{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T02:04:18Z","timestamp":1791338658618,"version":"4.3.1"},"reference-count":136,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:00:00Z","timestamp":1777939200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Brown University School of Public Health","award":["K23AT011173"],"award-info":[{"award-number":["K23AT011173"]}]},{"award":["K23AT011173"],"award-info":[{"award-number":["K23AT011173"]}],"id":[{"id":"https:\/\/ror.org\/05gq02987","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Health","doi-asserted-by":"publisher","award":["P30MH062294"],"award-info":[{"award-number":["P30MH062294"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"award":["P30MH062294"],"award-info":[{"award-number":["P30MH062294"]}],"id":[{"id":"https:\/\/ror.org\/02hssy432","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["F32MH127795"],"award-info":[{"award-number":["F32MH127795"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"award":["F32MH127795"],"award-info":[{"award-number":["F32MH127795"]}],"id":[{"id":"https:\/\/ror.org\/04t0s7x83","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Young adult sexual minority men (SMM) disproportionately experience childhood interpersonal trauma. The Dimensional Model of Adversity and Psychopathology (DMAP) framework proposes that exposure to threat (i.e., emotional, physical, and sexual abuse) and deprivation (e.g., physical and emotional neglect) are differentially linked to adult psychopathology. Studies of predominantly heterosexual samples have revealed emotion regulation and mindfulness as mechanisms linking childhood trauma to mental health and health risk behaviors in adulthood. However, the influence of emotion regulation (ER) or mindfulness as associated with exposure to threat vs. deprivation has not been examined among SMM in adulthood. Objective: This study explored the relationships between childhood threat\/deprivation and mental health and health risk behaviors among SMM with ER and mindfulness as mediators. Participants and Setting: The sample consisted of 317 SMM (Mage = 26.70; SD = 3.87; ages 18\u201335; 59.3% White) recruited from the community. Methods: Childhood experiences of threat and deprivation were assessed via the Childhood Trauma Questionnaire; ER difficulties and dispositional mindfulness were assessed using self-report. Mental health behaviors were assessed using a composite score consisting of self-reported depressive, anxiety, PTSD symptoms, and suicidality. Health risk behavior score included the Sexual Compulsivity Scale, Alcohol Use Disorders Identification Test, and smoking history (Y\/N). Results: Threat and deprivation were both positively correlated with mental health and health risk behaviors. Threat was associated with both mental health and health risk behaviors via emotion regulation (ER) difficulties. Deprivation was associated with these outcomes through both ER difficulties and mindfulness. Conclusions: Treatment aimed at bolstering ER and mindfulness skills among those with histories of abuse and deprivation, respectively, may help reduce psychopathology risk among SMM.<\/jats:p>","DOI":"10.3390\/ijerph23050609","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:01:30Z","timestamp":1777975290000},"page":"609","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Childhood Threat and Deprivation and Links to Mental Health Behaviors and Health Risk Behaviors Among Young Sexual Minority Men: The Differential Roles of Mindfulness and Emotion Regulation"],"prefix":"10.3390","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2739-6637","authenticated-orcid":false,"given":"Jennifer A.","family":"Poon","sequence":"first","affiliation":[{"name":"Department of Psychology, University of Alaska Anchorage, Anchorage, AK 99508, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3173-3499","authenticated-orcid":false,"given":"David G.","family":"Zelaya","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-4675-2166","authenticated-orcid":false,"given":"Vedhalakshmi","family":"Rajasankar","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Murphy","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riley A.","family":"Russell","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of Alaska Anchorage, Anchorage, AK 99508, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5215-128X","authenticated-orcid":false,"given":"Shufang","family":"Sun","sequence":"additional","affiliation":[{"name":"Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI 02903, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"773","DOI":"10.2105\/AJPH.92.5.773","article-title":"Challenges faced by homeless sexual minorities: Comparison of gay, lesbian, bisexual, and transgender homeless adolescents with their heterosexual counterparts","volume":"92","author":"Cochran","year":"2002","journal-title":"Am. J. Public Health"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1037\/ort0000030","article-title":"The health equity promotion model: Reconceptualization of lesbian, gay, bisexual, and transgender (LGBT) health disparities","volume":"84","author":"Simoni","year":"2014","journal-title":"Am. J. Orthopsychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"King, M., Semlyen, J., Tai, S.S., Killaspy, H., Osborn, D., Popelyuk, D., and Nazareth, I. (2008). A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry, 8.","DOI":"10.1186\/1471-244X-8-70"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1390","DOI":"10.1080\/00918369.2017.1321379","article-title":"A Qualitative Study Examining Young Adults\u2019 Experiences of Disclosure and Nondisclosure of LGBTQ Identity to Health Care Providers","volume":"64","author":"Rossman","year":"2017","journal-title":"J. Homosex."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"15579883231176646","DOI":"10.1177\/15579883231176646","article-title":"Mental Health Disparities Among Homosexual Men and Minorities: A Systematic Review","volume":"17","author":"Malik","year":"2023","journal-title":"Am. J. Mens Health"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.biopsych.2012.02.034","article-title":"Clustering of depression and inflammation in adolescents previously exposed to childhood adversity","volume":"72","author":"Miller","year":"2012","journal-title":"Biol. Psychiatry"},{"key":"ref_7","unstructured":"U.S. Department of Health and Human Services, Administration for Children and Families, Administration on Children, Youth and Families, and Children\u2019s Bureau (2023). Child Maltreatment 2021."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"104099","DOI":"10.1016\/j.chiabu.2019.104099","article-title":"Sexual minority status and child maltreatment: How do health outcomes among sexual minority young adults differ due to child maltreatment exposure?","volume":"96","author":"Paul","year":"2019","journal-title":"Child Abuse Negl."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"1165","DOI":"10.1016\/S0145-2134(02)00385-X","article-title":"Reports of parental maltreatment during childhood in a United States population-based survey of homosexual, bisexual, and heterosexual adults","volume":"26","author":"Corliss","year":"2002","journal-title":"Child Abuse Negl."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.chiabu.2012.03.003","article-title":"Exploring the role of child sexual abuse and posttraumatic stress disorder symptoms in gay and bisexual men reporting compulsive sexual behavior","volume":"36","author":"Blain","year":"2012","journal-title":"Child Abuse Negl."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1016\/j.tics.2014.09.001","article-title":"Dimensions of early life experience and neural development: Deprivation and threat","volume":"18","author":"Sheridan","year":"2014","journal-title":"Trends Cogn. Sci."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1177\/0963721416655883","article-title":"Beyond cumulative risk: A dimensional approach to childhood adversity","volume":"25","author":"McLaughlin","year":"2016","journal-title":"Curr. Dir. Psychol. Sci."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1016\/j.neubiorev.2014.10.012","article-title":"Childhood adversity and neural development: Deprivation and threat as distinct dimensions of early experience","volume":"47","author":"McLaughlin","year":"2014","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref_14","unstructured":"Dentato, M. (2026, March 01). The Minority Stress Perspective. Social Work: School of Social Work Faculty Publications and Other Works. Available online: https:\/\/ecommons.luc.edu\/socialwork_facpubs\/2."},{"key":"ref_15","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_16","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_17","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1146\/annurev-devpsych-121318-084950","article-title":"Childhood Adversity and Neural Development: A Systematic Review","volume":"1","author":"McLaughlin","year":"2019","journal-title":"Annu. Rev. Dev. Psychol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"1481","DOI":"10.2105\/AJPH.2009.190009","article-title":"A meta-analysis of disparities in childhood sexual abuse, parental physical abuse, and peer victimization among sexual minority and sexual nonminority individuals","volume":"101","author":"Friedman","year":"2011","journal-title":"Am. J. Public Health"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"McLaughlin, K.A., Colich, N.L., Rodman, A.M., and Weissman, D.G. (2020). Mechanisms linking childhood trauma exposure and psychopathology: A transdiagnostic model of risk and resilience. BMC Med., 18.","DOI":"10.1186\/s12916-020-01561-6"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"Norman, R.E., Byambaa, M., De, R., Butchart, A., Scott, J., and Vos, T. (2012). The Long-Term Health Consequences of Child Physical Abuse, Emotional Abuse, and Neglect: A Systematic Review and Meta-Analysis. PLoS Med., 9.","DOI":"10.1371\/journal.pmed.1001349"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"431","DOI":"10.1111\/sltb.12141","article-title":"Suicidal Behavior Outcomes of Childhood Sexual Abuse: Longitudinal Study of Adjudicated Girls","volume":"45","author":"Rabinovitch","year":"2015","journal-title":"Suicide Life-Threat. Behav."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1016\/S0145-2134(02)00341-1","article-title":"Child neglect: Developmental issues and outcomes","volume":"26","author":"Hildyard","year":"2002","journal-title":"Child Abuse Negl."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1034\/j.1600-0447.106.s412.20.x","article-title":"Adult psychopathy and violent behavior in males with early neglect and abuse","volume":"106","author":"Lang","year":"2002","journal-title":"Acta Psychiatr. Scand."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/PSY.0000000000000369","article-title":"Dimensions of Adversity, Physiological Reactivity, and Externalizing Psychopathology in Adolescence: Deprivation and Threat","volume":"79","author":"Busso","year":"2017","journal-title":"Psychosom. Med."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/cch.12617","article-title":"Associations of adverse childhood experiences and suicidal behaviors in adulthood in a U.S. nationally representative sample","volume":"45","author":"Thompson","year":"2019","journal-title":"Child Care Health Dev."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"104183","DOI":"10.1016\/j.chiabu.2019.104183","article-title":"Suicidality among young adults: Unique and cumulative roles of 14 different adverse childhood experiences","volume":"98","author":"Wang","year":"2019","journal-title":"Child Abuse Negl."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1111\/1469-7610.00105","article-title":"Stress and psychopathology in children and adolescents: Is there evidence of specificity?","volume":"44","author":"McMahon","year":"2003","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1037\/abn0000331","article-title":"Dimensions of deprivation and threat, psychopathology, and potential mediators: A multi-year longitudinal analysis","volume":"127","author":"Miller","year":"2018","journal-title":"J. Abnorm. Psychol."},{"key":"ref_29","unstructured":"Duncan, G.J., and Murnane, R.J. (2011). Lessons From Neuroscience Research for Understanding Causal Links Between Family and Neighborhood Characteristics and Educational Outcomes. Whither Opportunity?: Rising Inequality, Schools, and Children\u2019s Life Chances, Russell Sage Foundation."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"25","DOI":"10.2307\/1166137","article-title":"Emotion regulation: A theme in search of definition","volume":"59","author":"Thompson","year":"1994","journal-title":"Monogr. Soc. Res. Child Dev."},{"key":"ref_31","first-page":"467","article-title":"Pharmacological and psychosocial treatments for adolescents with ADHD: An updated systematic review of the literature","volume":"34","author":"Aldao","year":"2014","journal-title":"Clin. Psychol. Rev."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"104446","DOI":"10.1016\/j.chiabu.2020.104446","article-title":"Effects of maltreatment on coping and emotion regulation in childhood and adolescence: A meta-analytic review","volume":"103","author":"Gruhn","year":"2020","journal-title":"Child Abuse Negl."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.cpr.2009.11.004","article-title":"Emotion-regulation strategies across psychopathology: A meta-analytic review","volume":"30","author":"Aldao","year":"2010","journal-title":"Clin. Psychol. Rev."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1177\/0165025414522170","article-title":"Moving ahead in the study of the development of emotion regulation","volume":"38","author":"Cole","year":"2014","journal-title":"Int. J. Behav. Dev."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1037\/a0016441","article-title":"How does sexual minority stigma \u201cget under the skin\u201d? A psychological mediation framework","volume":"135","author":"Hatzenbuehler","year":"2009","journal-title":"Psychol. Bull."},{"key":"ref_36","doi-asserted-by":"crossref","unstructured":"Rogers, A.H., Seager, I., Haines, N., Hahn, H., Aldao, A., and Ahn, W.-Y. (2017). The Indirect Effect of Emotion Regulation on Minority Stress and Problematic Substance Use in Lesbian, Gay, and Bisexual Individuals. Front. Psychol., 8.","DOI":"10.3389\/fpsyg.2017.01881"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1177\/09727531221120356","article-title":"Minority Stress in Emotion Suppression and Mental Distress Among Sexual and Gender Minorities: A Systematic Review","volume":"30","author":"Singh","year":"2023","journal-title":"Ann. Neurosci."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1017\/S0954579421000663","article-title":"Child abuse and automatic emotion regulation in children and adolescents","volume":"35","author":"Kim","year":"2023","journal-title":"Dev. Psychopathol."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"899","DOI":"10.1017\/S0954579419000348","article-title":"Difficulties with emotion regulation as a transdiagnostic mechanism linking child maltreatment with the emergence of psychopathology","volume":"31","author":"Weissman","year":"2019","journal-title":"Dev. Psychopathol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"929","DOI":"10.1017\/S0954579416000584","article-title":"Differential associations of threat and deprivation with emotion regulation and cognitive control in adolescence","volume":"29","author":"Lambert","year":"2017","journal-title":"Dev. Psychopathol."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.chiabu.2012.07.004","article-title":"Disproportionate exposure to early-life adversity and sexual orientation disparities in psychiatric morbidity","volume":"36","author":"McLaughlin","year":"2012","journal-title":"Child Abuse Negl."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1016\/j.psychres.2018.11.038","article-title":"Difficulties in emotion regulation and suicide ideation and attempt in adolescent inpatients","volume":"271","author":"Hatkevich","year":"2019","journal-title":"Psychiatry Res."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1315","DOI":"10.1007\/s10802-023-01067-8","article-title":"Longitudinal Relations Between Childhood Maltreatment, Emotion Regulation Difficulties, and Suicidal Ideation and Non-Suicidal Self-Injury: An 18-Month Investigation of Psychiatrically Hospitalized Adolescents","volume":"51","author":"Poon","year":"2023","journal-title":"Res. Child Adolesc. Psychopathol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1097\/HRP.0000000000000014","article-title":"Childhood maltreatment, emotional dysregulation, and psychiatric comorbidities","volume":"22","author":"Dvir","year":"2014","journal-title":"Harv. Rev. Psychiatry"},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/S0005-7894(05)80060-7","article-title":"Beyond PTSD: Emotion Regulation and Interpersonal Problems as Predictors of Functional Impairment in Survivors of Childhood Abuse","volume":"36","author":"Cloitre","year":"2005","journal-title":"Behav. Ther."},{"key":"ref_46","unstructured":"Hart, B., and Risley, T.R. (1995). Meaningful Differences in the Everyday Experience of Young American Children, Brookes Publishing Company, Inc."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1111\/j.1469-7610.2006.01694.x","article-title":"BEIP Core Group. The caregiving context in institution-reared and family-reared infants and toddlers in Romania","volume":"48","author":"Smyke","year":"2007","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1207\/S15374424JCCP3003_7","article-title":"Parental maltreatment and emotion dysregulation as risk factors for bullying and victimization in middle childhood","volume":"30","author":"Shields","year":"2001","journal-title":"J. Clin. Child Psychol."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"208","DOI":"10.2307\/1166147","article-title":"The effects of mother\u2019s physical and emotional unavailability on emotion regulation","volume":"59","author":"Field","year":"1994","journal-title":"Monogr. Soc. Res. Child Dev."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1111\/j.1469-7610.2009.02202.x","article-title":"Longitudinal pathways linking child maltreatment, emotion regulation, peer relations, and psychopathology","volume":"51","author":"Kim","year":"2010","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Thornberry, T.P., and Krohn, M.D. (2003). The Development of Male Offending. Taking Stock of Delinquency: An Overview of Findings from Contemporary Longitudinal Studies, Springer.","DOI":"10.1007\/b105384"},{"key":"ref_52","unstructured":"Kabat-Zinn, J. (1990). Full Catastrophe Living: Using the Wisdom of Your Body and Mind to Face Stress, Pain, and Illness, Delacorte."},{"key":"ref_53","doi-asserted-by":"crossref","unstructured":"Guendelman, S., Medeiros, S., and Rampes, H. (2017). Mindfulness and Emotion Regulation: Insights from Neurobiological, Psychological, and Clinical Studies. Front. Psychol., 8.","DOI":"10.3389\/fpsyg.2017.00220"},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1080\/10478400701598298","article-title":"Mindfulness: Theoretical foundations and evidence for its salutary effects","volume":"18","author":"Brown","year":"2007","journal-title":"Psychol. Inq."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.cpr.2017.04.008","article-title":"Mechanisms of action in mindfulness-based cognitive therapy (MBCT) and mindfulness-based stress reduction (MBSR) in people with physical and\/or psychological conditions: A systematic review","volume":"55","author":"Alsubaie","year":"2017","journal-title":"Clin. Psychol. Rev."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cpr.2015.01.006","article-title":"How do mindfulness-based cognitive therapy and mindfulness-based stress reduction improve mental health and wellbeing? A systematic review and meta-analysis of mediation studies","volume":"37","author":"Gu","year":"2015","journal-title":"Clin. Psychol. Rev."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1177\/1524838011416375","article-title":"Conceptualizing mindfulness and acceptance as components of psychological resilience to trauma","volume":"12","author":"Thompson","year":"2011","journal-title":"Trauma Violence Abus."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s12671-017-0762-6","article-title":"Dispositional Mindfulness and Psychological Health: A Systematic Review","volume":"9","author":"Tomlinson","year":"2018","journal-title":"Mindfulness"},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"958","DOI":"10.1016\/j.paid.2011.07.032","article-title":"Dispositional mindfulness moderates the relation between neuroticism and depressive symptoms","volume":"51","author":"Barnhofer","year":"2011","journal-title":"Personal. Individ. Differ."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1348\/135910710X501683","article-title":"The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population-based sample","volume":"16","author":"Duncan","year":"2011","journal-title":"Br. J. Health Psychol."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1016\/j.paid.2010.05.041","article-title":"A mindfulness model of affect regulation and depressive symptoms: Positive emotions, mood regulation expectancies, and self-acceptance as regulatory mechanisms","volume":"49","author":"Jimenez","year":"2010","journal-title":"Personal. Individ. Differ."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"831","DOI":"10.3109\/00048674.2010.487478","article-title":"Do Dispositional Rumination and\/or Mindfulness Moderate the Relationship Between Life Hassles and Psychological Dysfunction in Adolescents?","volume":"44","author":"Marks","year":"2010","journal-title":"Aust. N. Z. J. Psychiatry"},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1080\/08870446.2014.990389","article-title":"Changes in positive affect and mindfulness predict changes in cortisol response and psychiatric symptoms: A latent change score modelling approach","volume":"30","author":"Hou","year":"2015","journal-title":"Psychol. Health"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"613","DOI":"10.1037\/a0025189","article-title":"Mindfulness is associated with fewer PTSD symptoms, depressive symptoms, physical symptoms, and alcohol problems in urban firefighters","volume":"79","author":"Smith","year":"2011","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1080\/14616734.2011.608993","article-title":"Does mindfulness mediate the association between attachment dimensions and Borderline Personality Disorder features? A study of Italian non-clinical adolescents","volume":"13","author":"Fossati","year":"2011","journal-title":"Attach. Hum. Dev."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1080\/17437199.2019.1650290","article-title":"Trait mindfulness and health behaviours: A meta-analysis","volume":"14","author":"Sala","year":"2020","journal-title":"Health Psychol. Rev."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.drugalcdep.2014.07.014","article-title":"A meta-analysis of the relationship between trait mindfulness and substance use behaviors","volume":"143","author":"Karyadi","year":"2014","journal-title":"Drug Alcohol Depend."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1177\/1077801218781886","article-title":"Understanding the Role of Alcohol, Anxiety, and Trait Mindfulness in the Perpetration of Physical and Sexual Dating Violence in Emerging Adults","volume":"24","author":"Ngo","year":"2018","journal-title":"Violence Women"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"de Moraes, V.S., Fernandes, M., Fernandes, M.N.d.F., Gimenez, L.B.H., Camargo J\u00fanior, E.B., and Gherardi-Donato, E.C.d.S. (2023). Relationship between early-life stress and trait mindfulness in adulthood: A correlational study. BMC Psychol., 11.","DOI":"10.1186\/s40359-022-01029-7"},{"key":"ref_70","unstructured":"King, A., Auen, A., and Russell, T. (2019). Childhood Maltreatment and Adult Dispositional Mindfulness. Violence Exposure: Perspectives, Gender Differences and Outcomes, University of North Dakota."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"e212511","DOI":"10.1001\/jamapediatrics.2021.2511","article-title":"Associations of Early-Life Threat and Deprivation with Executive Functioning in Childhood and Adolescence: A Systematic Review and Meta-analysis","volume":"175","author":"Johnson","year":"2021","journal-title":"JAMA Pediatr."},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1080\/17437199.2023.2248222","article-title":"Mindfulness enhances cognitive functioning: A meta-analysis of 111 randomized controlled trials","volume":"18","author":"Zainal","year":"2024","journal-title":"Health Psychol. Rev."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"2745","DOI":"10.1007\/s10826-014-0077-3","article-title":"Associations Between Dispositional Mindfulness and Executive Function in Early Adolescence","volume":"24","author":"Riggs","year":"2015","journal-title":"J. Child Fam. Stud."},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"50","DOI":"10.3758\/CABN.10.1.50","article-title":"Understanding vulnerability for depression from a cognitive neuroscience perspective: A reappraisal of attentional factors and a new conceptual framework","volume":"10","author":"Koster","year":"2010","journal-title":"Cogn. Affect. Behav. Neurosci."},{"key":"ref_75","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1002\/jclp.20624","article-title":"Mindfulness intervention for child abuse survivors","volume":"66","author":"Kimbrough","year":"2010","journal-title":"J. Clin. Psychol."},{"key":"ref_76","doi-asserted-by":"crossref","first-page":"100804","DOI":"10.1016\/j.jcbs.2024.100804","article-title":"Minority stress, mental health, and mindfulness and self-compassion as moderators among young sexual minority men: A moderated structural equation analysis","volume":"33","author":"Sun","year":"2024","journal-title":"J. Context. Behav. Sci."},{"key":"ref_77","doi-asserted-by":"crossref","unstructured":"Guy, A.A., Murphy, M.J., Zelaya, D.G., Kahler, C.W., and Sun, S. (2024). Data integrity in an online world: Demonstration of multimodal bot screening tools and considerations for preserving data integrity in two online social and behavioral research studies with marginalized populations. Psychol. Methods, Advance online publication.","DOI":"10.31219\/osf.io\/j79b8"},{"key":"ref_78","doi-asserted-by":"crossref","first-page":"780","DOI":"10.1093\/ije\/dyx280","article-title":"Child maltreatment risk as a function of poverty and race\/ethnicity in the USA","volume":"47","author":"Kim","year":"2018","journal-title":"Int. J. Epidemiol."},{"key":"ref_79","doi-asserted-by":"crossref","first-page":"105328","DOI":"10.1016\/j.chiabu.2021.105328","article-title":"Income inequality and child maltreatment rates in US counties, 2009\u20132018","volume":"130","author":"Zhang","year":"2022","journal-title":"Child Abuse Negl."},{"key":"ref_80","doi-asserted-by":"crossref","first-page":"e2221516","DOI":"10.1001\/jamanetworkopen.2022.21516","article-title":"Child Maltreatment and the Ecosystem of Socioeconomic Inequities and Inequalities","volume":"5","author":"Okechukwu","year":"2022","journal-title":"JAMA Netw. Open"},{"key":"ref_81","unstructured":"Bernstein, D.P., Fink, L., Handelsman, L., and Foote, J. (1998). Childhood trauma questionnaire. Assessment of Family Violence: A Handbook for Researchers and Practitioners, Sage Publications."},{"key":"ref_82","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1037\/a0018661","article-title":"Childhood abuse and mental health indicators among ethnically diverse lesbian, gay, and bisexual adults","volume":"78","author":"Balsam","year":"2010","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_83","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1007\/s11199-012-0171-1","article-title":"Childhood Trauma, Adult Sexual Assault, and Adult Gender Expression among Lesbian and Bisexual Women","volume":"67","author":"Lehavot","year":"2012","journal-title":"Sex Roles"},{"key":"ref_84","doi-asserted-by":"crossref","first-page":"1024","DOI":"10.1016\/j.jad.2021.08.145","article-title":"Trajectories of change in internalizing symptoms during the COVID-19 pandemic: A longitudinal population-based study","volume":"295","author":"Hyland","year":"2021","journal-title":"J. Affect. Disord."},{"key":"ref_85","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1089\/lgbt.2019.0113","article-title":"Diversity of Psychosocial Syndemic Indicators and Associations with Sexual Behavior with Male and Female Partners Among Early Adolescent Sexual Minority Males","volume":"6","author":"Perry","year":"2019","journal-title":"LGBT Health"},{"key":"ref_86","doi-asserted-by":"crossref","first-page":"16866","DOI":"10.1007\/s12144-025-08328-3","article-title":"Exploring transdiagnostic factors of internalizing and externalizing symptoms in transitional-age youth: Using a variable-centered and person-centered approach","volume":"44","author":"Keulen","year":"2025","journal-title":"Curr. Psychol."},{"key":"ref_87","doi-asserted-by":"crossref","first-page":"1092","DOI":"10.1001\/archinte.166.10.1092","article-title":"A brief measure for assessing generalized anxiety disorder: The GAD-7","volume":"166","author":"Spitzer","year":"2006","journal-title":"Arch. Intern. Med."},{"key":"ref_88","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1046\/j.1525-1497.2001.016009606.x","article-title":"The PHQ-9: Validity of a brief depression severity measure","volume":"16","author":"Kroenke","year":"2001","journal-title":"J. Gen. Intern. Med."},{"key":"ref_89","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1001\/jama.1994.03520220043029","article-title":"Utility of a New Procedure for Diagnosing Mental Disorders in Primary Care: The PRIME-MD 1000 Study","volume":"272","author":"Spitzer","year":"1994","journal-title":"JAMA"},{"key":"ref_90","doi-asserted-by":"crossref","first-page":"2333","DOI":"10.1007\/s00127-022-02362-3","article-title":"Mental health services use and depressive symptom scores among gay and bisexual men in Canada","volume":"57","author":"Marbaniang","year":"2022","journal-title":"Soc. Psychiatry Psychiatr. Epidemiol."},{"key":"ref_91","doi-asserted-by":"crossref","first-page":"e23520","DOI":"10.2196\/23520","article-title":"Association Between LGB Sexual Orientation and Depression Mediated by Negative Social Media Experiences: National Survey Study of US Young Adults","volume":"7","author":"Shensa","year":"2020","journal-title":"JMIR Ment. Health"},{"key":"ref_92","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1177\/107319110100800409","article-title":"The Suicidal Behaviors Questionnaire-Revised (SBQ-R):Validation with clinical and nonclinical samples","volume":"8","author":"Osman","year":"2001","journal-title":"Assessment"},{"key":"ref_93","doi-asserted-by":"crossref","first-page":"1452","DOI":"10.1111\/sltb.12532","article-title":"Relationship Status and Suicidal Behavior in Gay Men: The Role of Thwarted Belongingness and Hope","volume":"49","author":"Riley","year":"2019","journal-title":"Suicide Life.-Threat. Behav."},{"key":"ref_94","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1002\/jclp.21845","article-title":"The PTSD Checklist\u2014Civilian Version: Reliability, Validity, and Factor Structure in a Nonclinical Sample","volume":"68","author":"Conybeare","year":"2012","journal-title":"J. Clin. Psychol."},{"key":"ref_95","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1207\/s15327752jpa6203_1","article-title":"Sexual Sensation Seeking: Scale Development and Predicting AIDS-Risk Behavior Among Homosexually Active Men","volume":"62","author":"Kalichman","year":"1994","journal-title":"J. Pers. Assess."},{"key":"ref_96","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1207\/s15327752jpa6503_16","article-title":"Sexual sensation seeking and sexual compulsivity scale: Validity, and predicting HIV risk behavior","volume":"65","author":"Kalichman","year":"1995","journal-title":"J. Pers. Assess."},{"key":"ref_97","doi-asserted-by":"crossref","first-page":"829","DOI":"10.1037\/hea0000180","article-title":"A minority stress\u2014Emotion regulation model of sexual compulsivity among highly sexually active gay and bisexual men","volume":"34","author":"Pachankis","year":"2014","journal-title":"Health Psychol."},{"key":"ref_98","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1007\/s10461-015-1029-7","article-title":"Hypersexual, Sexually Compulsive, or Just Highly Sexually Active? Investigating Three Distinct Groups of Gay and Bisexual Men and Their Profiles of HIV-Related Sexual Risk","volume":"20","author":"Parsons","year":"2016","journal-title":"AIDS Behav."},{"key":"ref_99","doi-asserted-by":"crossref","first-page":"791","DOI":"10.1111\/j.1360-0443.1993.tb02093.x","article-title":"Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption-II","volume":"88","author":"Saunders","year":"1993","journal-title":"Addiction"},{"key":"ref_100","doi-asserted-by":"crossref","first-page":"83","DOI":"10.3922\/j.psns.2009.1.12","article-title":"Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties","volume":"2","author":"Zuardi","year":"2009","journal-title":"Psychol. Neurosci."},{"key":"ref_101","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1016\/j.drugalcdep.2017.07.022","article-title":"Prevalence and correlates of smoking and e-cigarette use among young men who have sex with men and transgender women","volume":"179","author":"Gerend","year":"2017","journal-title":"Drug Alcohol Depend."},{"key":"ref_102","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s10862-008-9102-4","article-title":"Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale","volume":"30","author":"Gratz","year":"2008","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_103","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1037\/0022-3514.84.4.822","article-title":"The Benefits of Being Present: Mindfulness and Its Role in Psychological Well-Being","volume":"84","author":"Brown","year":"2003","journal-title":"J. Pers. Soc. Psychol."},{"key":"ref_104","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1007\/s12671-019-01278-5","article-title":"Sexual Racism, Psychological Symptoms, and Mindfulness Among Ethnically\/Racially Diverse Young Men Who Have Sex with Men: A Moderation Analysis","volume":"11","author":"Hidalgo","year":"2020","journal-title":"Mindfulness"},{"key":"ref_105","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1080\/16506070802383230","article-title":"Measuring mindfulness: Pilot studies with the Swedish versions of the Mindful Attention Awareness Scale and the Kentucky Inventory of Mindfulness Skills","volume":"38","author":"Hansen","year":"2009","journal-title":"Cogn. Behav. Ther."},{"key":"ref_106","unstructured":"RStudio Team (2020). RStudio: Integrated Development for R, PBC. Available online: http:\/\/www.rstudio.com\/."},{"key":"ref_107","unstructured":"R Core Team (2023). R: A Language and Environment for Statistical Computing, R Foundation for Statistical Computing. Available online: https:\/\/www.R-project.org\/."},{"key":"ref_108","unstructured":"Wickham, H., Fran\u00e7ois, R., Henry, L., M\u00fcller, K., and Vaughan, D. (2026, March 01). dplyr: A Grammar of Data Manipulation. Available online: https:\/\/dplyr.tidyverse.org."},{"key":"ref_109","unstructured":"Revelle, W. (2026, March 01). psych: Procedures for Psychological, Psychometric, and Personality Research. Available online: https:\/\/personality-project.org\/r\/psych\/psych-manual.pdf."},{"key":"ref_110","doi-asserted-by":"crossref","first-page":"1","DOI":"10.18637\/jss.v048.i02","article-title":"lavaan: An R package for structural equation modeling","volume":"48","author":"Rosseel","year":"2012","journal-title":"J. Stat. Softw."},{"key":"ref_111","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1207\/s15327906mbr3901_4","article-title":"Confidence Limits for the Indirect Effect: Distribution of the Product and Resampling Methods","volume":"39","author":"MacKinnon","year":"2004","journal-title":"Multivar. Behav. Res."},{"key":"ref_112","first-page":"49","article-title":"On the generalized distance in statistics","volume":"2","author":"Mahalanobis","year":"1936","journal-title":"Proc. Natl. Inst. Sci. India"},{"key":"ref_113","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.jaac.2023.05.033","article-title":"The Role of Individual Discrimination and Structural Stigma in the Mental Health of Sexual Minority Youth","volume":"63","author":"Gordon","year":"2024","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_114","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1037\/0021-843X.112.3.323","article-title":"Selective attention to facial emotion in physically abused children","volume":"112","author":"Pollak","year":"2003","journal-title":"J. Abnorm. Psychol."},{"key":"ref_115","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1111\/jcpp.12630","article-title":"Childhood abuse and reduced cortical thickness in brain regions involved in emotional processing","volume":"57","author":"Gold","year":"2016","journal-title":"J. Child Psychol. Psychiatry"},{"key":"ref_116","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1037\/a0030259","article-title":"Affective science and health: The importance of emotion and emotion regulation","volume":"32","author":"DeSteno","year":"2013","journal-title":"Health Psychol."},{"key":"ref_117","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1097\/YCO.0b013e3283503669","article-title":"Emotion regulation and mental health: Recent findings, current challenges, and future directions","volume":"25","author":"Berking","year":"2012","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref_118","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1017\/S0954579419000294","article-title":"Deprivation and threat, emotion dysregulation, and psychopathology: Concurrent and longitudinal associations","volume":"31","author":"Milojevich","year":"2019","journal-title":"Dev. Psychopathol."},{"key":"ref_119","doi-asserted-by":"crossref","first-page":"753","DOI":"10.1016\/j.jaac.2015.06.010","article-title":"Child Maltreatment and Neural Systems Underlying Emotion Regulation","volume":"54","author":"McLaughlin","year":"2015","journal-title":"J. Am. Acad. Child Adolesc. Psychiatry"},{"key":"ref_120","doi-asserted-by":"crossref","first-page":"1721","DOI":"10.1080\/02699931.2020.1795625","article-title":"Childhood maltreatment and expressive flexibility: Specific effects of threat and deprivation?","volume":"34","author":"Miu","year":"2020","journal-title":"Cogn. Emot."},{"key":"ref_121","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1080\/15299732.2019.1675222","article-title":"LGBTQ+ based discrimination is associated with PTSD symptoms, dissociation, emotion dysregulation, and attachment insecurity among LGBTQ+ adults who have experienced trauma","volume":"21","author":"Keating","year":"2020","journal-title":"J. Trauma Dissociation"},{"key":"ref_122","first-page":"e46310","article-title":"Mindfulness-based Mobile Health to Address Unhealthy Eating among Mid-age Sexual Minority Women with Early Life Adversity: A Feasibility Trial","volume":"25","author":"Sun","year":"2023","journal-title":"JMIR Publ."},{"key":"ref_123","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1111\/cch.12227","article-title":"A systematic review of the emotional, behavioural and cognitive features exhibited by school-aged children experiencing neglect or emotional abuse","volume":"41","author":"Maguire","year":"2015","journal-title":"Child Care Health Dev."},{"key":"ref_124","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1017\/S095457949800159X","article-title":"Anecological-transactional analysis of children and contexts: The longitudinal interplay amongchild maltreatment, community violence, and children\u2019s symptomatology","volume":"10","author":"Lynch","year":"1998","journal-title":"Dev. Psychopathol."},{"key":"ref_125","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1016\/j.chiabu.2005.01.006","article-title":"Managing emotion in a maltreating context: A pilot study examining child neglect","volume":"29","author":"Shipman","year":"2005","journal-title":"Child Abuse Negl."},{"key":"ref_126","doi-asserted-by":"crossref","unstructured":"Tang, S., Reily, N.M., Arena, A.F., Batterham, P.J., Calear, A.L., Carter, G.L., Mackinnon, A.J., and Christensen, H. (2022). People Who Die by Suicide Without Receiving Mental Health Services: A Systematic Review. Front. Public Health, 9.","DOI":"10.3389\/fpubh.2021.736948"},{"key":"ref_127","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.adolescence.2019.10.006","article-title":"Developmental patterns of sexual identity, romantic attraction, and sexual behavior among adolescents over three years","volume":"77","author":"Stewart","year":"2019","journal-title":"J. Adolesc."},{"key":"ref_128","doi-asserted-by":"crossref","unstructured":"Franklin, A.J., Boyd-Franklin, N., and Kelly, S. (2006). Racism and invisibility: Race-related stress, emotional abuse and psychological trauma for people of color. Racism and Racial Identity: Reflections on Urban Practice in Mental Health and Social Services, Haworth Maltreatment and Trauma Press\/The Haworth Press.","DOI":"10.1300\/J135v06n02_02"},{"key":"ref_129","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cbpra.2011.12.004","article-title":"Using Mindfulness- and Acceptance-Based Treatments with Clients From Nondominant Cultural and\/or Marginalized Backgrounds: Clinical Considerations, Meta-Analysis Findings, and Introduction to the Special Series: Clinical Considerations in using Acceptance- and Mindfulness-based Treatments with Diverse Populations","volume":"20","author":"Fuchs","year":"2013","journal-title":"Cogn. Behav. Pract."},{"key":"ref_130","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1007\/s40501-021-00240-4","article-title":"Clinical effects of mindfulness-based interventions for adults with a history of childhood maltreatment: A scoping review","volume":"8","author":"Joss","year":"2021","journal-title":"Curr. Treat. Options Psychiatry"},{"key":"ref_131","doi-asserted-by":"crossref","first-page":"1926","DOI":"10.1080\/13811118.2021.1950587","article-title":"Cross-Cultural Addictions Study Team. Sexual Minority Status, Affect Lability, and Suicide Ideation: Buffering Role of Trait Mindfulness","volume":"26","author":"Wedell","year":"2022","journal-title":"Arch. Suicide Res."},{"key":"ref_132","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.cbpra.2021.11.005","article-title":"A model for adapting evidence-based interventions to be LGBQ-affirmative: Putting minority stress principles and case conceptualization into clinical research and practice","volume":"30","author":"Pachankis","year":"2023","journal-title":"Cogn. Behav. Pract."},{"key":"ref_133","doi-asserted-by":"crossref","first-page":"875","DOI":"10.1037\/ccp0000037","article-title":"LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach","volume":"83","author":"Pachankis","year":"2015","journal-title":"J. Consult. Clin. Psychol."},{"key":"ref_134","doi-asserted-by":"crossref","unstructured":"Pachankis, J.E., Mcconocha, E.M., Reynolds, J.S., Winston, R., Adeyinka, O., Harkness, A., Burton, C.L., Behari, K., Sullivan, T.J., and Eldahan, A.I. (2019). Project ESTEEM protocol: A randomized controlled trial of an LGBTQ-affirmative treatment for young adult sexual minority men\u2019s mental and sexual health. BMC Public Health, 19.","DOI":"10.1186\/s12889-019-7346-4"},{"key":"ref_135","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1037\/a0024035","article-title":"A cultural adaptation of motivational interviewing to address heavy drinking among Hispanics","volume":"17","author":"Lee","year":"2011","journal-title":"Cultur. Divers. Ethnic Minor. Psychol."},{"key":"ref_136","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1037\/ccp0000428","article-title":"A randomized controlled trial of motivational interviewing tailored for heavy drinking latinxs","volume":"87","author":"Lee","year":"2019","journal-title":"J. Consult. Clin. Psychol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/5\/609\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T10:07:06Z","timestamp":1777975626000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/23\/5\/609"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,5]]},"references-count":136,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2026,5]]}},"alternative-id":["ijerph23050609"],"URL":"https:\/\/doi.org\/10.3390\/ijerph23050609","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,5]]}}}