Anxiety and Related Disorders and Concealment in Sexual Minority Young Adults

Sexual minorities face greater exposure to discrimination and rejection than heterosexuals. Given these threats, sexual minorities may engage in sexual orientation concealment in order to avoid danger. This social stigma and minority stress places sexual minorities at risk for anxiety and related disorders. Given that three fourths of anxiety disorder onset occurs before the age of 24, the current study investigated the symptoms of generalized anxiety disorder, social phobia, panic disorder, posttraumatic stress disorder, and depression in sexual minority young adults relative to their heterosexual peers. Secondarily, the study investigated sexual orientation concealment as a predictor of anxiety and related disorders. A sample of 157 sexual minority and 157 heterosexual young adults matched on age and gender completed self-report measures of the aforementioned disorders, and indicated their level of sexual orientation concealment. Results revealed that sexual minority young adults reported greater symptoms relative to heterosexuals across all outcome measures. There were no interactions between sexual minority status and gender, however, women had higher symptoms across all disorders. Sexual minority young women appeared to be at the most risk for clinical levels of anxiety and related disorders. In addition, concealment of sexual orientation significantly predicted symptoms of social phobia. Implications are offered for the cognitive and behavioral treatment of anxiety and related disorders in this population.     

Sexual Minority Stress and Social Support Explain the Association between Sexual Identity with Physical and Mental Health Problems among Young Lesbian and Bisexual Women

Bisexual women report more physical and psychological health problems than lesbian women do, which may be attributed to greater sexual minority stress and less social support. However, many studies combine lesbian and bisexual women into a single group. The current study examined if sexual minority stress and social support mediated the association between women’s sexual identity (lesbian or bisexual) and health-related outcomes. A total of 650 U.S. young adult lesbian (n?=?227) and bisexual (n?=?423) women completed an online survey about sexual minority stress, social support, and physical and mental health problems. Bisexual women reported more physical and mental health problems. A sequential mediation model showed that bisexual women reported greater sexual minority stress than lesbian women, which in turn was associated with less social support, which was associated with more physical and mental health problems. Greater sexual minority stress and lower social support may help explain why bisexual women report more health-related problems than lesbian women. The results of the present study support the importance of examining risk and protective factors for health problems separately for lesbian and bisexual women. Health-related intervention programs that target sexual minority women may need to be tailored differently for lesbian and bisexual women.

     

Minority stress and mental health among Dutch LGBs: examination of differences between sex and sexual orientation

Minority stress is often cited as an explanation for greater mental health problems among lesbian, gay, and bisexual (LGB) individuals than heterosexual individuals. However, studies focusing on sex or sexual orientation differences in level of minority stress and its impact on mental health are scarce, even more so outside the United States. Performing secondary analyses on the data of a Dutch population study on sexual health, the present study examines the robustness of the minority stress model by explaining mental health problems among men and women with mostly or only same-sex sexual attraction, and men and women who are equally attracted to same-sex and opposite-sex partners in the "gay-friendly" Netherlands (N = 389; 118 gay men, 40 bisexual men, 184 lesbian women, and 54 bisexual women). Results showed that minority stress is also related to mental health of Dutch LGBs. Participants with a higher level of internalized homonegativity and those who more often encountered negative reactions from other people on their same-sex sexual attraction reported more mental health problems. Such negative reactions from others, however, had a stronger link with mental health among lesbian/gay than among bisexual participants. Openness about one's sexual orientation was related to better mental health among sexual minority women, but not among their male counterparts. Suggestions for future research, implications for counseling, and other societal interventions are discussed.     

Predictors of Sexual Consent Attitudes,Beliefs, and Behaviors Among Sexual Minority Cisgender and Nonbinary Young Adults

Sexual assault is a major public health concern in the United States that disproportionately affects sexual minority cisgender and nonbinary young adults. Although sexual assault is influenced by a myriad of societal and interpersonal factors, misunderstandings during the communication and interpretation of sexual consent signals likely contribute to this public health crisis. Unfortunately, research on sexual consent miscommunication has been heavily informed by heteronormative theories and conducted primarily with cisgender heterosexual men and women. The present study attempted to help address this gap in the literature by exploring factors that contribute to sexual consent attitudes, beliefs, and behaviors in a sample of 251 cisgender and nonbinary sexual minority young adults. Nonbinary participants reported more proactive sexual consent attitudes, beliefs, and behaviors than cisgender participants. Sexual assertiveness was also a robust and unique predictor of adaptive sexual consent, particularly among those who identified as more traditionally masculine. Findings from the current study may help guide the development of more inclusive, research-informed sexual consent and sexual violence prevention programs.

     

A Listening Guide Analysis of Lesbian and Bisexual Young Women of Color’s Experiences of Sexual Objectification

In the present study, I utilize objectification theory and compulsory heterosexuality as theoretical lenses to investigate lesbian and bisexual young Women of Color’s sexual objectification experiences. In-depth semi-structured interviews were conducted with eight Black and Latina 16–19 year-old young women who identified as lesbian or bisexual. Using the Listening Guide method of narrative analysis, two voices pertaining to young women’s objectification experiences were identified: a Voice of Surveillance and a Voice of Self-Surveillance. Findings suggest that young women experienced sexual objectification as rooted in their gender, sexuality, and racial identities. Experiences were further shaped by the contexts in which objectification occurred: participants voiced distinct struggles navigating (a) sexual harassment and violence in relationships with peers and romantic partners, (b) sexual harassment and discipline in school, and (c) street harassment and violence from men. Findings highlight the importance of understanding sexual objectification experiences as they are informed by gender, sexuality, and race, as well as the ways that young women actively cope with and resist objectification. Psychologists, activists, and mental health professionals are encouraged to consider how sexual objectification is rooted in multiple forms of oppression, its implications for young women’s identity, desire, and well-being, and how young women can be supported as they struggle against it.     

The Association of Religiosity,Sexual Education,and Parental Factors with Risky Sexual Behaviors Among Adolescents and Young Adults

This study examined the association of religiosity, sexual education and family structure with risky sexual behaviors among adolescents and young adults. The nationally representative sample, from the 2002 National Survey of Family Growth, included 3,168 women and men ages 15–21 years. Those who viewed religion as very important, had frequent church attendance, and held religious sexual attitudes were 27–54% less likely to have had sex and had significantly fewer sex partners than peers. Participants whose formal and parental sexual education included abstinence and those from two-parent families were 15% less likely to have had sex and had fewer partners.     

Gender, Ethnicity, Religiosity, and Same-sex Sexual Attraction and the Acceptance of Same-sex Sexuality and Gender Non-conformity

This study explored the role of gender, ethnicity, religiosity, and sexual attraction in adolescents’ acceptance of same-sex sexuality and gender non-conformity. Using an intersectionality perspective, we also tested whether the effects of gender, ethnicity, and religiosity on adolescents’ attitudes would function differently in adolescents with and without same-sex attractions. Data for this study were collected by means of a paper questionnaire completed by 1,518 secondary school students (mean age?=?14.56 years, SD?=?1.05) in Amsterdam, the Netherlands. The sample was 48.1% female and 51.9% male. Approximately one third of adolescents in the sample were of a non-Western ethnic background (32.3%, n?=?491) and 7.5% of the participants (n?=?114) reported experiencing same-sex attractions. Results of our analyses showed that adolescents in our sample who were male, of non-Western ethnicity, and who were more religious (as indicated by frequency of religious service attendance), were less accepting of same-sex sexuality and gender non-conformity in comparison to female, Western and less religious peers. We also found a significant interaction effect between religiosity and sexual attractions, but only in relation to evaluation of same-sex attracted, gender non-conforming females. The negative effect of religiosity on acceptance of same-sex attracted, gender non-conforming females was stronger among those adolescents who reported same-sex attractions.     

Disclosure Experiences of Sexual Minority College Student Victims of Intimate Partner Violence

Although research on disclosure following intimate partner violence (IPV) victimization is burgeoning, sexual minority young adults’ (lesbian, gay, bisexual, queer, questioning, etc.; LGBQ+) experiences have not received equal attention. The current study employed the minority stress framework to examine disclosure experiences of LGBQ+ college students across the United States reporting physical IPV victimization within their current relationship (n = 77). Participants completed measures assessing minority stress and IPV disclosure, and answered open‐ended questions regarding the most and least helpful persons/responses to disclosure or reasons for non‐disclosure. Results indicated that approximately one‐third (35 %) of victims disclosed to at least one person, with friends being the most common recipients. Thematic analyses indicated that talking or listening to the victim was considered the most helpful response and not understanding the situation least helpful. Reasons for non‐disclosure centered on themes of the victims’ perception that the IPV was not a big deal. Quantitative findings regarding physical IPV disclosure indicated that non‐disclosers experienced greater minority stress than disclosers. The current study suggests the presence of differences between sexual minority (i.e., LGBQ +persons) and non‐sexual minority persons, as well as between LGBQ+ young adults/college students and older adults and presents a theoretical structure (i.e., minority stress framework) through which these differences may be understood.     

Sexual Minority Stress,Coping, and Physical Health Indicators

Sexual minorities experience higher rates of several physical health problems compared to their heterosexual counterparts. The present study uses Meyer's Minority Stress Model (Psychological Bulletin, 129(5): 674-697, 2003) to examine physical health indicators among 250 adults who identified as sexual minorities. Study hypotheses include that sexual minority stress is predictive of two physical health indicators (i.e., engagement in a health-promoting lifestyle and number of physical health problems) and that planning (i.e., problem-focused) and social support coping will partially mediate the relationship between sexual minority stress and each physical health indicator. Results showed that as level of sexual minority stress increased, engagement in a health-promoting lifestyle decreased and the number of physical health problems increased. Planning and social support coping did not mediate these relationships; however, as levels of coping increased, engagement in a health-promoting lifestyle increased. These findings have implications for researchers and healthcare professionals in their efforts to promote the physical health of sexual minorities.     

The Impact of Cumulative Minority Stress on Cognitive Behavioral Treatment With Gender Minority Individuals: Case Study and Clinical Recommendations

For sexual minority individuals (i.e., lesbian, gay, and bisexual [LGB] persons), minority stress includes experiences of discrimination, expectations of rejection, internalized negativity, and concealment of identity. Sexual minority stress has been linked to various negative mental health outcomes (e.g., depression, anxiety), and levels of psychiatric comorbidity are high among LGB people. However, little is known about the extension of minority stress models to gender minority individuals (i.e., transgender and gender nonconforming persons) and its impact on mental health in this particular group. Further, the influence of gender minority stress on the delivery and outcome of traditional cognitive behavioral therapy (CBT) approaches is unclear. A case study of CBT for chronic depression with a young, transgender individual is presented. This case study highlights potential barriers that may arise with gender minority clients when implementing evidence-based clinical interventions in the context of an individual’s minority stress history. Implications for cognitive-behavioral treatments with gender minority individuals and recommendations for clinicians and researchers are discussed.     

Evidence for a Comprehensive Sexuality Education Intervention that Enhances Chinese Adolescents’ Sexual Knowledge and Gender Awareness and Empowers Young Women

While Chinese adolescents become more sexually active, their sexual attitudes are profoundly influenced by traditional gender and sexual norms. The tensions between the rapid transition in youth sexuality and lags in sex education call for a paradigm shift of sexuality education in China. The present study examined the effectiveness of a school-based empowerment comprehensive sexuality education (CSE) intervention in changing adolescents’ sexual knowledge, gender and sexual attitudes, and sexual self-efficacy. We used data from a quasi-experimental intervention study with self-administered pretest and posttest surveys conducted among 1131 10th grade high school students in Lanzhou, northwest China. Whereas 583 participants in two intervention schools attended 12 45-min CSE sessions focusing on gender, rights, and critical thinking skills across 4–7 months, 548 participants in two comparison schools received no or limited conventional sex education. After controlling for differences in sociodemographics and in the influence of family, peers, and internet use between the two groups, female and male adolescents exhibited significantly more accurate sexual knowledge, stronger endorsement of nontraditional gender roles, and greater rejection of sexual double standards immediately after the intervention. Additionally, young women reported significantly higher sexual self-efficacy following the intervention. The findings suggest that the school-based empowerment CSE intervention is helpful in creating an environment in which both young men and young women benefit in sexual knowledge and gender awareness and young women increase their sexual decision-making skills, thereby lending support to the theory and practice of an empowerment CSE approach.

     

Breaking the Silence Surrounding Female Adolescent Sexual Desire

Abstract

This review of the literature related to female adolescent sexual desire reveals that, in spite of interest by feminist scholars, actual discourse around sexual desire and bodily pleasure associated with female sexuality appears to be lacking for the majority of adolescent girls. In our culture females are the objects of male desire, hence the focus on attractiveness. Little attention has been paid to their embodiment, the inner sense of their own sexual desire. Sexual desire has traditionally been accepted as part of male sexual development and is associated with positive sexual identity for men. Researchers stress the importance of increasing sex-positive attitudes towards female sexual desire, in order to counter much of the shame and confusion experienced by females, especially during adolescence. The double standard is still being conveyed to young women through popular culture, parents, peers, and schools. Sex education primarily emphasizes the dangers of sex. The media stresses the importance of attractiveness and women as sex objects rather than agents of their own sexual desires. Researchers suggest that a young woman's ability to be conscientious about and fully present in her sexual experiences is correlated with her ability to act as an agent. The ability to make responsible and self-affirming sexual decisions is a crucial act of agency.     

Trajectories of perceived adult and peer discrimination among Black, Latino, and Asian American adolescents: patterns and psychological correlates

This article presents results from a 3-year longitudinal study of the growth patterns and correlates of perceived discrimination by adults and by peers among Black, Latino, and Asian American high school students. Results revealed a linear increase over time in levels of perceived discrimination by adults, whereas perceptions of discrimination by peers remained stable over time. Asian American and non-Puerto Rican Latino adolescents (primarily Dominican) reported higher levels of peer and/or adult discrimination than did Puerto Rican youth, whereas Black adolescents reported a steeper increase over time in levels of perceived discrimination by peers and by adults than did Puerto Rican adolescents. Peer and adult discrimination was significantly associated with decreased self-esteem and increased depressive symptoms over time. Ethnic identity and ethnicity were found to moderate the relationships between perceived discrimination and changes in psychological well-being over time. Results underscore the need to include perceptions of discrimination when studying the development and well-being of ethnic minority adolescents.     

The influence of sexually explicit Internet material and peers on stereotypical beliefs about women's sexual roles: similarities and differences between adolescents and adults

Previous research on the influence of sexually explicit Internet material (SEIM) on adolescents' stereotypical beliefs about women's sexual roles has three shortcomings. First, the role of peers has been neglected; second, stereotypical beliefs have rarely been studied as causing the use of SEIM and the selection of specific peers; and third, it is unclear whether adolescents are more vulnerable to the effects of SEIM than adults. We used data from two nationally representative two-wave panel surveys among 1,445 Dutch adolescents and 833 Dutch adults, focusing on the stereotypical belief that women engage in token resistance to sex (i.e., the notion that women say "no" when they actually intend to have sex). Structural equation modeling showed that peers who supported traditional gender roles elicited, both among adolescents and adults, stronger beliefs that women use token resistance to sex. Further, the belief that women engage in token resistance predicted adolescents' and adults' selection of gender-role traditional peers, but it did not predict adolescents' and adults' use of SEIM. Finally, adults, but not adolescents, were susceptible to the impact of SEIM on beliefs that women engage in token resistance to sex.     

Factors Associated with Peer Sexual Harassment Victimization Among Taiwanese Adolescents

This study examined the individual and interpersonal factors of peer sexual harassment victimization among Taiwanese adolescents. A random sample of 1,376 7th to 9th grade middle school students in Taichung City, Taiwan, completed questionnaires about their demographics, delinquency, peer/teacher interaction, and experience of being sexually harassed by peers. Approximately 25.4% of the respondents had suffered peer sexual harassment during the previous semester. Boys reported more exposure to sexual harassment than did girls. Multivariate logistic regression analyses were performed separately for boys and girls. Significant risk factors of peer sexual harassment victimization for both genders included being bullied by peers and teacher maltreatment. Boys’ sexual harassment victimization was also associated with their involvement in fights. Peer relationship problems contributed to girls’ sexual harassment victimization. These findings suggested the relevance of a hostile school climate to peer sexual harassment and the gender differences in risk factors.     

The Relational Context of Social Support in Young Adults: Links with Stress and Well-Being

This study examined the roles of relationship-specific social support and gender in the associations between perceived stress and well-being. Three sources of support (family, friends, and romantic partners) and three well-being indicators (loneliness, depressive symptoms, and physical health) were assessed in 628 young adults attending college (M _age = 19.72; range of 18–24). Stress directly predicted all well-being indicators, and indirectly predicted well-being through social support in relationship-specific ways. Family support mediated the relationship between stress and physical health, friend support mediated the association between stress and loneliness, and romantic partner support mediated the relationships of stress with both loneliness and depressive symptoms. With regard to loneliness and physical health, women were more strongly impacted when they had less support from friends.     

SEXUAL SOCIALIZATION DIFFERENCES BY GENDER, GREEK MEMBERSHIP, ETHNICITY, AND RELIGIOUS BACKGROUND

Socialization theories have included parents and peers as important determinants of the initial sexual standards and sexual behavior of teenagers and young adults. The purpose of the research reported here was to examine how parental and peer sexual socialization influences are related to gender, ethnicity, religious background, and college membership in a fraternity or sorority. A sample that included a majority of Caucasian university students and about 13% Asian and 7% Black students completed questionnaires both as entering first-year students and as seniors. Results indicated that compared to women, men continue to experience a more permissive sexual socialization from both parents and peers. Greek membership was associated with a more permissive socialization from peers but not parents. Asian students reported a more restrictive socialization than Blacks or Caucasians. Findings are discussed with respect to concerns of social scientists regarding the influence of fraternities and differential gender socialization.     

Impact of Cyber Aggression and Cyber Victimization on Mental Health and Well-Being of Pakistani Young Adults: The Moderating Role of Gender

The present study was conducted to investigate the impact of cyber aggression and cyber victimization on the mental health and well-being of young adults. The sample consisted of 508 young adults, ages ranging from 18 to 25 years (mean±SD = 20.53 ± 1.77 years, 68.5% female). The data were collected from young adults studying at various universities of Rawalpindi and Islamabad, Pakistan. The participants completed the Cyberbullying and Cyber Victimization Scales, Depression, Anxiety, and Stress Scales (DASS-21), and The Warwick–Edinburgh Mental Well-being Scale (WEMWBS). The results showed a significant effect of cyber victimization on mental health and well-being. After controlling for the effect of age, gender, and residential status (staying at hostel vs. home), the cyber victimization significantly negatively predicted the well-being and significantly positively predicted mental health (i.e., depression, anxiety, and stress). In contrast, cyber aggression appeared to have a nonsignificant impact on both the mental health and well-being of young adults. Furthermore, the moderating role of gender was assessed for the effect of cyber victimization on mental health. The results revealed that the effect of cyber victimization is moderated by gender only on anxiety. Findings suggest that females are more vulnerable to develop anxiety due to cyber victimization as compared to their male counterparts. The findings of the study have important theoretical and practical implications and suggest the inclusion of some gender-specific strategies to develop counseling programs to save young adults from the negative psychological and emotional impacts of cyber victimization.     

Trauma Recovery in the Transgender and Gender Diverse Community: Extensions of the Minority Stress Model for Treatment Planning

Transgender and gender diverse (TGD) populations, including those that do not identify with gender binary constructs (man or woman) are increasingly presenting for treatment of posttrauma sequelae. Providers who offer services for trauma survivors including posttraumatic stress disorder (PTSD) treatment should be knowledgeable about evidence-based care and have some cultural familiarity with TGD experiences. Indeed, the Minority Stress Model suggests that the combination of distal and proximal minority stressors can combine to produce increased mental health symptoms as compared with cisgender peers, though this model has yet to be fully tested. Clients often present with a complicated picture of experiences, which include a variety of minority stressors, microaggressions, discrimination, and traumatic events that can all be related to their identity. However, conceptualizations of trauma treatment in the context of extensive minority stress are lacking. This paper summarizes the existing literature and offers guidance to mental health providers who are well positioned to address stigma, discrimination, violence, and related symptoms that arise from micro-, mezzo- and macro-level spheres of TGD individuals’ experience.     

GENDER AS A MODERATOR OF THE RELATION BETWEEN RACE-RELATED STRESS AND MENTAL HEALTH SYMPTOMS FOR AFRICAN AMERICANS

The present study tested gender as a moderator of the relationship between race-related stress and mental health symptoms among African American adults. Because African American women are exposed to stressors associated with race and gender, we hypothesized that African American women would have higher levels of race-related stress and more severe mental health outcomes related to experiences of race-related stress compared to African American men. Multivariate analyses revealed that African American men had higher stress appraisals for institutional racism than did women. No significant gender differences were found for cultural and individual racism. Moderated regression analyses revealed that increases in stress appraisals for individual racism were associated with increases in anxiety and obsessive-compulsive symptoms for African American women. Race-related stress had no significant effects on mental health symptoms for African American men. The findings suggest that gender is an important factor in determining the impact of race-related stress on mental health.