Minority Stress and Relationship Well-Being in Sexual Minorities: The Varying Role of Outness on Relationship and Sexual Satisfaction

Stigma and Sexual Dissatisfaction in Middle-Aged and Older Sexual Minorities

High sexual quality and activity predict psychological well-being in heterosexual middle-aged and older adults; however, these associations have not been documented in sexual minorities, who have faced lifelong stigma concerning their sexuality. This paper presents data from two secondary studies that explored the benefits of being sexually active and satisfied and the role of internalized homonegativity in a sample of middle-aged and older sexual minorities. Study 1 was a cross-sectional survey collected on 91 sexually active sexual minorities (ages 40-80) in same-sex relationships. Study 2 was a cross-sectional survey collected on 235 single and partnered sexual minorities (ages 40-90), which included sexually active (N = 101) and inactive (N = 134) participants. In Study 1, sexual satisfaction was associated with higher psychological well-being and dissatisfaction was more prominently associated with lower psychological well-being. In Study 2, we found that the sexually active participants had higher levels of psychological well-being, in addition to corroborating the Study 1 findings. Additionally, we also determined that sexual dissatisfaction was a mediator between internalized homonegativity and psychological well-being. These findings accentuate the benefits of retaining high sexual quality and activity for middle-aged and older sexual minorities. Although there are apparent advantages of being sexually satisfied, the relationship to psychological well-being is stronger and more of a concern for those who are dissatisfied, which is rooted in internalized homonegativity. These results can guide practitioners working with middle-aged and older sexual minorities to help them achieve successful aging trajectories by reducing their internalized homonegativity and promoting higher sexual quality.

Exploring the Role of Social Support and Sexual Functioning: A Study of Chemsex and Sober Sex in Men Who Have Sex with Men

Research on chemsex, the intentional use of certain drugs in sexual contexts by gay men and other men who have sex with men (MSM), has been growing in recent years although, even today, much of it focuses on drug use and its consequences, rather than on the sexual and social experiences of users. This study aimed to explore the influence of social support and sexual functioning on the frequency of chemsex and sober sex. A sample of 160 MSM WAS recruited through social media and NGOs. Through regression analysis, it was found that lower perceived social support and greater number of routes of drug administration predicted a higher frequency of chemsex practice. On the other hand, higher perceived social support, higher levels of desire and arousal, and fewer routes of drug administration predicted a higher frequency of engaging in sober sex. This study provides empirical evidence that both social support and sexual functioning are key elements in chemsex and have an impact on both the frequency of chemsex and sober sex. Given the importance of these elements, we suggest that interventions should be framed holistically. Nevertheless, not all chemsex is problematic and it is a free choice in sexuality.

One year of COVID-19: A longitudinal study of individual and relational factors of psychological adjustment of individuals living in a romantic relationship in Portugal during the COVID-19 pandemic

This longitudinal study explored the impact of COVID-19 on individuals in romantic relationships. The sample spans three waves: first confinement (n = 52), deconfinement (n = 49), and second confinement (n = 26). The study tested sociodemographic factors, psychological adjustment (anxiety, depression, stress, well-being), COVID-19 threat perception, dyadic coping, and relationship quality. Results from repeated measures ANOVA and fuzzy set qualitative comparative analysis (fsQCA) models revealed a decline in anxiety, depression, and stress symptoms, coupled with improved relationship quality over time. Well-being and dyadic coping remained stable, while COVID-19 threat perception increased. QCA models emphasized the predictive power of initial mental states (anxiety, depression, stress, and well-being at W1) on subsequent adjustment. Notably, shorter relationship duration, healthcare worker status, and not having children, when combined with prior mental states, explained increased symptoms and diminished well-being. The study underscores the significance of addressing these factors in individuals navigating romantic relationships during the pandemic.

The Relationship Between Sexual Minority Stress and Sexual Satisfaction: A Meta-Analytic Review

Despite increased scholarly attention being paid to minority stress and sexual satisfaction among sexual minorities, to our knowledge, no researchers have attempted to systematically synthesize this literature. To address this omission, we conducted a meta-analytic review of the association between sexual minority stress (i.e. sexual identity stigma, internalized sexual identity stigma, and sexual identity concealment) and sexual satisfaction. Suitable studies were recruited through electronic databases, with article screening adhering to PRISMA guidelines. Twenty-eight articles containing 61 effect sizes were analyzed (N = 183,832). Findings indicated a small, inverse relationship between these constructs, indicating that minority stress may lead to diminished sexual satisfaction among gay/lesbian and bisexual individuals. Further, the overall effect size varied as a function of minority stress type, such that the effect for internalized stigma was significantly larger than the effects for sexual identity stigma or concealment. Age was also a significant moderator; specifically, older age was associated with a smaller effect, suggesting that older adults may be better than younger adults at coping with minority stress. Limitations and directions for future research are discussed. We also articulate the implications of these findings vis-à-vis the health and wellbeing of sexual minorities and suggest that clinicians should target internalized stigma in their treatment of sexual concerns among members of this population.

Minority Stress and Dyadic Stress in Same-Sex Couples: The Role of Dyadic Coping and Relationship Duration

Objectives

We investigated how internalized homonegativity and dyadic stress predicted relationship satisfaction in same-sex romantic relationships and explored the moderating roles of dyadic coping and relationship duration in the aforementioned associations.

Methods

The actor-partner interdependence moderation model (APIMoM) was introduced to deal with mutual influences between both partners in 241 same-sex romantic relationships.

Results

(1) individual internalized homonegativity, dyadic stress, and dyadic coping predict their own relationship satisfaction (i.e., actor effect); (2) individual dyadic stress predicts their partner's relationship satisfaction (i.e., partner effect), but only for those with a shorter relationship duration (i.e., ≤ 36 months); and (3) dyadic coping buffers the effect of individual dyadic stress on their own relationship satisfaction, but only for those in the group with a longer relationship durations (i.e., > 36 months).

Conclusions

These findings highlight the importance of a dyadic approach to further understand the impact of stress on relationship satisfaction. We reflect that interventions on couple-oriented coping could improve relationship well-being and sexual health among same-sex couples.

Disclosure to Whom Matters: Association Between Disclosure of Sexual Orientation and Mental Health Among Chinese LGB People

Objective

This study aimed to explore the association between disclosure of one's sexual orientation in different social contexts and mental health outcomes among LGB individuals.

Methods

This study used a nationwide sample of 7867 LGB individuals in the mainland of China.

Results

Findings revealed that the disclosure process was associated with positive consequences in several specific contexts such as schools, workplaces, and close friendships, but not in the family context. Bisexual individuals were less likely to be influenced by the disclosure process.

Conclusions

Professionals who work with LGB individuals need to be aware of the context-specific factors when facilitating disclosure decisions.

Associations between living arrangement and sexual and gender minority stressors among university students since the start of the COVID-19 pandemic

OBJECTIVE

To examine the associations between COVID-19-related living arrangements and sexual and gender minority (SGM)-related stressors (ie, identity concealment and familial rejection).

PARTICIPANTS

N = 478 SGM university students (Mage = 22 years, SD = 4.00).

METHODS

SGM university students were surveyed cross-sectionally between May and August 2020 regarding SGM-related stressors and living arrangements since the start of COVID-19.

RESULTS

Approximately half (48.7%) of the sample reported a living rearrangement to their parents' home due to COVID-19. Living rearrangement to parents' homes was associated with an increased degree of identity concealment (β [95% C.I.] = 0.62 [0.10, 1.15]; p = .020) and familial rejection (β [95% C.I.] = 1.56 [0.72, 2.41]; p < .001) since the start of COVID-19 compared to stably living without parents (34.3%). Stably living with parents (17.0%) was not associated with increased degree of SGM-related stressors compared to experiencing a living rearrangement.

CONCLUSIONS

Stakeholders must consider the unique identity-related vulnerabilities of SGM students living with parents and who experience living rearrangements due to COVID-19.

Body Dissatisfaction, Cognitive Distraction, and Sexual Satisfaction in a Sample of LGB+ People: A Mediation Study Framed by Cognitive Psychology Models of Sexual Response

Introduction: Body dissatisfaction is a well-established risk factor for emotional problems and low levels of well-being indicators, such as sexual health. Cognitive models propose that dissatisfaction with one's body can cause cognitive distraction related to physical appearance during sexual activity. This may compromise sexual response, namely, sexual satisfaction in heterosexual cis women. However, this relationship has only been studied within heterosexual samples. The present study aims to test a mediation model using cognitive distraction related to body appearance during sexual activity as a mediator between body dissatisfaction and sexual satisfaction in LGB+ cis people (lesbian, gay, bisexual, and other minority sexual orientations). Methods: This cross-sectional online study comprised 165 cisgender LGB+ participants (n = 67 cis women, 40.6%; n = 98 cis men, 59.4%). Self-report questionnaires were used: the Global Body Dissatisfaction Scale, the Body Appearance Distraction Scale, and a Single-Item Measure of Sexual Satisfaction. Results: Cis women and cis men experience similar levels of body dissatisfaction, cognitive distraction with body appearance during sexual activity, and sexual satisfaction. Body appearance cognitive distraction during sexual activity mediated the relationship between body dissatisfaction and sexual satisfaction only in the men's sample. Discussion: Overall, in terms of gender and body dissatisfaction, our results reveal a reversed pattern than those found in heterosexual samples. This may be because LGB+ cis women may conform less to societal pressure, leading to less meaning given to body dissatisfaction in relation to sexuality, which may lead to more positive sexual outcomes. Likewise, LGB+ cis men present higher body dissatisfaction and experience lower sexual satisfaction, possibly due to the emphasis on physical appearance in the gay subculture. The results confirm the validity of cognitive models of sexual response.

What Sexual Problems Does a Sample of LGB+ People Report Having, and How Do They Define Sexual Pleasure: A Qualitative Study to Inform Clinical Practice

Introduction: Sexual pleasure is a human right and a central aspect of human sexuality that contributes significantly to people's overall well-being, making it an essential element to consider in clinical settings. This study aims to expand the understanding of sexual pleasure by examining how LGB+ people (lesbian, gay, bisexual, and other minority sexual orientations)-who perceived having a sexual problem-define solitary and partnered sexual pleasure. Methods: A cross-sectional exploratory qualitative study was conducted online. The current study included 85 people who self-identified as LGB+ and reported experiencing a sexual problem. Data analysis was performed using summative content analysis. Results: The results for solitary sexual pleasure comprised the creation of 5 categories (Enhancing the relationship with oneself, Specification of solitary pleasure, Negative experience, Unrestrained experience and A goal). For partnered sexual pleasure, 9 categories were created (The perks of being with another, Openness to experience, A result of sexual techniques, Psychophysiological experience, Misconceptions about sexual pleasure, Absence of intrapersonal constraints, Undesirable feelings, Explicit consent, and Absence of interpersonal constraints). Discussion: Despite reporting sexual problems, most participants reported having experienced sexual pleasure, and were able to define it. This study provided a deeper understanding of the perspectives on and experiences of sexuality among LGB+ people who experience sexual problems. Our findings highlight that current diagnostic criteria (e.g., DSM-5) do not seem to align with the problems reported by this sample population (the problems presented are beyond their sexual function). This reinforces the importance of viewing sexual problems from a perspective that goes beyond the categorial psychopathology model. Our study's findings may offer valuable insights for the evaluation and treatment of sexual problems, where sexual pleasure is considered a crucial aspect of sexual well-being.

Intimate Pride: a Tri-Nation Study on Associations between Positive Minority Identity Aspects and Relationship Quality in Sexual Minorities from German-Speaking Countries

Investigations into the intimate relationships of sexual minorities are proliferating, but often adopt a deficit-oriented and US-centered perspective. In this tri-nation online study with sexual minority participants from Austria, Germany, and Switzerland (N = 571), we (i) assessed the construct validity of the German version of a well-known measure for positive minority identity aspects (the Lesbian, Gay, Bisexual Positive Identity Measure; LGB-PIM), and (ii) explored associations between these aspects (self-awareness, authenticity, community, capacity for intimacy, and social justice) and self-reported relationship quality. Model fit of the German version of the LGB-PIM was deemed acceptable. Higher levels of positive minority identity aspects showed small to moderate associations with higher levels of relationship quality in bivariate analyses, but only capacity for intimacy was linked to relationship quality in higher-order models (controlling for country, age, sexual orientation, gender identity, relationship length, and psychological distress). Results remained robust in several sensitivity analyses. Our results highlight the differential role of positive identity aspects for relationship functioning, with capacity for intimacy as a fruitful leverage point for therapeutic work.