Sexual orientation and mental health
Abstract
This article provides an overview of current psychological research on mental health and sexual orientation, as well as clinical practice with sexual minorities. The historical context for current research questions and controversies is described, and the findings of recent empirical research on psychological well-being and distress among nonheterosexuals are summarized. The minority stress model is used to frame a discussion of stressors unique to sexual minorities and to consider their possible effects on psychological well-being. The possible ameliorative effects of adopting a sexual orientation identity are examined, followed by a discussion of how these ideas translate into contemporary clinical work with sexual minority clients. The review concludes with a brief discussion of priority areas for empirical research and clinical practice.
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Many LGBTQ young people conceal or minimize their LGBTQ identity to prevent experiences of violence and rejection.
“In the face of hostile environments, many young people decide to conceal or minimize their LGBTQ identity to prevent experiences of violence and rejection [20].”
Managing visibility and openness about one's sexual or gender identity requires considerable mental energy and vigilance, which may be burdensome for LGBTQ young people.
“This decision process requires considerable mental energy and vigilance, which may be burdensome for LGBTQ young people [20].”
High rates of depressive symptoms among LGBTQ people are attributed to the social stigma and stress directed at this population.
“High rates of depressive symptoms among LGBTQ people are attributed to the social stigma and stress directed at this population [18,19,20,21].”
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- Authors
- Herek, G. M., & Garnets, L. D.
- Affiliations
- University of California, Davis (US)
- University of California, Los Angeles (US)
- Venue
- Annual Review of Clinical Psychology
- Publisher
- Annual Reviews
- Published
- 2007-04-01
- Volume
- 3
- Issue
- 1
- Pages
- 353-375
- ISSN
- 1548-5943 (ISSN-L)
- 1548-5951
- OpenAlex
- W2126148435
- Cited by
- 559
- References
- 95
- Citations by year
- 2026: 8 · 2025: 20 · 2024: 21 · 2023: 25 · 2022: 38 · 2021: 39 · 2020: 34 · 2019: 29 · 2018: 30 · 2017: 41 · 2016: 43 · 2015: 49 · 2014: 37 · 2013: 36 · 2012: 40
- FWCI
- 1.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annual Review of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › LGBTQ Health, Identity, and Policy
- Social Sciences › Gender Studies › Gender and Feminist Studies
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- sexual orientation, mental health, sexual minorities, minority stress model, psychological well-being, psychological distress, sexual orientation identity
- MeSH terms
- Mental Disorders, Homosexuality, Humans, Mental Health, Minority Groups, Prejudice, Professional-Patient Relations, Psychotherapy, Sexual Behavior, Social Identification, Stress, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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