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. Author manuscript; available in PMC: 2009 Dec 7.
Published in final edited form as: Psychol Bull. 2009 Sep;135(5):707–730. doi: 10.1037/a0016441

Table 1.

Support for Elevated General Psychological Processes in LGB Populations Relative to Heterosexuals

Internalizing Psychopathology
Citation Design/Sample Predictor Support?
Hatzenbuehler, McLaughlin, & Nolen-Hoeksema, 2008 Longitudinal; 29 LGB and 1235 heterosexual adolescents (grades 6–8); representative, community-based sample Emotion dysregulation (rumination and emotional awareness) Yes. LGB had higher rumination and poorer emotional awareness.
Eisenberg & Resnick, 2006 Cross-sectional; 2,255 sexual minority and 19672 heterosexual adolescents; representative sample of Minnesota youth Family connectedness, teacher & adult caring, school safety Yes. LGB had lower levels of all forms of support.
Matthews et al., 2002 Cross-sectional; 583 lesbians and bisexuals and 270 heterosexual women; community-based sample from 3 urban cities Coping (e.g., suppression, distraction) Yes. Higher suppression and lower distraction among lesbians.
Plöderl & Fartacek, 2005 Cross-sectional; 358 LGB and 267 matched heterosexual comparison; convenience sample Hopelessness, self-esteem, social support Yes. LGB were more hopeless, had lower self-esteem and lower support
Russell & Joyner, 2001 Cross-sectional; 867 sexual minority and 11,073 heterosexual youth (grades 7–12); nationally representative survey (Add Health Study) Hopelessness Partial. Mean levels of hopelessness were higher in girls with same-sex attractions, but not boys.
Safren & Heimberg, 1999 Cross-sectional; 56 LGB and 48 heterosexual youth; convenience sample Social support, hopelessness Yes. LGB had greater hopelessness and less social support.
Wichstrom & Hegna, 2003 Longitudinal; 190 sexual minority and 2,734 heterosexual adolescents; nationally representative study Global self-worth, low social support Yes. Sexual orientation was associated with low self-worth and low social support
Substance Use
Citation Design/Sample Predictor Support?
Austin et al., 2004 Cross-sectional; 511 LGB and 9296 heterosexual adolescents; community-based population of adolescents living throughout U.S. Social norms Yes. More permissive social norms among lesbian/bisexual girls.
Hatzenbuehler, Corbin, & Fromme, 2008a Longitudinal; 111 LGB and 2109 heterosexual young adults; representative, community-based sample Social norms, positive alcohol expectancies Yes. More permissive norms and greater alcohol expectancies among LGBs.
Trocki, Drabble, & Midanik, 2005 Cross-sectional; 324 sexual minority men and women; national probability survey Social norms (time spent in bars and parties) Yes. Both sexual minority men and women spend more time in bars.
Ziyadeh et al., 2007 Cross-sectional; 100 LGB adolescents; 9,631 heterosexual; nationally representative study Self-esteem, positive alcohol expectancies Yes. LGB had lower self-esteem and greater positive alcohol expectancies.