Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.

2003/09/01 by Ilan H. Meyer · 14,469 citations
Medicine · Psychology · Social Sciences · #Clinical psychology #Coping (psychology) #Homosexuality #LGBTQ Health, Identity, and Policy #Lesbian #Medicine #Mental Health Treatment and Access #Mental health #Mental illness #Minority stress #Prejudice (legal term) #Psychiatry #Psychoanalysis #Psychology #Psychotherapist #Racial and Ethnic Identity Research #Sexual minority #Sexual orientation #Social psychology #Social stigma #Stigma (botany)

paper · open access · doi:10.1037/0033-2909.129.5.674

published in Psychological Bulletin 129(5), 674-697 (American Psychological Association)

openalex publication_date 2003/09/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/06

Abstract

In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress--explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems. The model describes stress processes, including the experience of prejudice events, expectations of rejection, hiding and concealing, internalized homophobia, and ameliorative coping processes. This conceptual framework is the basis for the review of research evidence, suggestions for future research directions, and exploration of public policy implications.

Citations

• Working in a majority context: A structural model of heterosexism as minority stress in the workplace.
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• Minority Stress and Mental Health in Gay Men
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