{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T00:06:03Z","timestamp":1772755563645,"version":"3.50.1"},"reference-count":96,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,2,11]],"date-time":"2023-02-11T00:00:00Z","timestamp":1676073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Centre for Psychology at the University of Porto, Portuguese Science Foundation","doi-asserted-by":"publisher","award":["FCT UIDB\/00050\/2020"],"award-info":[{"award-number":["FCT UIDB\/00050\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"Centre for Psychology at the University of Porto, Portuguese Science Foundation","doi-asserted-by":"publisher","award":["BA COV19_201169"],"award-info":[{"award-number":["BA COV19_201169"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Torsten Amundson\u2019s fund, Royal Swedish Academy of Sciences","award":["FCT UIDB\/00050\/2020"],"award-info":[{"award-number":["FCT UIDB\/00050\/2020"]}]},{"name":"Torsten Amundson\u2019s fund, Royal Swedish Academy of Sciences","award":["BA COV19_201169"],"award-info":[{"award-number":["BA COV19_201169"]}]},{"DOI":"10.13039\/501100000286","name":"British Academy","doi-asserted-by":"publisher","award":["FCT UIDB\/00050\/2020"],"award-info":[{"award-number":["FCT UIDB\/00050\/2020"]}],"id":[{"id":"10.13039\/501100000286","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000286","name":"British Academy","doi-asserted-by":"publisher","award":["BA COV19_201169"],"award-info":[{"award-number":["BA COV19_201169"]}],"id":[{"id":"10.13039\/501100000286","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The COVID-19 pandemic has been associated with poor mental health symptoms, particularly among vulnerable populations such as LGBTQ+ individuals. In the present study, we aimed to (i) identify different psychological adjustment profiles among LGBTQ+ young adults during the COVID-19 pandemic and compare LGBTQ+ young adults in relation to (ii) sociodemographic characteristics and COVID-19-related experiences and (iii) the internal and external protective resources associated with each adjustment profile. An online questionnaire was administered to 1699 LGBTQ+ young adults from six countries (Brazil, Chile, Italy, Portugal, Sweden, and the UK). A cluster analysis was conducted, and four profiles of psychological adjustment were identified: unchallenged, resilient, distressed, and at-risk. The at-risk cluster scored lowest in social support (particularly from family). The profiles of participants who experienced the highest levels of pandemic adversity (at-risk and resilient) comprised mostly South American participants, those under lockdown at the time of survey completion, those who self-identified as transgender and non-binary, and those with a plurisexual sexual orientation. Interventions should consider strategies to help young adults maintain support systems and reinforce the value of positive family relationships. Specific groups within the LGBTQ+ community that seem to be in a particularly vulnerable situation may need additional tailored support.<\/jats:p>","DOI":"10.3390\/ijerph20043188","type":"journal-article","created":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T03:07:57Z","timestamp":1676257677000},"page":"3188","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Psychological Adjustment Profiles of LGBTQ+ Young Adults Residing with Their Parents during the COVID-19 Pandemic: An International Study"],"prefix":"10.3390","volume":"20","author":[{"given":"In\u00eas","family":"V\u00e1zquez","sequence":"first","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6402-3680","authenticated-orcid":false,"given":"Jorge","family":"Gato","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"},{"name":"Centre for Psychology, University of Porto, 4200-135 Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Coimbra","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"},{"name":"Centre for Psychology, University of Porto, 4200-135 Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4205-5408","authenticated-orcid":false,"given":"Fiona","family":"Tasker","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Birkbeck, University of London, 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Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9406-1976","authenticated-orcid":false,"given":"Anna","family":"Malmquist","sequence":"additional","affiliation":[{"name":"Division of Psychology, Link\u00f6ping University, 581 83 Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6330-6213","authenticated-orcid":false,"given":"Daniel","family":"Seabra","sequence":"additional","affiliation":[{"name":"Center for Research in Neuropsychology and Cognitive and Behavioural Intervention (CINEICC), University of Coimbra, 3000-115 Coimbra, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Leal","sequence":"additional","affiliation":[{"name":"Faculty of Psychology and Education Sciences, University of Porto, 4200-135 Porto, Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2736-8716","authenticated-orcid":false,"given":"Marie","family":"Houghton","sequence":"additional","affiliation":[{"name":"Department of Psychological Sciences, Birkbeck, University of London, London WC1E 7HX, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4017-4251","authenticated-orcid":false,"given":"Mikael","family":"Poli","sequence":"additional","affiliation":[{"name":"Department of Developmental Psychology and Socialization, University of Padua, 35122 Padua, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9729-9234","authenticated-orcid":false,"given":"Alessio","family":"Gubello","sequence":"additional","affiliation":[{"name":"Department of Women\u2019s and Children\u2019s Health, University of Padua, 35122 Padua, Italy"},{"name":"Department of Developmental and Family 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02). European Centre for Disease Prevention and Control. Available online: https:\/\/www.ecdc.europa.eu\/en."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1037\/0033-2909.129.5.674","article-title":"Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence","volume":"129","author":"Meyer","year":"2003","journal-title":"Psychol. Bull."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/sgd0000132","article-title":"Resilience in the study of minority stress and health of sexual and gender minorities","volume":"2","author":"Meyer","year":"2015","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_5","unstructured":"Bishop, A. (2020). Vulnerability Amplified: The impact of the COVID-19 Pandemic on LGBTIQ People, OutRight Action International. Available online: https:\/\/outrightinternational.org\/sites\/default\/files\/2022-09\/COVIDsReportDesign_Eng.pdf."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1610","DOI":"10.2105\/AJPH.2021.306394","article-title":"Depression, anxiety, and alcohol use among LGBTQ+ people during the COVID-19 pandemic","volume":"111","author":"Anderson","year":"2021","journal-title":"Am. J. Public Health"},{"key":"ref_7","first-page":"35","article-title":"Distress Indicators among LGBT+ Youth during Social Isolation by COVID-19 in Brazil","volume":"23","author":"Gato","year":"2021","journal-title":"Rev. Bras. De Psicoter."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.jadohealth.2020.08.006","article-title":"Mental Health Needs Among Lesbian, Gay, Bisexual, and Transgender College Students During the COVID-19 Pandemic","volume":"67","author":"Gonzales","year":"2020","journal-title":"J. Adolesc. Health Off. Publ. Soc. Adolesc. Med."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Jarrett, B.A., Peitzmeier, S.M., Restar, A., Adamson, T., Howell, S., Baral, S., and Beckham, S.W. (2021). Gender-affirming care, mental health, and economic stability in the time of COVID-19: A multi-national, cross-sectional study of transgender and nonbinary people. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0254215"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1080\/00918369.2020.1868185","article-title":"Understanding the Impact of the COVID-19 Pandemic on the Mental Health of Transgender and Gender Nonbinary Individuals Engaged in a Longitudinal Cohort Study","volume":"68","author":"Kidd","year":"2021","journal-title":"J. Homosex."},{"key":"ref_11","doi-asserted-by":"crossref","unstructured":"Malmquist, A., Bredenberg, C., Melin, J., Wurm, M., Tasker, F., and Gato, J. (2022). Queers in quarantine: Young LGBTQ+ people\u2019s experiences during the COVID-19 pandemic in Sweden. Scand. J. Psychol.","DOI":"10.1111\/sjop.12871"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"577","DOI":"10.1080\/00918369.2020.1868184","article-title":"Disproportionate Impact of the COVID-19 Pandemic on Perceived Social Support, Mental Health and Somatic Symptoms in Sexual and Gender Minority Populations","volume":"68","author":"Moore","year":"2021","journal-title":"J. Homosex."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1037\/trm0000283","article-title":"Sexual identity and psychological reactions to COVID-19","volume":"27","author":"Peterson","year":"2021","journal-title":"Traumatology"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1037\/0033-2909.98.2.310","article-title":"Stress, social support, and the buffering hypothesis","volume":"98","author":"Cohen","year":"1985","journal-title":"Psychol. Bull."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1111\/1467-8624.00164","article-title":"The construct of resilience: A critical evaluation and guidelines for future work","volume":"71","author":"Luthar","year":"2000","journal-title":"Child Dev."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1111\/jftr.12255","article-title":"Resilience theory and research on children and families: Past, present, and promise","volume":"10","author":"Masten","year":"2018","journal-title":"J. Fam. Theory Rev."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1146\/annurev.publhealth.26.021304.144357","article-title":"Adolescent resilience: A framework for understanding healthy development in the face of risk","volume":"26","author":"Fergus","year":"2005","journal-title":"Annu. Rev. Public Health"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1007\/s10567-008-0031-2","article-title":"Conceptualizing and re-evaluating resilience across levels of risk, time, and domains of competence","volume":"11","author":"Shaw","year":"2008","journal-title":"Clin. Child Fam. Psychol. Rev."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1089\/lgbt.2019.0200","article-title":"Family Relationships and the Health and Well-Being of Transgender and Gender-Diverse Youth: A Critical Review","volume":"7","author":"Brown","year":"2020","journal-title":"LGBT Health"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1111\/fare.12124","article-title":"Social support networks for LGBT young adults: Low-cost strategies for positive adjustment","volume":"64","author":"Snapp","year":"2015","journal-title":"Fam. Relat. Interdiscip. J. Appl. Fam. Stud."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1037\/0022-0167.56.1.152","article-title":"Perceived social support from friends and family and psychosocial functioning in bisexual young adult college students","volume":"56","author":"Sheets","year":"2009","journal-title":"J. Couns. Psychol."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1080\/00918369.2015.1083788","article-title":"Internalized homonegativity: A systematic mapping review of empirical research","volume":"63","author":"Berg","year":"2016","journal-title":"J. Homosex."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/00918369.2017.1317467","article-title":"Psychosocial Risk and Protective Factors for Depression Among Lesbian, Gay, Bisexual, and Queer Youth: A Systematic Review","volume":"65","author":"Hall","year":"2018","journal-title":"J. Homosex."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1080\/26895269.2020.1745113","article-title":"Internalized transphobia and mental health among transgender adults: A nationwide cross-sectional survey in South Korea","volume":"21","author":"Lee","year":"2020","journal-title":"Int. J. Transgender Health"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s10464-014-9693-8","article-title":"Individual and community resilience factors among lesbian, gay, bisexual, queer, and questioning youth and adults in Israel","volume":"55","author":"Shilo","year":"2015","journal-title":"Am. J. Community Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1037\/ort0000015","article-title":"Contemporary heterosexism on campus and psychological distress among LGBQ students: The mediating role of self-acceptance","volume":"84","author":"Woodford","year":"2014","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1590\/1982-43272766201709","article-title":"Resilience in LGB youths: A systematic review of protection mechanisms","volume":"27","author":"Freitas","year":"2017","journal-title":"Paid\u00e9ia"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1037\/sgd0000298","article-title":"LGB positive identity and psychological well-being","volume":"5","author":"Rostosky","year":"2018","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1111\/famp.12618","article-title":"Stress- buffering role of social support during COVID-19","volume":"60","author":"Szkody","year":"2021","journal-title":"Fam. Process."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1177\/1090198120969372","article-title":"More than inconvenienced: The unique needs of US college students during the COVID-19 pandemic","volume":"48","author":"Lederer","year":"2020","journal-title":"Health Educ. Behav."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1016\/j.jadohealth.2020.06.002","article-title":"\u201cI\u2019m Kinda Stuck at Home with Unsupportive Parents Right Now\u201d: LGBTQ Youths\u2019 Experiences With COVID-19 and the Importance of Online Support","volume":"67","author":"Fish","year":"2020","journal-title":"J. Adolesc. Health"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"89","DOI":"10.17575\/psicologia.v34i2.1667","article-title":"When home is not a safe haven: Effects of the COVID-19 Pandemic on Sexual and Gender Minorities in Portugal","volume":"34","author":"Gato","year":"2020","journal-title":"Psicologia"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1007\/s10464-008-9207-7","article-title":"Predicting different patterns of sexual identity development over time among lesbian, gay, and bisexual youths: A cluster analytic approach","volume":"42","author":"Rosario","year":"2008","journal-title":"Am. J. Community Psychol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1089\/lgbt.2015.0111","article-title":"Family rejection as a predictor of suicide attempts and substance misuse among transgender and gender nonconforming adults","volume":"3","author":"Klein","year":"2016","journal-title":"LGBT Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1111\/fare.12226","article-title":"The experiences of sexual minority mothers with trans* children","volume":"67","author":"Kuvalanka","year":"2018","journal-title":"Fam. Relat. Interdiscip. J. Appl. Fam. Stud."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1080\/00918369.2020.1868186","article-title":"Psychosocial Effects of the COVID-19 Pandemic and Mental Health Among LGBTQ+ Young Adults: A Cross-Cultural Comparison Across Six Nations","volume":"68","author":"Gato","year":"2021","journal-title":"J. Homosex."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Miscioscia, M., Poli, M., Gubello, A., Simonelli, A., Gatta, M., Gato, J., and Rigo, P. (2022). Influence of the COVID-19 Pandemic on Italian LGBT+ Young Adults\u2019 Mental Health: The Role of Neuroticism and Family Climate. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph192315795"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1037\/fam0000981","article-title":"How social support and parent\u2013child relationship quality relate to LGBTQ+ college students\u2019 well-being during COVID-19","volume":"36","author":"Zhang","year":"2022","journal-title":"J. Fam. Psychol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"681","DOI":"10.1002\/jclp.1037","article-title":"The importance of parental support in the lives of gay, lesbian, and bisexual individuals","volume":"57","author":"Goldfried","year":"2001","journal-title":"J. Clin. Psychol."},{"key":"ref_40","unstructured":"Weston, K. (2005). Families We Choose: Lesbians, Gays, Kinship, Columbia University Press."},{"key":"ref_41","unstructured":"Meyer, I.H., and Northridge, M.E. (2007). The Health of Sexual Minorities: Public Health Perspectives on Lesbian, Gay, Bisexual and Transgender Populations, Springer Science & Business Media."},{"key":"ref_42","doi-asserted-by":"crossref","unstructured":"Patterson, C.J., and D\u2019Augelli, A.R. (2013). Handbook of Psychology and Sexual Orientation, Oxford University Press.","DOI":"10.1093\/acprof:oso\/9780199765218.003.0016"},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Werner, E.E., and Smith, R.S. (1992). Overcoming the Odds: High Risk Children from Birth to Adulthood, Cornell University Press.","DOI":"10.7591\/9781501711992"},{"key":"ref_44","unstructured":"Masten, A.S. (2015). Ordinary Magic: Resilience in Development, Guilford Publications."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.9788\/TP2018.3-11Pt","article-title":"Estrat\u00e9gias metodol\u00f3gicas de investiga\u00e7\u00e3o da resili\u00eancia em l\u00e9sbicas, gays e bissexuais (LGBs): Revis\u00e3o integrativa de literatura","volume":"26","author":"Lira","year":"2018","journal-title":"Temas Em Psicol."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behav. Res. Ther."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1111\/jpm.12363","article-title":"Factor structure and validity of the Depression, Anxiety and Stress Scale-21 in Swedish translation","volume":"24","author":"Alfonsson","year":"2017","journal-title":"J. Psychiatr. Ment. Health Nurs."},{"key":"ref_48","first-page":"49","article-title":"Depression Anxiety Stress Scales (DASS-21): Validation of the abbreviated version in Chilean university students","volume":"30","author":"Vinet","year":"2002","journal-title":"Ter. Psicol\u00f3gica"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"170","DOI":"10.1016\/j.comppsych.2015.04.005","article-title":"The Italian version of the Depression Anxiety Stress Scales-21: Factor structure and psychometric properties on community and clinical samples","volume":"60","author":"Bottesi","year":"2015","journal-title":"Compr. Psychiatry"},{"key":"ref_50","first-page":"229","article-title":"Contribui\u00e7\u00e3o para o estudo da adapta\u00e7\u00e3o portuguesa das Escalas de Ansiedade, Depress\u00e3o e Stress (EADS) de 21 itens de Lovibond e Lovibond","volume":"5","author":"Honrado","year":"2004","journal-title":"Psicol. Sa\u00fade Doen\u00e7as"},{"key":"ref_51","first-page":"2325","article-title":"Uso de las Escalas de Depresi\u00f3n Ansiedad Estr\u00e9s (DASS-21) como Instrumento de Tamizaje en J\u00f3venes con Problemas Cl\u00ednicos","volume":"6","author":"Vinet","year":"2016","journal-title":"Acta De Investig. Psicol\u00f3gica"},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.jad.2013.10.031","article-title":"Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese","volume":"155","author":"Vignola","year":"2014","journal-title":"J. Affect. Disord."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1037\/a0022858","article-title":"Revision and extension of a multidimensional measure of sexual minority identity: The Lesbian, Gay, and Bisexual Identity Scale","volume":"58","author":"Mohr","year":"2011","journal-title":"J. Couns. Psychol."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"334","DOI":"10.5209\/rev_SJOP.2012.v15.n1.37340","article-title":"Lesbian, Gay, and Bisexual Identity Scale (LGBIS): Construct Validation, Sensitivity Analyses and other Psychometric Propertie","volume":"15","author":"Oliveira","year":"2012","journal-title":"Span. J. Psychol."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1207\/s15327752jpa5201_2","article-title":"The multidimensional scale of perceived social support","volume":"52","author":"Zimet","year":"1988","journal-title":"J. Personal. Assess."},{"key":"ref_56","first-page":"49","article-title":"Validaci\u00f3n de una escala de apoyo social percibido en un grupo de adultos mayores adscritos a un programa de hipertensi\u00f3n de la regi\u00f3n metropolitana","volume":"8","year":"2002","journal-title":"Cienc. Y Enfermer\u00eda"},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"331","DOI":"10.14195\/1647-8606_54_13","article-title":"Caracter\u00edsticas psicom\u00e9tricas da vers\u00e3o portuguesa da Escala Multidimensional de Suporte Social Percebido (Multidimensional Scale of Perceived Social Support-MSPSS)","volume":"54","author":"Carvalho","year":"2011","journal-title":"Psychologica"},{"key":"ref_58","first-page":"127","article-title":"Multidimensional Scale of Perceived Social Support (MSPSS): A contribution to Italian validation","volume":"8","author":"Palazzeschi","year":"2015","journal-title":"Couns. G. Ital. Di Ric. E Appl."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"168","DOI":"10.1186\/1477-7525-11-168","article-title":"The Swedish version of the multidimensional scale of perceived social support (MSPSS)\u2014A psychometric evaluation study in women with hirsutism and nursing students","volume":"11","author":"Benzein","year":"2013","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1007\/s43076-021-00129-4","article-title":"\u201cIt\u2019s true! I saw it on WhatsApp\u201d: Social Media, COVID-19, and Political-Ideological Orientation in Brazil","volume":"30","author":"Ramos","year":"2022","journal-title":"Trends Psychol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1086\/209405","article-title":"Meta-analysis of Cronbach\u2019s Coefficient Alpha","volume":"21","author":"Robert","year":"1994","journal-title":"J. Consum. Res."},{"key":"ref_62","unstructured":"Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences, Routledge. [2nd ed.]."},{"key":"ref_63","unstructured":"Hair, J.F., Anderson, R.E., Tatham, R.L., and Black, W.C. (2014). Multivariate Data Analysis, Pearson Education Ltd.. [7th ed.]."},{"key":"ref_64","unstructured":"Mar\u00f4co, J. (2018). An\u00e1lise Estat\u00edstica Com o SPSS Statistics, ReportNumber. [7th ed.]."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"532","DOI":"10.1037\/a0015808","article-title":"An effect size primer: A guide for clinicians and researchers","volume":"40","author":"Ferguson","year":"2009","journal-title":"Prof. Psychol. Res. Pract."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1089\/lgbt.2021.0238","article-title":"Impact of the COVID-19 Pandemic on Perceptions of Health and Well-Being Among Sexual and Gender Minority Adolescents and Emerging Adults","volume":"9","author":"Mitchell","year":"2022","journal-title":"LGBT Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/j.adolescence.2017.05.009","article-title":"Resilience in the face of peer victimisation and discrimination: The who, when and why in five patterns of adjustment","volume":"59","author":"Freitas","year":"2017","journal-title":"J. Adolesc."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"600","DOI":"10.2307\/1131134","article-title":"Vulnerability and resilience: A study of high-risk adolescents","volume":"62","author":"Luthar","year":"1991","journal-title":"Child Dev."},{"key":"ref_69","unstructured":"Wright, M.O.D., and Masten, A.S. (2015). Youth Resilience and Culture, Springer."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1146\/annurev-clinpsy-032210-104526","article-title":"Resilience to loss and potential trauma","volume":"7","author":"Bonanno","year":"2011","journal-title":"Annu. Rev. Clin. Psychol."},{"key":"ref_71","unstructured":"Pew Research Center (2022, November 19). The Global Divide on Homosexuality Persists: But Increasing Acceptance in Many Countries over Past Two Decades. Available online: https:\/\/www.pewresearch.org\/global\/2020\/06\/25\/global-divide-on-homosexuality-persists\/."},{"key":"ref_72","doi-asserted-by":"crossref","unstructured":"Lathabhavan, R. (2022). Fear of COVID-19, psychological distress, well-being and life satisfaction: A comparative study on first and second waves of COVID-19 among college students in India. Curr. Psychol., 1\u20138.","DOI":"10.1007\/s12144-022-03207-7"},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1007\/s11199-015-0483-z","article-title":"Current intimate relationship status, depression, and alcohol use among bisexual women: The mediating roles of bisexual-specific minority stressors","volume":"73","author":"Molina","year":"2015","journal-title":"Sex Roles"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1111\/josi.12410","article-title":"A critical deconstructed quantitative analysis: Sexual and gender minority stress through an intersectional lens","volume":"76","author":"Williams","year":"2020","journal-title":"J. Soc. Issues"},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1037\/sgd0000467","article-title":"Mental health among transgender and gender diverse youth: An exploration of effects during the COVID-19 pandemic","volume":"8","author":"Hawke","year":"2021","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"163","DOI":"10.3138\/cjhs.2022-0024","article-title":"Mental well-being, social support, and the unique experiences of transgender and nonbinary people during the COVID-19 pandemic","volume":"31","author":"Courtice","year":"2022","journal-title":"Can. J. Hum. Sex."},{"key":"ref_77","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1037\/sgd0000081","article-title":"Development of the gender minority stress and resilience measure","volume":"2","author":"Testa","year":"2015","journal-title":"Psychol. Sex. Orientat. Gend. Divers."},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1089\/jwh.2020.8472","article-title":"Sex and Gender Disparities in the COVID-19 Pandemic","volume":"29","author":"Gausman","year":"2020","journal-title":"J. Women\u2019s Health"},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1016\/S2215-0366(20)30077-8","article-title":"Online mental health services in China during the COVID-19 outbreak","volume":"7","author":"Liu","year":"2020","journal-title":"Lancet Psychiatry"},{"key":"ref_80","doi-asserted-by":"crossref","unstructured":"Wang, C., Pan, R., Wan, X., Tan, Y., Xu, L., Ho, C.S., and Ho, R.C. (2020). Immediate Psychological Responses and Associated Factors during the Initial Stage of the 2019 Coronavirus Disease (COVID-19) Epidemic among the General Population in China. Int. J. Environ. Res. Public Health, 17.","DOI":"10.3390\/ijerph17051729"},{"key":"ref_81","unstructured":"Moreira da Silva, J. (2022, December 10). Why You Should Care About Unpaid Care Work. Available online: https:\/\/oecd-development-matters.org\/2019\/03\/18\/why-you-should-care-about-unpaid-care-work\/."},{"key":"ref_82","first-page":"67","article-title":"The COVID-19 pandemic has increased the care burden of women and families","volume":"16","author":"Power","year":"2020","journal-title":"Sustain. Sci. Pract. Policy"},{"key":"ref_83","unstructured":"United Nations (2022, December 10). UN Policy Brief: The Impact of COVID-19 on Women. Available online: https:\/\/reliefweb.int\/sites\/reliefweb.int\/files\/resources\/policy-brief-the-impact-of-covid-19-on-women-en.pdf."},{"key":"ref_84","unstructured":"Lean, I. (2022, December 10). The Coronavirus Is a Financial Crisis for Women. Available online: https:\/\/leanin.org\/article\/the-coronavirus-is-a-financial-crisis-for-women."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"112934","DOI":"10.1016\/j.psychres.2020.112934","article-title":"The psychological impact of the COVID-19 epidemic on college students in China","volume":"287","author":"Cao","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1037\/a0016848","article-title":"Social and psychological well-being in lesbians, gay men, and bisexuals: The effects of race, gender, age, and sexual identity","volume":"79","author":"Kertzner","year":"2009","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1037\/0003-066X.55.5.469","article-title":"Emerging adulthood. A theory of development from the late teens through the twenties","volume":"55","author":"Arnett","year":"2000","journal-title":"Am. Psychol."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"766","DOI":"10.1002\/hbm.20218","article-title":"Anatomical changes in the emerging adult brain: A voxel-based morphometry study","volume":"27","author":"Bennett","year":"2006","journal-title":"Hum. Brain Mapp."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.bbi.2020.04.028","article-title":"A longitudinal study on the mental health of general population during the COVID-19 epidemic in China","volume":"87","author":"Wang","year":"2020","journal-title":"Brain Behav. Immun."},{"key":"ref_90","doi-asserted-by":"crossref","unstructured":"Luk, J.W., Stangl, B.L., Schwandt, M.L., Gunawan, T., Joseph, P.V., Momenan, R., Goldman, D., Diazgranados, N., and Ramchandani, V.A. (2022). A person-centered approach to capture health disparities and multidimensional impact of COVID-related stressors. Am. Psychol.","DOI":"10.1037\/amp0001044"},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"113520","DOI":"10.1016\/j.psychres.2020.113520","article-title":"Mental Health Outcomes of the COVID-19 Pandemic and a Collapsing Economy: Perspectives from a Developing Country","volume":"294","author":"Salameh","year":"2020","journal-title":"Psychiatry Res."},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1007\/s41811-020-00078-3","article-title":"COVID-19-Related Economic Anxiety Is As High as Health Anxiety: Findings from the USA, the UK, and Israel","volume":"14","author":"Shahar","year":"2021","journal-title":"Int. J. Cogn. Ther."},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1177\/21676968211039302","article-title":"LGBTQ+ College Students\u2019 Engagement in COVID-Protective and COVID-Risk Behaviors","volume":"9","author":"Lawrence","year":"2021","journal-title":"Emerg. Adulthood"},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1007\/s10964-012-9759-6","article-title":"Peer attachment: A meta-analytic review of gender and age differences and associations with parent attachment","volume":"41","author":"Gorrese","year":"2012","journal-title":"J. Youth Adolesc."},{"key":"ref_95","doi-asserted-by":"crossref","unstructured":"Luthar, S.S. (2003). Resilience and Vulnerability: Adaptation in the Context of Childhood Adversities, Cambridge University Press.","DOI":"10.1017\/CBO9780511615788"},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1159\/000353263","article-title":"Psychological well-being revisited: Advances in the science and practice of eudaimonia","volume":"83","author":"Ryff","year":"2014","journal-title":"Psychother. Psychosom."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3188\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:31:37Z","timestamp":1760121097000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/4\/3188"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,11]]},"references-count":96,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20043188"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20043188","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,11]]}}}