{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T17:07:19Z","timestamp":1790874439854,"version":"4.1.0"},"reference-count":32,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Soc Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Sexual and gender minority (SGM) individuals experience substantial health inequalities, and clinical competence among healthcare providers is a key determinant of equitable care. The Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS) is a validated instrument for assessing SGM-related clinical competence, but no Italian version has been available. This study aimed to translate, adapt, and validate the Italian LGBT-DOCSS among mental health professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A cross-sectional online survey was administered to clinicians and trainees across Italy between June and December 2024. Psychometric analyses were conducted on 345 participants with complete data on all 18 items. Internal consistency, confirmatory factor analysis (CFA), Scalar multi-group CFA provided preliminary evidence consistent with measurement invariance across sexual orientation subgroups, and Spearman correlations with external measures of authoritarianism were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The original three-factor structure (Clinical Preparedness, Attitudinal Awareness, Basic Knowledge) was replicated with good model fit (CFI = 0.967, TLI = 0.962, RMSEA = 0.058). Internal consistency was strong across all subscales (Cronbach\u2019s \u03b1 ranging from .81 to .89; ordinal \u03b1 ranging from .87 to .95). Scalar multi-group CFA supported measurement invariance across heterosexual and non-heterosexual subgroups (CFI = 0.944, RMSEA = 0.074), with non-heterosexual professionals demonstrating greater attitudinal affirmation and stronger awareness of SGM health disparities. Authoritarianism showed small-to-moderate associations with Basic Knowledge and Attitudinal Awareness. Significant differences by gender, sexual attraction and profession were observed, with nurses showing lower self-perceived SGM-related competence than other professional groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The Italian LGBT-DOCSS demonstrates strong psychometric properties and is a valid tool for assessing SGM-related clinical competence among Italian mental health professionals. It can support the identification of training needs and the development of targeted educational interventions to improve care for SGM individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00207640261485556","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T09:32:52Z","timestamp":1790587972000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Italian Version of the Lesbian, Gay, Bisexual and Transgender Development of Clinical Skills Scale (LGBT-DOCSS): Validation Among Mental Health Professionals"],"prefix":"10.1177","author":[{"given":"Thomas","family":"Salvan","sequence":"first","affiliation":[{"name":"Davis &amp; Elkins College, Elkins, West Viginia, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandra","family":"Nazeri","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Diagnostics and Public Health, University of Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giada","family":"Silveri","sequence":"additional","affiliation":[{"name":"Section of Psychiatry, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Fiorillo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Campania \u2018L. Vanvitelli\u2019, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3934-7007","authenticated-orcid":false,"given":"Antonio","family":"Ventriglio","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Medicine, University of Foggia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Federica","family":"Pinna","sequence":"additional","affiliation":[{"name":"Department of Medical Sciences and Public Health, University of Cagliari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manlio","family":"Converti","sequence":"additional","affiliation":[{"name":"ASL Napoli 2 Nord, Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Markus","family":"Bidell","sequence":"additional","affiliation":[{"name":"Hunter College, City University of New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Sherriff","sequence":"additional","affiliation":[{"name":"School of Education, Sport, and Health Sciences, University of Brighton, Falmer, UK"},{"name":"Centre for Transforming Sexuality &amp; Gender (CTSG), University of Brighton, Falmer, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gian Maria","family":"Galeazzi","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy"},{"name":"Dipartimento ad Attivit\u00e0 Integrata di Salute Mentale e Dipendenze Patologiche, Azienda USL-IRCCS di Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mattia","family":"Marchi","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy"},{"name":"Dipartimento ad Attivit\u00e0 Integrata di Salute Mentale e Dipendenze Patologiche, Azienda USL-IRCCS di Reggio Emilia, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Amaddeo","sequence":"additional","affiliation":[{"name":"Division of Psychosomatics and Psychological Medicine, University of Verona, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2342-5867","authenticated-orcid":false,"given":"Massimo","family":"Mirandola","sequence":"additional","affiliation":[{"name":"Infectious Diseases Division, Department of Diagnostics and Public Health, University of Verona, Italy"},{"name":"WHO Collaborating Centre for Sexual Health and Vulnerable Populations\u2013Epidemiology Unit\u2013Division of Infectious Diseases, Department of Medicine, University of Verona, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_3_6_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0039906"},{"key":"e_1_3_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_3_6_4_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15328007sem1302_2"},{"key":"e_1_3_6_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/00918369.2017.1321389"},{"key":"e_1_3_6_6_1","unstructured":"Browne M. 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