Internalized homophobia and relationship quality among lesbians, gay men, and bisexuals.
Open accessAbstract
We examined the associations between internalized homophobia, outness, community connectedness, depressive symptoms, and relationship quality among a diverse community sample of 396 lesbian, gay, and bisexual (LGB) individuals. Structural equation models showed that internalized homophobia was associated with greater relationship problems both generally and among coupled participants independent of outness and community connectedness. Depressive symptoms mediated the association between internalized homophobia and relationship problems. This study improves current understandings of the association between internalized homophobia and relationship quality by distinguishing between the effects of the core construct of internalized homophobia and its correlates and outcomes. The findings are useful for counselors interested in interventions and treatment approaches to help LGB individuals cope with internalized homophobia and relationship problems.
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Cognitive biases such as fears of gay-related rejection may have been adaptive in early development but may be presently maladaptive in safer contexts and may impair relationships with heterosexuals and other gay and bisexual men.
“While the development of cognitive biases, such as fears of gay-related rejection, may have been adaptive across some gay and bisexual men’s early development because it kept them safe from harm, such biases may be presently maladaptive especially in safer contexts (Pachankis & Goldfried, 2006) and might impair healthy relationships both with heterosexuals (e.g., Pachankis et al., 2008) and other”
From A transdiagnostic minority stress treatment approach for gay and bisexual men's syndemic health conditions (2015) · cites this paper as Frost & Meyer, 2009
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InfluentialSelf-citationPrejudice as stress: Conceptual and measurement problems
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“…problems, this finding is not surprising given recent calls by psychologists to avoid seeing outness as an indication of internalized homophobia (Eliason & Schope, 2007) and research that showed that internalized homophobia was negatively related to relationship quality, but outness was not…”
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A Dual-Identity Framework for Understanding Lesbian Experience
Fingerhut, A. W., Peplau, L. A., & Ghavami, N. (2005) · Psychology of Women Quarterly · doi:10.1111/j.1471-6402.2005.00175.x · Cited by 85 · see citing works
Lesbian sexuality/female sexuality: Rethinking 'lesbian bed death'
Nichols, M. F. (2004) · Sexual & Relationship Therapy · doi:10.1080/14681990412331298036 · Cited by 81 · cited 1× · see citing works
“Although there is less research about sexual intimacy among women, internalized homophobia has also been implicated in sexual problems among lesbians and bisexual women (Nichols, 2004).”
BackgroundCloseting and the Quality of Lesbian Relationships
Caron, S. L., & Ulin, M. (1997) · Families in Society The Journal of Contemporary Social Services · doi:10.1606/1044-3894.799 · Cited by 81 · cited 1× · see citing works
“For example, outness has been shown to be indicative of better relationship quality by some researchers (Caron & Ulin, 1997; LaSala, 2000), whereas others have found that outness was not related to relationship quality (Balsam & Szymanski, 2005; Beals & Peplau, 2001).”
Internalized Homophobia and Psychosexual Adjustment among Gay Men
Dupras, A. (1994) · Psychological Reports · doi:10.2466/pr0.1994.75.1.23 · Cited by 73 · cited 2× · see citing works
“…of internalized homophobia are associated with greater sexual depression , sexual anxiety, sexual image concern, and fear of sexuality as well as lower levels of sexual esteem and sexual satisfaction and are predictive of sexual problems among gay and bisexual men (Dupras, 1994; Meyer, 1995).”
Social Involvement, Disclosure of Sexual Orientation, and the Quality of Lesbian Relationships
Beals, K. P., & Peplau, L. A. (2001) · Psychology of Women Quarterly · doi:10.1111/1471-6402.00002 · Cited by 57 · cited 1× · see citing works
“For example, outness has been shown to be indicative of better relationship quality by some researchers (Caron & Ulin, 1997; LaSala, 2000), whereas others have found that outness was not related to relationship quality (Balsam & Szymanski, 2005; Beals & Peplau, 2001).”
The Marriage Debate and Minority Stress
Riggle, E. D. B., Thomas, Q. J., & Rostosky, S. S. (2005) · PS Political Science & Politics · doi:10.1017/s1049096505056337 · Cited by 42 · cited 1× · see citing works
“Riggle, Thomas, and Rostosky (2005) noted that the present debate on marriage rights creates a " majority tyranny " that is on its own psychologically harmful to LGB individuals.”
Sexual and intimacy dysfunction among homosexual men and women.
Coleman, E., Rosser, B. R. S., & Strapko, N. (1992) · PubMed · Cited by 41 · see citing works
Biss, W. J., & Horne, S. G. (2005) · Journal of Constructivist Psychology · doi:10.1080/10720530590523044 · Cited by 35 · cited 2× · see citing works
“Few, however, have empirically studied whether internalized homophobia and depressive symptoms are independently related to relationship quality (Biss & Horne, 2005).”
Cultural Value Orientations, Internalized Homophobia, and Accommodation in Romantic Relationships
Gaines, S. O., Henderson, M. C., Kim, M., Gilstrap, S. C., Yi, J., Rusbult, C. E., Hardin, D. P., & Gaertner, L. (2005) · Journal of Homosexuality · doi:10.1300/j082v50n01_05 · Cited by 35 · see citing works
Frost, D. M., & Bastone, L. (2008) · Journal of LGBT Youth · doi:10.1300/j524v05n01_04 · Cited by 32 · cited 1× · see citing works
“For example, others' knowledge of one's sexual orientation was shown to be related to external pressures such as having experienced discrimination and physical and verbal abuse (Frost & Bastone, 2007; Schope, 2004), suggesting that choosing not to disclose can be self-protective.”
Self-citationSchope, R. D. (2004) · Smith College Studies in Social Work · doi:10.1080/00377310409517715 · Cited by 14 · cited 2× · see citing works
“For example, others’ knowledge of one’s sexual orientation was shown to be related to external pressures such as having experienced discrimination and physical and verbal abuse (Frost & Bastone, 2007; Schope, 2004), suggesting that choosing not to disclose can be self-protective.”
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- Ouellette SC Dohrenwend BP 1998 The value and limitations of stress models in HIV/AIDS Adversity, stress, and psycho-pathology 142 160 New York Oxford University Press
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Internalized stigma among sexual minority adults: Insights from a social psychological perspective.
Herek, G. M., Gillis, J. R., & Cogan, J. C. (2009) · Journal of Counseling Psychology · doi:10.1037/a0014672 · Cited by 982 · see citing works
“…homophobia” and related constructs have reflected differing assumptions about exactly which phenomena should be considered direct manifestations of sexual self-stigma and which should be regarded as its antecedents, correlates, or consequences (e.g., Frost & Meyer, 2009; Shidlo, 1994).”
BackgroundMinority stress and physical health among sexual minority individuals
Frost, D. M., Lehavot, K., & Meyer, I. H. (2015) · Journal of Behavioral Medicine · doi:10.1007/s10865-013-9523-8 · Cited by 665 · see citing works
“The current study included a modified version (presented in Frost & Meyer, 2009) that assessed how often participants have ‘‘wished you weren’t gay,’’ ‘‘felt alienated from yourself because of being gay,’’ and ‘‘felt that being gay is a personal shortcoming.’’”
MethodSelf-citationThe impact of minority stress on mental health and substance use among sexual minority women.
Lehavot, K., & Simoni, J. M. (2011) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0022839 · Cited by 652 · see citing works
“The measure has good face validity, construct validity, and internal consistency (Frost & Meyer, 2009).”
BackgroundPachankis, J. E., Hatzenbuehler, M. L., Rendina, H. J., Safren, S. A., & Parsons, J. T. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000037 · Cited by 619 · see citing works
Measuring Community Connectedness among Diverse Sexual Minority Populations
Frost, D. M., & Meyer, I. H. (2011) · The Journal of Sex Research · doi:10.1080/00224499.2011.565427 · Cited by 561 · see citing works
“For example, intergenerational and life-course differences should be expected and may affect the measure's properties (Frost & Meyer, 2009 ; Kertzner et al, 2009 ; Van Dyke & Cress, 2006 ).”
Self-citationMultiple minority stress and LGBT community resilience among sexual minority men.
McConnell, E. A., Janulis, P. F., Phillips, G., Truong, R., & Birkett, M. A. (2018) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000265 · Cited by 458 · see citing works
“Resilience, or the ability to mitigate the adverse impact of stress and thrive in the face of adversity, is a critical element of minority stress theory (Frost & Meyer, 2009; Meyer, 2015).”
Kertzner, R. M., Meyer, I. H., Frost, D. M., & Stirratt, M. J. (2009) · American Journal of Orthopsychiatry · doi:10.1037/a0016848 · Cited by 439 · see citing works
“Little is known about the effects of minority stress on social well-being despite the inherently social nature of stigmatization and the tasks of psychosocial development undertaken by LGB persons to overcome this stigmatization, such as establishing new social networks, cultivating a positive in-group minority identi…”
BackgroundSelf-citationSexual orientation concealment and mental health: A conceptual and meta-analytic review.
Pachankis, J. E., Mahon, C. P., Jackson, S. D., Fetzner, B. K., & Bränström, R. (2020) · Psychological Bulletin · doi:10.1037/bul0000271 · Cited by 433 · see citing works
Perceived experiences of anti-bisexual prejudice: Instrument development and evaluation.
Brewster, M. E., & Moradi, B. (2010) · Journal of Counseling Psychology · doi:10.1037/a0021116 · Cited by 433 · see citing works
Identity, Stress, and Resilience in Lesbians, Gay Men, and Bisexuals of Color
Meyer, I. H. (2010) · The Counseling Psychologist · doi:10.1177/0011000009351601 · Cited by 379 · see citing works
“The availability and use of group-level resources are important to counter societal stressors related to prejudice, for example, by reducing internalized homophobia and improving well-being (Frost & Meyer, 2009; Kertzner, Meyer, Frost, & Stirratt, in press).”
BackgroundSelf-citationThe relationship between minority stress and biological outcomes: a systematic review
Flentje, A., Heck, N. C., Brennan, J. M., & Meyer, I. H. (2020) · Journal of Behavioral Medicine · doi:10.1007/s10865-019-00120-6 · Cited by 368 · see citing works
Self-citationBarnes, D. M., & Meyer, I. H. (2012) · American Journal of Orthopsychiatry · doi:10.1111/j.1939-0025.2012.01185.x · Cited by 362 · see citing works
“…outcomes, including anxiety, depression, suicidal ideation, sexual risk-taking, problems in intimacy, and lower well-being and overall self-esteem (Frost & Meyer, 2009; Herek, Gillis, & Cogan, 2009; Herek & Glunt, 1995; Meyer, 1995; Meyer & Dean, 1998; Rowen & Malcolm, 2002; Williamson, 2000).”
BackgroundSelf-citationSocial Stigma and its Consequences for the Socially Stigmatized
Frost, D. M. (2011) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2011.00394.x · Cited by 307 · see citing works
“These proximal sources of stigma-related stress still stem from the prevailing culture of social stigma, and should not be reduced to personality traits or internally generated processes (Frost & Meyer, 2009; Russell & Bohan, 2006).”
BackgroundInfluentialSelf-citationResilience in Lesbian, Gay, and Bisexual Individuals
Kwon, P. H. (2013) · Personality and Social Psychology Review · doi:10.1177/1088868313490248 · Cited by 297 · see citing works
“In addition, some studies failed to find a correlation between outness and psychological distress (Frost & Meyer, 2009; Lewis, Derlega, Griffin, & Krowinski, 2003; Oetjen & Rothblum, 2000) or relationship satisfaction (Frost & Meyer, 2009).”
BackgroundMinority Stress and Stress Proliferation Among Same‐Sex and Other Marginalized Couples
LeBlanc, A. J., Frost, D. M., & Wight, R. G. (2015) · Journal of Marriage and the Family · doi:10.1111/jomf.12160 · Cited by 293 · see citing works
“…within-group studies have consistently demonstrated negative effects of minority stress on the mental health of sexual minority persons (e.g., Frost & Meyer, 2009; Frost, Parsons, & Nanín, 2007; Hatzenbuehler, Nolen-Hoeksema, & Erickson, 2008; Igartua, Gill, & Montoro, 2003; Meyer, 1995;…”
BackgroundSelf-citationPachankis, J. E., Clark, K. A., Burton, C. L., Hughto, J. M. W., Bränström, R., & Keene, D. E. (2020) · Journal of Personality and Social Psychology · doi:10.1037/pspp0000282 · Cited by 290 · see citing works
“Research demonstrates associations between this scale and internalized homonegativity and gay community connectedness (Frost & Meyer, 2009).”
BackgroundMethodGamarel, K. E., Reisner, S. L., Laurenceau, J., Nemoto, T., & Operario, D. (2014) · Journal of Family Psychology · doi:10.1037/a0037171 · Cited by 280 · see citing works
“These findings suggest that both transgender women and their male partners may internalize negative messages about transgender people, which may diminish their own psychological wellbeing (Frost & Meyer, 2009).”
BackgroundInfluentialPhysical Dating Violence, Sexual Violence, and Unwanted Pursuit Victimization
Edwards, K. M., Sylaska, K. M., Barry, J. E., Moynihan, M. M., Banyard, V. L., Cohn, E. S., Walsh, W. A., & Ward, S. (2014) · Journal of Interpersonal Violence · doi:10.1177/0886260514535260 · Cited by 279 · see citing works
“Minority stress variables have also been linked with decreased relationship quality, which in turn increases the risk for physical DV in relationship (Frost & Meyer, 2009).”
BackgroundIntimate Justice: A Critical Analysis of Sexual Satisfaction
McClelland, S. I. (2010) · Social and Personality Psychology Compass · doi:10.1111/j.1751-9004.2010.00293.x · Cited by 271 · see citing works
“For example, the minority stress model links sexual inequality (and related experiences of discrimination, stigma, and rejection) with decreased well-being, frequently observed through increased rates of depression (Frost & Meyer, 2009; Meyer, 2003).”
BackgroundSocial support networks among diverse sexual minority populations.
Frost, D. M., Meyer, I. H., & Schwartz, S. (2016) · American Journal of Orthopsychiatry · doi:10.1037/ort0000117 · Cited by 265 · see citing works
Self-citationGoldberg, A. E., & Smith, J. Z. (2010) · Journal of Counseling Psychology · doi:10.1037/a0021684 · Cited by 258 · see citing works
“The CES-D has established validity, and prior studies of lesbians and gay men show that the CES-D has good internal consistency in these populations (David & Knight, 2008; Frost & Meyer, 2009).”
BackgroundResultEffects of Family and Friend Support on LGB Youths' Mental Health and Sexual Orientation Milestones
Shilo, G., & Savaya, R. (2011) · Family Relations · doi:10.1111/j.1741-3729.2011.00648.x · Cited by 255 · see citing works
Meyer, I. H., Russell, S. T., Hammack, P. L., Frost, D. M., & Wilson, B. D. M. (2021) · PLOS ONE · doi:10.1371/journal.pone.0246827 · Cited by 249 · see citing works
“By extension, internalizing, or proximal, minority stressors, such as internalized homophobia—a minority stressor that is a significant predictor of adverse health and well-being [37]— PLOS ONE Minority stress in 3 cohorts of sexual minority adults”
BackgroundSelf-citationThe Perpetration of Intimate Partner Violence among LGBTQ College Youth: The Role of Minority Stress
Edwards, K. M., & Sylaska, K. M. (2013) · Journal of Youth and Adolescence · doi:10.1007/s10964-012-9880-6 · Cited by 245 · see citing works
Religious Conflict, Sexual Identity, and Suicidal Behaviors among LGBT Young Adults
Gibbs, J. J., & Goldbach, J. T. (2015) · Archives of Suicide Research · doi:10.1080/13811118.2015.1004476 · Cited by 234 · see citing works
Brewster, M. E., Moradi, B., DeBlaere, C., & Velez, B. L. (2013) · Journal of Counseling Psychology · doi:10.1037/a0033224 · Cited by 224 · see citing works
“…internalized homonegativity, and internalized sexual stigma, is related positively to psychological distress and negatively to psychological well-being (e.g., Frost & Meyer, 2009; Lewis, Derlega, Griffin, & Krowinski, 2003; Mays & Cochran, 2001; Meyer, 1995; Newcomb & Mustanski, 2010).”
BackgroundFredriksen‐Goldsen, K. I., Kim, H., Bryan, A. E. B., Shiu, C. A., & Emlet, C. A. (2016) · The Gerontologist · doi:10.1093/geront/gnw170 · Cited by 222 · see citing works
“…internalize societal prejudice against sexual and gender minorities (Herek, Gillis, & Cogan, 2015), which has been associated with social constraints (Frost & Meyer, 2009), mental health problems (Newcomb & Mustanski, 2010), and physical health symptoms (Lewis, Derlega, Clarke, & Kuang, 2006).”
BackgroundMoradi, B., Mohr, J. J., Worthington, R. L., & Fassinger, R. E. (2009) · Journal of Counseling Psychology · doi:10.1037/a0014572 · Cited by 218 · see citing works
“Frost and Meyer (2009, this issue) argued for the importance of conceptual clarity when investigating internalized heterosexism and, in particular, for defining the construct as application of anti-LGB attitudes to the self.”
BackgroundPachankis, J. E. (2015) · Archives of Sexual Behavior · doi:10.1007/s10508-015-0480-x · Cited by 205 · see citing works
Queer Intimacies: A New Paradigm for the Study of Relationship Diversity
Hammack, P. L., Frost, D. M., & Hughes, S. D. (2018) · The Journal of Sex Research · doi:10.1080/00224499.2018.1531281 · Cited by 200 · see citing works
“Sexual minorities in same-sex relationships experience stigmatization specific to their relationships on an interpersonal level (Diamond, 2006; Frost & Meyer, 2009; Green & Mitchell, 2002; Peplau & Fingerhut, 2007).”
Self-citationThe mental health of sexual minority adults in and out of the closet: A population-based study.
Pachankis, J. E., Cochran, S. D., & Mays, V. M. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/ccp0000047 · Cited by 197 · see citing works
Shilo, G., & Savaya, R. (2012) · Journal of Research on Adolescence · doi:10.1111/j.1532-7795.2011.00772.x · Cited by 194 · see citing works
“, Green, 2000). Weston (1991) has even gone as far as to contend that LGBs create a “family of choice” consisting of close and supportive friends.”
BackgroundA multifactor Lesbian, Gay, and Bisexual Positive Identity Measure (LGB-PIM).
Riggle, E. D. B., Mohr, J. J., Rostosky, S. S., Fingerhut, A. W., & Balsam, K. F. (2014) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000057 · Cited by 193 · see citing works
“For example, past studies have used measures of disclosure (outness) as a possible explanatory factor for both well-being and distress (e.g., Feldman & Wright, 2013; Frost & Meyer, 2009).”
Logie, C. H., Newman, P. A., Chakrapani, V., & Shunmugam, M. (2012) · Social Science & Medicine · doi:10.1016/j.socscimed.2012.01.008 · Cited by 189 · see citing works
“Extensive evidence demonstrates that sexual minorities are disproportionately affected by stigma and discrimination (e.g. Frisell, Lichenstein, Rahman, & Langstrom, 2010; Frost & Meyer, 2009; Hatzenbuehler, Nolen-Hoeksema, & Erickson, 2008; Wohl et al., 2011).”
BackgroundHall, W. J., Dawes, H. C., & Plocek, N. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.753954 · Cited by 189 · see citing works
Wight, R. G., LeBlanc, A. J., & Badgett, M. V. L. (2012) · American Journal of Public Health · doi:10.2105/ajph.2012.301113 · Cited by 188 · see citing works
Johns, M. M., Beltrán, Ó., Armstrong, H. L., Jayne, P. E., & Barrios, L. C. (2018) · The Journal of Primary Prevention · doi:10.1007/s10935-018-0508-9 · Cited by 189 · see citing works
Conceptualizing the closet: Differentiating stigma concealment and nondisclosure processes.
Jackson, S. D., & Mohr, J. J. (2015) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000147 · Cited by 184 · see citing works
Social Stigma and Sexual Minorities’ Romantic Relationship Functioning
Doyle, D. M., & Molix, L. A. (2015) · Personality and Social Psychology Bulletin · doi:10.1177/0146167215594592 · Cited by 155 · see citing works
“…demonstrate deleterious associations between social stigma and romantic relationship functioning for sexual minorities (e.g., Doyle & Molix, 2014a; Frost & Meyer, 2009), results have not been entirely consistent (e.g., Balsam & Szymanski, 2005; Kamen et al., 2011; Otis, Rostosky, Riggle, &…”
BackgroundResultCollective self-esteem as a coping resource for male-to-female transsexuals.
Sánchez, F. J., & Vilain, E. J. N. (2009) · Journal of Counseling Psychology · doi:10.1037/a0014573 · Cited by 154 · see citing works
“This also seems consistent with minority stress theory (Frost & Meyer, 2009).”
BackgroundResultInfluentialPrevention of sexual violence among college students: Current challenges and future directions
Bonar, E. E., DeGue, S. A., Abbey, A., Coker, A. L., Lindquist, C., McCauley, H. L., Miller, E. P., Senn, C. Y., Thompson, M. P., Ngo, Q., et al. (2020) · Journal of American College Health · doi:10.1080/07448481.2020.1757681 · Cited by 157 · see citing works
“They often experience discrimination related to these aspects of their identities, 62–64 which fuels violence perpetration against them, 65 fosters feelings of internalized homonegativity 66–68 and hinders disclosure of victimization.”
BackgroundHerrick, A. L., Stall, R., Chmiel, J. S., Guadamuz, T. E., Penniman, T., Shoptaw, S., Ostrow, D., & Plankey, M. W. (2013) · AIDS and Behavior · doi:10.1007/s10461-012-0392-x · Cited by 145 · see citing works
“IHP has been shown to be associated with a set of health problems among gay and bisexual men including depression and anxiety [31], eating disorders [32], relationship problems [33], sexual compulsivity [34], substance use [35], high risk sexual behaviors [36] and syndemic production (i.”
BackgroundChallenges and Opportunities for Research on Same‐Sex Relationships
Umberson, D., Thomeer, M. B., Kroeger, R. A., Lodge, A. C., & Xu, M. (2015) · Journal of Marriage and the Family · doi:10.1111/jomf.12155 · Cited by 144 · see citing works
“For example, Frost and Meyer (2009) found that higher J Marriage Fam.”
BackgroundMinority Stress and Psychological Distress Among Asian American Sexual Minority Persons 1Ψ7
Szymanski, D. M., & Sung, M. R. (2010) · The Counseling Psychologist · doi:10.1177/0011000010366167 · Cited by 140 · see citing works
“In contrast to these findings, Frost and Meyer (2009) found no unique links between outness and depressive symptoms and relationship problems among 396 LGBTQ persons. Clearly, more research examining the relationship between outness and mental health is needed. Although Meyer’s (2003) Minority Stress Theory posits dir…”
ResultHammack, P. L., & Cohler, B. J. (2011) · Sexuality Research and Social Policy · doi:10.1007/s13178-011-0060-3 · Cited by 137 · see citing works
“While there is still much stigma and discrimination that both young people and adults expressing same-sex attraction experience (e.g., Frost and Bastone 2008; Frost and Meyer 2009; Meyer 2003), a combination of state and”
BackgroundIdentifying Systematic Disobedience in Milgram's Obedience Experiments: A Meta-Analytic Review
Packer, D. J. (2008) · Perspectives on Psychological Science · doi:10.1111/j.1745-6924.2008.00080.x · Cited by 133 · see citing works
Baldwin, A., Dodge, B., Schick, V., Light, B., Scharrs, P. W., Herbenick, D., & Fortenberry, J. D. (2018) · Journal of Health Care for the Poor and Underserved · doi:10.1353/hpu.2018.0097 · Cited by 132 · see citing works
Minority Stress and Intimate Partner Violence Among Gay and Bisexual Men in Atlanta
Stephenson, R., & Finneran, C. (2016) · American Journal of Men's Health · doi:10.1177/1557988316677506 · Cited by 121 · see citing works
“Internalized homophobia has been linked to poor relationship quality among gay men (Frost & Meyer, 2009).”
BackgroundCouple-level Minority Stress: An Examination of Same-sex Couples’ Unique Experiences
Frost, D. M., LeBlanc, A. J., de Vries, B., Alston-Stepnitz, E., Stephenson, R. B., & Woodyatt, C. R. (2017) · Journal of Health and Social Behavior · doi:10.1177/0022146517736754 · Cited by 130 · see citing works
Self-citationHomelessness among youth who identify as LGBTQ+: A systematic review
McCann, E., & Brown, M. J. (2019) · Journal of Clinical Nursing · doi:10.1111/jocn.14818 · Cited by 129 · see citing works
“…discrimination experiences (Durso & Gates, 2012, Abramovich 2013, Tyler et al., 2012, Shelton et al., 2018) Stigma and discrimination‐related experiences can have a serious effect on an individual's sense of safety and well‐being and can lead to minority stress (Frost & Meyer, 2009; Meyer, 2015).”
BackgroundValdiserri, R. O., Holtgräve, D. R., Poteat, T., & Beyrer, C. (2018) · Journal of Homosexuality · doi:10.1080/00918369.2017.1422944 · Cited by 129 · see citing works
“Among LGB persons, internalized homophobia/homonegativity has been shown to be associated with greater relationship problems, both generally and among couples (Frost & Meyer, 2009).”
BackgroundWight, R. G., LeBlanc, A. J., Meyer, I. H., & Harig, F. A. (2015) · Social Science & Medicine · doi:10.1016/j.socscimed.2015.10.066 · Cited by 125 · see citing works
“Internalized Homophobia was a count of 4 items adapted from Frost and Meyer (2009) assessing any occurrence in the past year of the following sentiments: felt it best to avoid personal or social involvement with gay people, tried to stop being attracted to men, felt that my sexual orientation was a…”
BackgroundSelf-citationMorandini, J. S., Blaszczynski, A. P., Dar‐Nimrod, I., & Ross, M. W. (2015) · Australian and New Zealand Journal of Public Health · doi:10.1111/1753-6405.12364 · Cited by 123 · see citing works
Minority Stressors, Rumination, and Psychological Distress in Lesbian, Gay, and Bisexual Individuals
Timmins, L., Rimes, K. A., & Rahman, Q. (2019) · Archives of Sexual Behavior · doi:10.1007/s10508-019-01502-2 · Cited by 126 · see citing works
Living Arrangement and Loneliness Among Lesbian, Gay, and Bisexual Older Adults
Kim, H., & Fredriksen‐Goldsen, K. I. (2014) · The Gerontologist · doi:10.1093/geront/gnu083 · Cited by 119 · see citing works
Minority stress, substance use, and intimate partner violence among sexual minority women
Lewis, R. J., Milletich, R. J., Kelley, M. L., & Woody, A. (2012) · Aggression and Violent Behavior · doi:10.1016/j.avb.2012.02.004 · Cited by 119 · see citing works
Szymanski, D. M., & Henrichs-Beck, C. (2014) · Sex Roles · doi:10.1007/s11199-013-0329-5 · Cited by 116 · see citing works
“…selfesteem, depression, connection with and feelings toward the lesbian, gay, and bisexual community, degree of outness, and perceived stigma related to being lesbian, gay, or bisexual (Frost and Meyer 2009; Herek et al. 1998, 2000; Szymanski and Kashubeck-West 2008; Szymanski and Owens 2008).”
BackgroundLogie, C. H. (2012) · American Journal of Public Health · doi:10.2105/ajph.2011.300599 · Cited by 116 · see citing works
Shilo, G., Antebi‐Gruszka, N., & Mor, Z. (2014) · American Journal of Community Psychology · doi:10.1007/s10464-014-9693-8 · Cited by 115 · see citing works
“These include social support, being in a relationship, community connectedness, and higher levels of outness among others (Frost and Meyer 2009; Meyer 2003, 2010).”
BackgroundMasculine gender role conflict and negative feelings about being gay.
Sánchez, F. J., Westefeld, J. S., Liu, W. M., & Vilain, E. J. N. (2010) · Professional Psychology Research and Practice · doi:10.1037/a0015805 · Cited by 114 · see citing works
“If so, how can practitioners address this issue with gay men, especially since it is well established that negative feelings about the self adversely affect psychological well-being (e.g., Frost & Meyer, 2009; Szymanski & Gupta, 2009)?”
BackgroundPuckett, J. A., Newcomb, M. E., Ryan, D. T., Swann, G., Garofalo, R., & Mustanski, B. S. (2016) · Sexuality Research and Social Policy · doi:10.1007/s13178-016-0258-5 · Cited by 113 · see citing works
“fears of coming out) are also less likely to be connected to a gay community (Frost and Meyer 2009) and subsequently the associated bar cultures which have been associated with com-”
BackgroundIncrease in GLBTQ Minority Stress Following the 2016 US Presidential Election
Gonzalez, K. A., Ramirez, J. L., & Galupo, M. P. (2018) · Journal of GLBT Family Studies · doi:10.1080/1550428x.2017.1420849 · Cited by 113 · see citing works
“Research indicates that a strong connection or sense of connectedness to the GLBTQ community can protect against the negative mental and physical effects of minority stress experiences (Frost & Meyer, 2009).”
BackgroundInternalized stigma within sexual and gender minorities: Change strategies and clinical implications
Puckett, J. A., & Levitt, H. M. (2015) · Journal of LGBT Issues in Counseling · doi:10.1080/15538605.2015.1112336 · Cited by 112 · see citing works
“Also, in a racially diverse sample of lesbians, gay men, and bisexual men and women, Frost and Meyer (2009) found that individuals with higher levels of internalized heterosexism had higher levels of relationship problems, mediated by depression symptoms.”
BackgroundA framework for incorporating minority stress theory into treatment with sexual minority clients
Alessi, E. J. (2014) · Journal of Gay & Lesbian Mental Health · doi:10.1080/19359705.2013.789811 · Cited by 108 · see citing works
“Some LGB people may decide not to reveal their sexual orientation in certain situations, even if they completely accept their LGB identity, indicating that outness may be influenced by situational and environmental circumstances rather than internal conflict (Frost & Meyer, 2009).”
BackgroundDepression and Suicidality in Gay Men: Implications for Health Care Providers
Lee, C., Oliffe, J. L., Kelly, M. T., & Ferlatte, O. (2017) · American Journal of Men s Health · doi:10.1177/1557988316685492 · Cited by 107 · see citing works
Burton, C. L., Wang, K., & Pachankis, J. E. (2019) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2017.05.001 · Cited by 105 · see citing works
Stress Spillover and Crossover in Same-Sex Couples: Concurrent and Lagged Daily Effects
Totenhagen, C. J., Randall, A. K., Cooper, A. N., Tao, C., & Walsh, K. J. (2016) · Journal of GLBT Family Studies · doi:10.1080/1550428x.2016.1203273 · Cited by 97 · see citing works
“…which stress is associated with individual-level outcomes (e.g., mental health; LeBlanc et al., 2015; Meyer, 1995), rather than relational outcomes (e.g., relationship quality; some exceptions include Frost & Meyer, 2009; Otis, Rostosky, Riggle, & Hamrin, 2006; Totenhagen, Butler, & Ridley, 2012).”
BackgroundElmer, E. M., van Tilburg, T. G., & Fokkema, T. (2022) · Archives of Sexual Behavior · doi:10.1007/s10508-021-02132-3 · Cited by 101 · see citing works
“***p < .001, **p < .01 1 3 relationships are inferior or dysfunctional may reduce trust, commitment, and intimacy; and may increase relationship conflict and dissatisfaction (Cao et al., 2017; Downs, 2012; Doyle & Molix, 2015; Frost & Meyer, 2009).”
BackgroundInfluentialA Systematic Review of Instruments That Measure Attitudes Toward Homosexual Men
Grey, J. A., Robinson, B. “. E., Coleman, E., & Bockting, W. O. (2013) · The Journal of Sex Research · doi:10.1080/00224499.2012.746279 · Cited by 95 · see citing works
Meyer, I. H. (2016) · Psychology of Sexualities Review · doi:10.53841/bpssex.2016.7.1.81 · Cited by 92 · see citing works
“In the literature on sexual identity, especially, but also in the literature on transgender people, internalised stigma has been seen as a major insidious stressor that adversely affects the health of LGBT people (Frost & Meyer, 2009; Newcomb & Mustanski, 2010; Testa et al., 2015).”
BackgroundSelf-citationRape Prevention and Risk Reduction: Review of the Research Literature for Practitioners
Lonsway, K. A., Banyard, V. L., Berkowitz, A. D., Gidycz, C. A., Katz, J., Ross, M. P., Schewe, P. A., Ullman, S. E., & Edwards, D. F. (2009) · University of New Hampshire Scholars Repository (University of New Hampshire at Manchester) · Cited by 88 · see citing works
Thoma, B. C., Eckstrand, K. L., Montano, G. T., Rezeppa, T. L., & Marshal, M. P. (2021) · Perspectives on Psychological Science · doi:10.1177/1745691620968766 · Cited by 93 · see citing works
“Closer ties to the LGB community could confer protective properties against minority stress given that researchers have indicated that affiliation with the LGB community is negatively associated with internalized homonegativity (Frost & Meyer, 2009).”
BackgroundBody dissatisfaction and sexual orientations: A quantitative synthesis of 30 years research findings
He, J., Sun, S., Lin, Z., & Fan, X. (2020) · Clinical Psychology Review · doi:10.1016/j.cpr.2020.101896 · Cited by 84 · see citing works
McLaren, S. (2015) · Journal of Homosexuality · doi:10.1080/00918369.2015.1083779 · Cited by 86 · see citing works
“Internalized homophobia has been directly related to depression among GLB adults (e.g., Frost & Meyer, 2009; Gold, Marx, & Lexington, 2007; Goldberg & Smith, 2011; Igartua et al., 2003; Szymanski et al., 2001; see Newcomb & Mustanski, 2010, for a review).”
BackgroundBaiocco, R., Argalia, M., & Laghi, F. (2012) · Journal of Family Issues · doi:10.1177/0192513x12464872 · Cited by 83 · see citing works
“This study suggests that what is most necessary is social policy reform to eliminate social and structural inequalities surrounding the pursuit of intimacy to reduce disparities in intimacyrelated stressors of lesbians and gay men (Frost, 2011; Frost & Meyer, 2009).”
BackgroundMorandini, J. S., Blaszczynski, A. P., Ross, M. W., Costa, D. S. J., & Dar‐Nimrod, I. (2015) · Journal of Counseling Psychology · doi:10.1037/cou0000072 · Cited by 83 · see citing works
“Research has shown that internalized homonegativity has an adverse effect on a range of psychosocial outcomes in gay men (Frost & Meyer, 2009; Newcomb & Mustanski, 2010; Rosser, Bockting, Ross, Miner & Coleman, 2008; Williamson, 2000).”
BackgroundReisner, S. L., Gamarel, K. E., Nemoto, T., & Operario, D. (2014) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/0000013 · Cited by 83 · see citing works
“Minority stressors are theorized to lead to relationship strain and disrupt relationship satisfaction(Frost & Meyer, 2009; Otis, Rostosky, Riggle, & Hamrin, 2006).”
BackgroundPrendergast, S., & MacPhee, D. (2017) · Family Relations · doi:10.1111/fare.12296 · Cited by 79 · see citing works
Totenhagen, C. J., Randall, A. K., & Lloyd, K. (2018) · Family Relations · doi:10.1111/fare.12311 · Cited by 79 · see citing works
Moody, R. L., Starks, T. J., Grov, C., & Parsons, J. T. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-017-1009-2 · Cited by 79 · see citing works
“Theassociation between IHand psychologicaldistress among GBM is well documented (Burns, Kamen, Lehman, & Beach, 2012; Frost & Meyer, 2009; Gold, Marx, & Lexington, 2007; Morandini, Blaszczynski, Ross, Costa, & Dar-Nimrod, 2015; Wagner, Brondolo, & Rabkin, 1997).”
McCann, E., & Brown, M. J. (2017) · Journal of Clinical Nursing · doi:10.1111/jocn.13913 · Cited by 82 · see citing works
The Multiple Stigma Experience and Quality of Life in Older Gay Men With HIV
Slater, L. Z., Moneyham, L. L., Vance, D. E., Raper, J. L., Mugavero, M. J., & Childs, G. D. (2014) · Journal of the Association of Nurses in AIDS Care · doi:10.1016/j.jana.2014.06.007 · Cited by 77 · see citing works
“Other studies have demonstrated a relationship between increased homonegativity and strained social relationships (Frost & Meyer, 2009), indicating a decrease in satisfaction of support, but not necessarily availability of support.”
BackgroundInfluentialEdwards, K. M. (2015) · Journal of Interpersonal Violence · doi:10.1177/0886260515618943 · Cited by 77 · see citing works
“Minority stress is also associated with psychological and relational difficulties (e.g., depression, substance use, low relationship quality; Frost & Meyer, 2009; Hatzenbuehler, 2009; McKenry, Serovic, Mason, & Mosak, 1474 Journal of Interpersonal Violence 33(9) 2006), which may increase risk for…”
BackgroundHolman, E. G. (2018) · Journal of Family Theory & Review · doi:10.1111/jftr.12246 · Cited by 78 · see citing works
“First, most studies are cross-sectional and quantitative (e.g., Day & Schoenrade, 2000; Frost & Meyer, 2009; Madera et al., 2012; Ng et al., 2012).”
Thomeer, M. B., Umberson, D., & Reczek, C. (2020) · Journal of Family Theory & Review · doi:10.1111/jftr.12368 · Cited by 76 · see citing works
Toward a queer psychology of affect: restarting from shameful places
Liu, W. (2017) · Subjectivity · doi:10.1057/s41286-016-0014-6 · Cited by 74 · see citing works
Broussard, K. A., Warner, R. H., & Pope, A. R. D. (2017) · Sex Roles · doi:10.1007/s11199-017-0823-2 · Cited by 73 · see citing works
Anderson, S. M. (2020) · Psychology of Women Quarterly · doi:10.1177/0361684320929354 · Cited by 79 · see citing works
“Experiencing discrimination from other LGBQ individuals comprises a potential source of isolation that can disrupt identity development and a healthy selfconcept for LGBQ individuals (Frost & Meyer, 2009; I. H. Meyer, 1995, 2003).”
BackgroundSowe, B. J., Brown, J., & Taylor, A. (2014) · American Journal of Orthopsychiatry · doi:10.1037/ort0000021 · Cited by 72 · see citing works
“…risk behaviors, Hatzenbuehler et al., 2008; rejection sensitivity,Pachankis, Goldfried, & Ramrattan, 2008; problems with interpersonal relationships,Frost & Meyer, 2009; and the propensity to seek conversion 1The use of the term “Christian” is admittedly diverse given the broad array of…”
BackgroundFrost, D. M., Meyer, I. H., Lin, A., Wilson, B. D. M., Lightfoot, M., Russell, S. T., & Hammack, P. L. (2022) · Archives of Sexual Behavior · doi:10.1007/s10508-022-02288-6 · Cited by 71 · see citing works
“Internalized stigma (also called internalized homophobia) refers to the self-application of negative social attitudes prevalent in society about sexual minorities (Frost & Meyer, 2009; Herek, 2009).”
BackgroundSelf-citationEvans, R., Nagoshi, J. L., Nagoshi, C. T., Wheeler, J., & Henderson, J. (2017) · Sexual and Gender Diversity in Social Services · doi:10.1080/10538720.2018.1378144 · Cited by 70 · see citing works
“These internalized feelings and related stressors can sometimes cause students to act negatively toward other LGBTQ identifying students, resulting in internalized homophobia (Frost & Meyer, 2009).”
Background“Same-Sex Relationship in a Straight World”
Kubicek, K., McNeeley, M., & Collins, S. (2015) · Journal of Interpersonal Violence · doi:10.1177/0886260514532527 · Cited by 68 · see citing works
“…and the devaluation of LGBT people and one’s self, and has been found to contribute to lower relationship quality, greater number of relationship problems, and ability to maintain long-term relationships (Frost & Meyer, 2009; Gaines et al., 2005; Meyer & Dean, 1998; Ross & Simon Rosser, 1996).”
BackgroundA biopsychosocial framework for understanding sexual and gender minority health: A call for action
Christian, L. M., Cole, S. W., McDade, T. W., Pachankis, J. E., Morgan, E., Strahm, A. M., & Dush, C. M. K. (2021) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2021.06.004 · Cited by 71 · see citing works
“…minority stressors, including internalized homonegativity and sensitivity to status-based rejection, which are in turn associated with poor mental health and health-risk behaviors (Bockting et al., 2013; Feinstein et al., 2012; Frost et al., 2015; Frost and Meyer, 2009; Pachankis et al., 2015b).”
BackgroundTrombetta, T., & Rolle, L. (2022) · Sexuality Research & Social Policy · doi:10.1007/s13178-022-00761-4 · Cited by 59 · see citing works
DeLonga, K., Torres, H. L., Kamen, C. S., Evans, S. N., Lee, S. S., Koopman, C., & Gore-Felton, C. E. (2011) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720162.2011.581897 · Cited by 68 · see citing works
“…(Allen & Oleson, 1999; Rowen & Malcolm, 2003; Szymanski & Gupta, 2009), internalized shame (Allen & Oleson, 1999), greater relationship problems (Frost & Meyer, 2009), poorer relationship satisfaction (Rowen & Malcolm, 2003), higher levels of psychological distress (Szymanski & Gupta, 2009),…”
A computer-based intervention to reduce internalized heterosexism in men
Lin, Y.-J., & Israel, T. (2012) · Journal of Counseling Psychology · doi:10.1037/a0028282 · Cited by 66 · see citing works
Homonegative Microaggressions and Identity in Bisexual Men and Women
Sarno, E. L., & Wright, A. J. (2013) · Journal of Bisexuality · doi:10.1080/15299716.2013.756677 · Cited by 66 · see citing works
“These covariates were current relationship status, minority status, and age, as each of these variables has been shown in previous research to affect identity and well-being in LGB individuals (Frost & Meyer, 2009; Kertzner, Meyer, Frost, & Stirratt, 2009).”
BackgroundStill Stressful After All These Years: A Review of Lesbians’ and Bisexual Women's Minority Stress
Lewis, R. J., Kholodkov, T., & Derlega, V. J. (2012) · Journal of Lesbian Studies · doi:10.1080/10894160.2011.557641 · Cited by 66 · see citing works
“Sexual minority stressors are also associated with relationship dissatisfaction and higher rates of intimate partner violence (IPV; Balsam & Szymanski, 2005; Frost & Meyer, 2009 ; Otis, Riggle, & Rostosky, 2006 ; Otis, Rostosky, Riggle, & Hamrin, 2006 ; Riggle, Rostosky, & Horne, 2010 ).”
Wellness and Distress in LGBTQ Populations: A Meta-Analysis
Moe, J. L. (2016) · Journal of LGBTQ Issues in Counseling · doi:10.1080/15538605.2016.1163520 · Cited by 65 · see citing works
Minority Stress and Same-Sex Relationship Satisfaction: The Role of Concealment Motivation.
Pepping, C., Cronin, T., Halford, W. K., & Lyons, A. (2019) · Family Process · doi:10.1111/famp.12365 · Cited by 56 · see citing works
- Authors
- Frost, D. M., & Meyer, I. H.
- Affiliations
- The Graduate Center, CUNY (US)
- Columbia University (US)
- Venue
- Journal of Counseling Psychology
- Published
- 2009
- Volume
- 56
- Issue
- 1
- Pages
- 97-109
- ISSN
- 0022-0167 (ISSN-L)
- 1939-2168
- PMC
- PMC2678796
- OpenAlex
- W2128483459
- Cited by
- 781
- References
- 89
- Citations by year
- 2026: 36 · 2025: 54 · 2024: 37 · 2023: 49 · 2022: 41 · 2021: 58 · 2020: 61 · 2019: 52 · 2018: 50 · 2017: 55 · 2016: 60 · 2015: 53 · 2014: 51 · 2013: 42 · 2012: 29
- FWCI
- 34.81
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Counseling Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH066058-03)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Psychology › Social Psychology › Attachment and Relationship Dynamics
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Keywords
- internalized homophobia, relationship quality, relationship problems, outness, community ties, depressive symptoms, mediation, lesbians, gay men, bisexuals, LGB individuals
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