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Burden of psychiatric morbidity among lesbian, gay, and bisexual individuals in the California Quality of Life Survey

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Cochran, Susan D., Mays, Vickie M.·2009·Journal of Abnormal Psychology
DOI 10.1037/a0016501PMC PMC2847425
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Abstract

In recent population-based surveys, minority sexual orientation has been identified as a potential risk indicator for psychiatric morbidity. However, methodological limitations in the studies to date have led to concerns that current estimates are biased due to inadequate measurement of sexual orientation and uncontrolled confounding from prevalent HIV infection. In the present study, the authors investigate associations between sexual orientation and mental health/substance use morbidity using information obtained from 2,272 individuals, including 652 sexual orientation minorities, age 18 to 72 years, interviewed in the California Quality of Life Survey. Results confirm that minority sexual orientation is a risk indicator for psychiatric morbidity. However, levels of increased risk vary within this subpopulation by both gender and patterns of sexual orientation expression. Among gay/bisexual men, much of this greater burden is related to concurrent HIV infection. Reducing excess mental health morbidity risk among sexual orientation minorities could result in possibly a 5% to 11% reduction in the burden of the disorders assessed here among the adult population. Sexual orientation represents an important, but relatively understudied, individual characteristic shaping risk for psychiatric morbidity.

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  • There is evidence of comorbidity of major depression and general anxiety disorder in the general population and among sexual minorities, with studies showing that just over half of individuals diagnosed with depression also had an anxiety disorder.

    “Indeed, there is evidence of comorbidity of major depression and general anxiety disorder in the general population and among sexual minorities, with studies showing that just over half of individuals diagnosed with depression also had an anxiety disorder [56,57,58].”

    From Findings from a feasibility study of an adapted cognitive behavioral therapy group intervention to reduce depression among lgbtq (Lesbian, gay, bisexual, transgender, or queer) young people (2019) · cites this paper as [56]

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Research works printed but not linked: 3

  1. Rothman K Greenland S Modern epidemiology, 2nd Edition 1998 Lippincott-Raven Publishers Philadelphia, PA 2nd ed.
  2. Stata Corporation Stata 10 User's Guide 2007 Stata Press College Station, TX
  3. Van Ness PH Allore HG Using SAS to investigate effect modification 2006 Retrieved June 6, 2008, from http://www2.sas.com/proceedings/sugi31/195-31.pdf

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Authors
Cochran, S. D., & Mays, V. M.
Affiliations
University of California, Los Angeles (US)
ORCID
Venue
Journal of Abnormal Psychology
Publisher
American Psychological Association (APA)
Published
2009-08
Volume
118
Issue
3
Pages
647-658
ISSN
  • 0021-843X (ISSN-L)
  • 1939-1846
DOI
10.1037/a0016501
PMC
PMC2847425
OpenAlex
W2103526038
Cited by
293
References
79
Citations by year
2026: 2 · 2025: 4 · 2024: 12 · 2023: 9 · 2022: 10 · 2021: 24 · 2020: 26 · 2019: 19 · 2018: 10 · 2017: 17 · 2016: 29 · 2015: 35 · 2014: 34 · 2013: 23 · 2012: 20
FWCI
16.90
Type
journal article
Language
en
Open access
Locations
  • Journal of Abnormal Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Drug Abuse (DA 15539; DA 20826)
  • National Center on Minority Health and Health Disparities (MD 000508)
Topics
  • Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
  • Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Keywords
lesbian, gay, and bisexual people, sexual orientation, psychiatric morbidity, mental health, substance use, HIV infection, sexual minorities, gender differences, risk factors
MeSH terms
Adult, Mental Disorders, Bisexuality, California, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Middle Aged, Quality of Life, HIV Infections, Comorbidity, Homosexuality, Male, Homosexuality, Female, Substance-Related Disorders

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