Social and Behavioral Sciences Commons^™

Navigating The Closet: A Mixed Methods Approach To Assessing The Impact Of Concealment On Psychological Outcomes For Sexual And Gender Minorities, James Michael M. Brennan

Graduate Student Theses, Dissertations, & Professional Papers

Background: Sexual and gender minority (SGM) individuals suffer at disproportionate rates of depression, anxiety, and substance use, among other mental and physical health outcomes, compared to heterosexual individuals. Concealment of non-heterosexual sexual identity and/or non-cisgender gender identity may be a key contributor to these disparities. Many SGM individuals engage in concealment as a means to avoid victimization, or because of negative perceptions of their own identity. Concealment as a construct has been conceptualized as comprising cognitive, affective, and behavioral components, each of which individually has been demonstrated to have negative health impacts. Additionally, concealment occurs over time between the intrapersonal …