender peers. However, the ways that LGBTQ & GNC youth resist these damaging social factors and the corresponding implications for their health have not been addressed. Data were analyzed from a national participatory survey of LGBTQ & GNC youth ages 14–24 (N = 5,860) living in the United States. Structural equation models indicated that economic precarity was associated with experiences of health problems. This association was mediated by the negative influence of minority stress on health as well as by activism, which had a positive association with health. Findings suggest that minority stress explanations of health inequalities among LGBTQ & GNC youth can benefit from including a focus on economic precarity; both in terms of its deleterious impact on health and its potential to provoke resistance to structural oppression in the form of activism.     

Queens and Jesters of YouTube: Communicating Gay/Lesbian Identities Through Humor in YouTube Channel <Emphasis Type="Italic">Spanish Queens</Emphasis>

Considering the transformative potential humor has for minorities who experience exclusion and marginalization, I seek to explore how Spanish gay and lesbian youth construct and communicate gay/lesbian identities using humor as a rhetorical tool. Furthermore, I explore the potential implications of their use of humor for social relations, both within gay and lesbian communities and with the broader society. I approach this discussion though a critical discourse analysis of videos from Spanish Queens—a collaborative YouTube channel, in which LGBTQ youth from diverse parts of the country share their experiences, thoughts, and opinions about being LGBTQ in Spain. Stereotypical humor was the primary form of humor used by SQ vloggers when addressing gay and lesbian issues related to both identification and social relations. Looking at how SQ vloggers most frequently use stereotypical humor, three common functions emerged in all ten videos: (a) affirming identity and separating gay and lesbian experiences from those of other groups, including making a distinction between sexual orientation and gender identity; (b) challenging the conflation of sexual and gender identities (i.e., contesting the notion of gay men and lesbians identifying as members of the opposite sex); and (c) disarming discourses that construct gay and lesbian individuals as threats at both interpersonal and societal levels.     

Performance Involvement,Identity, and Emotion Among Cisgender Male Drag Queens

Quantitative research on levels of depression and gender dysphoria in drag populations is lacking. It is possible that this lack occurs because researchers tend to include drag queens within transgender samples. Such sampling practices may result in inaccurate assumptions about drag queen populations. This study established rates of depression and gender dysphoria in a sample of self-identified cisgender drag queens. Participants reported low levels of gender dysphoria and significantly lower levels of depression than have been found among trans women, however, these participants presented with higher rates of depression than have been found among gay men who do not perform drag. Higher rates of involvement in drag performance were positively correlated with depression and negatively correlated with gender dysphoria. Results indicate that self-identified cisgender drag queens are unlikely to experience gender dysphoria and are less depressed than samples of trans women. The researchers discuss implications and future directions for mental health practitioners.     

Too Many Boxes,or Not Enough? Preferences for How We Ask About Gender in Cisgender,LGB, and Gender-Diverse Samples

As U.S. society has become more aware of gender identity issues, there has been a push for more inclusive demographic categories that go beyond the traditional gender binary of male/female. In three studies, we assessed the attitudes of U.S. cisgender men and women across sexual orientations (Study 1), heterosexual cisgender men and women (Study 2), cisgender LGB men and women (Study 3), and transgender and gender non-binary individuals across sexual orientations (Study 3) regarding different formats of gender questionnaires. Studies 2 and 3 showed a strong overall preference for the non-binary formats. Across all three studies, preferences for the binary format and objections to the non-binary formats were related to gender-binary beliefs, distinctiveness threat, cisgender and mostly heterosexual male participants, conservative political orientation, and religiosity. These findings suggest that general opposition to utilizing non-binary formats may be influenced by institutionalized binary gender norms and heteronormativity. Across both cisgender and gender-diverse samples, most participants preferred a non-binary gender question format, and gender-diverse individuals overwhelmingly preferred the expanded format. We suggest that those who collect gender data use the expanded format in order to be more inclusive and allow gender-diverse individuals to identify themselves if they choose to do so.     

Utrecht Gender Dysphoria Scale - Gender Spectrum (UGDS-GS): Construct validity among transgender,nonbinary, and LGBQ samples

Abstract

Background: Researchers combined both versions of the original Utrecht Gender Dysphoria Scale (UGDS) to create a single gender spectrum version (UGDS-GS) which measures dissatisfaction with gender identity and expression over time as well as comfort with affirmed gender identity.

Aim: This study examined the construct validity of the newly revised, UGDS-GS.

Method: Tests of measurement invariance were conducted in stages to assess measurement invariance of the UGDS-GS across three groups: cisgender, binary transgender, and nonbinary/genderqueer.

Results: Findings indicate that the UGDS-GS functions acceptably in all three gender groups (configural and metric invariance). Also, across binary transgender and nonbinary/genderqueer groups, the measure functions very similarly with all four types of invariance. Item level findings highlight the specificity of the measure to distinguish experiences of binary transgender and nonbinary/genderqueer persons differently from cisgender LGBQ individuals.

Conclusions: The UGDS-GS demonstrates a large degree of invariance across binary transgender, nonbinary/genderqueer, and cisgender LGBQ subgroups; and therefore, findings indicate this revision to be a substantial improvement. This 18-item self-report, Likert-type scale measure is a) inclusive of all gender identities and expressions (e.g., transfeminine spectrum, transmasculine spectrum, genderqueer, nonbinary, cisgender); b) appropriate for use longitudinally from adolescence to adulthood; and c) administered at any point in the social or medical transition process, if applicable, or in community-based research focused on gender dysphoria that examines cisgender and transgender persons.     

LGBTQ and Heterosexual Adolescents’ Use of Indirect Forms of Aggression

In this study, researchers investigated whether lesbian, gay, bisexual, transgender, and questioning (LGBTQ) adolescents use indirect aggression and exhibit prosocial behavior in their relationships at rates comparable to their heterosexual peers. In a sample of 666 college students (median age = 19.5 years), LGBTQ adolescents (N = 22) used relationally and socially aggressive behaviors at a level consistent with their heterosexual peers. This suggests that sexual orientation identification does not appear to differentially affect the use of indirectly aggressive behaviors during social interactions. There were also no differences in self-reported interpersonally mature behaviors (e.g., use of prosocial skills) exhibited by heterosexual and LGBTQ adolescents in this sample, which indicates that sexual and gender identity were also unrelated to the use of prosocial behaviors.     

Transgender youth and life-threatening behaviors

Sexual minority status is a key risk factor for suicide among lesbian, gay, and bisexual youth; however, it has not been studied among transgender youth. Fifty-five transgender youth reported on their life-threatening behaviors. Nearly half of the sample reported having seriously thought about taking their lives and one quarter reported suicide attempts. Factors significantly related to having made a suicide attempt included suicidal ideation related to transgender identity; experiences of past parental verbal and physical abuse; and lower body esteem, especially weight satisfaction and thoughts of how others evaluate the youths' bodies. Sexual minority status is a key risk factor for life-threatening behaviors among transgender youth.     

Sexual orientation and gender identity in schools: A call for more research in school psychology—No more excuses

Research focused on sexual orientation and gender identity among youth is scarce in school psychology journals. Graybill and Proctor (2016; this issue) found that across a sample of eight school support personnel journals only .3 to 3.0% of the articles since 2000 included lesbian, gay, bisexual, transgender (LGBT)-related research. It appears that special issues are a mechanism for publishing LGBT-related scholarship. This commentary includes a call for more research in school psychology and other related disciplines that intentionally addresses experiences of LGBT youth and their families. Two articles in this special section are summarized and critiqued with clear directions for future scholarship. Researchers and practitioners are ethically responsible for engaging in social justice oriented research and that includes assessing gender identity and sexual orientation in their studies and prevention program evaluations.     

Exploring Normative Creativity: Testing the Relationship Between Cognitive Flexibility and Sexual Identity

Brown (1989) proposed that lesbian, gay, and bisexual individuals possess greater “normative creativity” and flexibility than heterosexuals because they have fewer norms for living in heterosexually dominated society. In this article we explore one possible individual difference between heterosexuals and nonheterosexuals in the domain of normative creativity by examining the relationship between cognitive flexibility and sexual identity among 358 university students. Participants with sexual identities not directed toward one gender exclusively (e.g., bisexual, biaffectionate, or queer) scored significantly higher on a measure of cognitive flexibility than did heterosexual and gay/lesbian participants; the latter two groups did not differ from each other. These results suggest that it is having a nonexclusive sexual identity, rather than a lesbian or gay identity, that is related to greater cognitive flexibility.     

Transgender Youth of Color and Resilience: Negotiating Oppression and Finding Support

This qualitative study explored the resilience of 13 transgender youth of color in the southeastern region of the U.S. The definition of resilience framing this study was a participant’s ability to “bounce back” from challenging experiences as transgender youth of color. Using a phenomenological research tradition and a feminist, intersectionality (intercategorical) theoretical framework, the research question guiding the study was: “What are the daily lived experiences of resilience transgender youth of color describe as they negotiate intersections of transprejudice and racism?” The researchers’ individuated findings included five major domains of the essence of participants’ daily lived experiences of resilience despite experiencing racism and transprejudice: (1) evolving, simultaneous self-definition of racial/ethnic and gender identities, (2) being aware of adultism experiences, (3) self-advocacy in educational systems, (4) finding one’s place in the LGBTQQ (lesbian, gay, bisexual, transgender, queer, questioning) youth community, and (5) use of social media to affirm one’s identities as a transgender youth of color. Implications for practice, research, and advocacy, in addition to the study’s limitations are discussed.