{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T09:06:36Z","timestamp":1779267996366,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:00:00Z","timestamp":1767830400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["PCN Reports"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To examine whether sexual identity concealment is differentially associated with loneliness across relational domains\u2014parents and heterosexual friends\u2014among sexual and gender minority (SGM) women in Japan, and to interpret these patterns within cultural norms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a cross\u2010sectional, self\u2010administered paper questionnaire study of SGM women in Japan (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009166). Loneliness was assessed using the Japanese version of the Revised UCLA Loneliness Scale. Concealment was measured with binary items (1 = concealment, 0 = disclosure) for two domains. Multiple linear regressions estimated domain\u2010specific associations with loneliness, adjusting for age; sexual orientation (reference = lesbian); gender identity (cisgender vs. non\u2010cisgender); marital status (partnered vs. single); psychiatric service use in the past year (yes\/no); lifetime substance use (ever vs. never); lesbian, gay, bisexual, transgender, and queer (LGBTQ)\u2013based victimization (yes\/no); and perceived prejudice (yes\/no).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Concealment from heterosexual friends was associated with higher loneliness, whereas concealment from parents showed no clear association with loneliness. Bisexual identity, compared with lesbian identity, and past\u2010year psychiatric service use were also related to greater loneliness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Sexual identity concealment is not monolithic; its association with loneliness depends on relational context. Peer\u2010based concealment appears more consequential for loneliness than parent\u2010directed concealment among SGM women in Japan. Interventions should address culturally situated norms in peer relationships, promote alternative pathways to connection, and avoid pathologizing strategic silence while mitigating its emotional costs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pcn5.70280","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T07:18:22Z","timestamp":1767943102000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Relationally specific sexual identity concealment and loneliness among sexual and gender minority women in Japan: A culturally situated analysis"],"prefix":"10.1002","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5684-3187","authenticated-orcid":false,"given":"Maya","family":"Hayakawa","sequence":"first","affiliation":[{"name":"Department of Psychiatry Yokohama City University Graduate School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junichi","family":"Fujita","sequence":"additional","affiliation":[{"name":"Department of Child Psychiatry Yokohama City University Hospital Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuke","family":"Saigusa","sequence":"additional","affiliation":[{"name":"Department of Biostatistics Yokohama City University School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuriko","family":"Tanabe","sequence":"additional","affiliation":[{"name":"Department of Nursing Yokohama City University School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akitoyo","family":"Hishimoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Kobe University Graduate School of Medicine Kobe City Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3089-3578","authenticated-orcid":false,"given":"Takeshi","family":"Asami","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yokohama City University Graduate School of Medicine Yokohama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.98.2.224"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12119-017-9481-3"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1353\/book4588"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11904-019-00479-w"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/casp.2527"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.129.5.674"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.133.2.328"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/0956797610382786"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.39.3.472"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.2130\/jjesp.22.99"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1515\/9780824846404"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/01463379509369977"},{"issue":"4","key":"e_1_2_13_14_1","first-page":"479","article-title":"When is topic avoidance unsatisfying? 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