Stigma refers to societally-deemed inferiority associated with a circumstance, behavior, status, or identity. It manifests internally, interpersonally, and structurally. Decades of research indicate that all forms stigma are heightened risk for mental health problems (e.g., depression, PTSD, suicidality) in stigmatized youth (i.e., children, adolescents, young adults one more identities, such as Color transgender youth). Notably, studies find living places high structural - defined...

Objective: Transgender adolescents experience adversity accessing mental healthcare, which is exacerbated by transgender-specific health provider shortages in the United States. Factors associated with variability availability across states—especially at macro-social level—have yet to be identified, hindering efforts address these shortages. To remedy this gap, we queried whether adolescent varied states’ policy climate. Method: We quantified climate factor-analyzing tallies of...

Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance rarely explicitly assessed but instead commonly conflated with putatively related constructs, including sexual-orientation-related rejection sensitivity and rumination, hindering conceptual mechanistic understandings of this process. We therefore embedded measure in longitudinal, population-based study 811...

Objective Gender minority youth (i.e., children/adolescents whose gender identity and/or expression is inconsistent with their birth-assigned sex) experience elevated rates of emotional and behavioral problems relative to cisgender (who identify sex), which are not intrinsic but attributable unique stressors. Although empirically supported treatments have proven effective in treating these mental health concerns generally, randomized controlled trials examined effects for youth. Method To...

Transgender and gender diverse youth (TGD youth; i.e., children adolescents who do not identify with their birth-assigned sex) face a variety of traumas adversities, including those explicit to identity and/or expression (hereafter “gender”; e.g., gender-related victimization, caregiver rejection). However, few studies or clinical assessment measures capture the full spectrum adversities TGD experience. A comprehensive examination gender- non-gender-related faced by is critical understand...

Objective Transgender adolescents experience adversity accessing mental healthcare, which is exacerbated by transgender-specific health provider shortages in the United States. Factors associated with variability availability across states – especially at macro-social level have yet to be identified, hindering efforts address these shortages. To remedy this gap, we queried whether adolescent varied states' policy climate.Method We quantified climate factor-analyzing tallies of...

Research into correlates and predictors of emotion regulation has focused almost exclusively on individual differences the immediate situation. Here, we consider whether features macro-social contexts may also shape regulation. To test this hypothesis, conducted a longitudinal study 502 gay bisexual men living in 269 U.S. counties that varied level stigma surrounding sexual minorities. We find higher- (vs. lower-) consistently reported more suppression, which consequently explained increases...

Sexual minority individuals have a markedly elevated risk of depression compared to heterosexuals. We examined early threats social safety and chronically inflammation as mechanisms contributing this disparity in symptoms, the relative strength co-occurrence between chronic symptoms for sexual minorities versus To do so, we analyzed data from prospective cohort heterosexual young adults (n = 595), recruited nationally representative sample, that included assessments form adverse childhood...

Despite great advancements in the development of evidence-based treatments (EBTs) for youth mental health problems, few EBTs have been adopted by or successfully implemented schools. This is concern, as schools are most common entry point services. Modular psychotherapies may be a particularly good fit school context given their flexible nature. study examined experiences counselors implementing modular therapy. School (n = 20) were recruited from larger randomized controlled effectiveness...

Transgender and gender diverse (TGD) adolescents their caregivers have highlighted the dearth of providers trained in gender-affirming practices as a critical treatment barrier, yet little is known about specific experiences mental health therapy. The present study sought to elucidate these experiences. Qualitative description was employed analyze data from 105 clinical interviews completed with TGD (n = 49; ages 11–20) and/or 65; 36–84) seeking medical transition services at pediatric...

Introduction: Young gay and bisexual men (YGBM) face elevated risk for co-occurring mental (e.g., depression, anxiety), behavioral substance use), sexual HIV-transmission-risk behavior) health challenges compared to their heterosexual peers. LGBTQ-affirmative cognitive-behavioral therapy (CBT) targets psychosocial pathways through which minority stress contributes these disparities. We evaluated whether CBT operates mechanisms.Methods: analyzed clinical trial data from 254 HIV-negative YGBM...

Purpose: Transgender adults face increasingly discriminatory laws/policies and prejudicial attitudes in many regions of the United States (US), yet research has neither quantified state-level transphobia using indicators both, nor considered their collective association with transgender adults’ psychological wellbeing, hindering identification this potential social determinant mental health inequity. Methods: We therefore used factor analysis to develop a more comprehensive structural...

Hundreds of youth psychotherapy randomized trials have generated scores helpful empirically supported treatments (ESTs). However, the standardized structure many ESTs and their focus on a single disorder or homogeneous cluster problems may not be ideal for clinically referred youths who comorbidity whose treatment needs shift from week to week. This concern has prompted development flexible transdiagnostic, modular psychotherapies. One these, designed efficient training implementation, is...

<title>Abstract</title> Black and Latinx youth experience advanced pubertal development relative to their same-aged, non-stigmatized peers. Research on determinants of this increased risk has focused almost exclusively aspects individuals (e.g., body-mass index) or proximal environment socioeconomic status), the exclusion broader macro-social factors. Using two years Adolescent Brain Cognitive Development Study® data, we examined whether structural stigma state-level policies, aggregated...

Hypervigilance is often theoretically invoked as a psychological mechanism linking stigma to internalizing psychopathology among sexual minorities. Empirically, however, hypervigilance rarely explicitly assessed, but instead commonly conflated with putatively related constructs, including orientation-related rejection sensitivity and rumination, hindering conceptual mechanistic understandings of this process. We therefore embedded measure within longitudinal, population-based study 811...

Transgender and gender diverse (TGD) adolescents their caregivers have highlighted the dearth of providers trained in gender-affirming care as a critical treatment barrier, yet little is known about specific experiences mental health therapy. The present study sought to elucidate these experiences. Qualitative description was employed code data from 105 clinical interviews completed with TGD (n=49; ages 11–20) or (n=65) seeking medical transition services at pediatric program U.S....

Objective: We examined whether anti-Black cultural racism moderates the efficacy of psychotherapy interventions among youth.Method: analyzed a subset studies from previous meta-analysis five decades youth randomized controlled trials. Studies were published in English between 1963 and 2017 identified through systematic search. The 194 (N=14,081; ages 2-19) across 34 states comprised 2,678 effect sizes (ESs) measuring mental health problems (e.g., depression) targeted by interventions....

Objective: Gender minority youth (i.e., children/adolescents whose gender identity and/or expression is inconsistent with their birth-assigned sex) experience elevated rates of emotional and behavioral problems relative to cisgender (who identify sex), which are not intrinsic but attributable unique stressors. Although empirically-supported treatments have proven effective in treating these mental health concerns generally, randomized controlled trials examined effects for youth.Method: To...

Hundreds of youth psychotherapy randomized trials have generated scores helpful empirically supported treatments (ESTs). However, the standardized structure many ESTs and their focus on a single disorder or homogeneous cluster problems may not be ideal for clinically referred youths who comorbidity whose treatment needs shift from week to week. This concern has prompted development flexible transdiagnostic, modular psychotherapies. One these, designed efficient training implementation, is...