Exposure to prolonged and/or multiple types of psychological trauma and stressors has been shown to be more strongly associated with ICD-11 complex posttraumatic stress disorder (CPTSD) than posttraumatic stress disorder (PTSD). Lesbian, gay, bisexual, trans-and queer adults (LGBTQ+) are at a heightened risk of exposure to traumatic events, and minority stressors including harassment, discrimination, rejection by family, and isolation. Objective: To examine the factor structure of the international trauma questionnaire (ITQ), a self-report measure of PTSD and CPTSD, and the associations of cumulative lifetime trauma exposure assessed via the life events checklist and minority stress assessed via the daily heterosexist experiences scale, with CPTSD (three PTSD symptom clusters, three clusters reflecting disturbances in self-organization [DSO]) among LGBTQ+ adults. Method: Participants comprised 225 LGBTQ+ adults (including 74 transgender and gender diverse individuals; age range: 18-60 years; M/SD = 31.35/9.48) residing in Spain. Results: Confirmatory factor analyses indicated that both a first-order six-factor model and a hierarchical two-factor model, comprising PTSD and DSO as second-order factors, fit the data best. Cumulative traumatic events score was associated with PTSD, and cumulative minority stress was associated with PTSD and DSO. Among the minority stress subscales, harassment based on gender expression was positively associated with all symptom clusters of PTSD and DSO. Conclusion: This is the first study to examine the role of minority stressors alongside exposure to psychological traumas in ICD-11 PTSD and CPTSD and emphasizes the inclusion of minority stressors in trauma-related assessments. Clinical Impact StatementThe present study findings validated the structure of CPTSD comprising PTSD and DSO, using the ITQ in LGBTQ+ adults from Spain. Findings further suggested that exposure to cumulative minority stressors (i.e., heterosexism/cissexism) was positively associated with the PTSD and DSO clusters of complex PTSD emphasizing the importance of inclusion of minority stressors in clinical assessments and traumafocused treatments. Ruby Charakhttps://orcid.org/0000-0002-5806-6884 Ruby Charak served as lead for conceptualization, investigation, methodology, project administration, resources, software, validation and writingoriginal draft and contributed equally to formal analysis. Ines Cano-Gonzalez served as lead for formal analysis and served in a supporting role for data curation, methodology, project administration and writing-review and editing. Roman Ronzón-Tirado served in a supporting role for writing-review and editing. Julian D. Ford served in a supporting role for writing-review and editing. Brianna M. Byllesby served in a supporting role for writing-review and editing. Mark Shevlin served in a supporting role for writing-review and editing. Thanos Karatzias served in a supporting role for writing-review and editing. Philip Hyland served in a supporting role for conceptualization, investig...

Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals face unique stressors related to their sexual and gender identities that have a detrimental impact on their mental health. Nonetheless, studies have not yet investigated these minority stressors among LGBTQ+ individuals from Spain. The limited availability of standardized tools/ instruments to measure minority stressors in Spanish makes it challenging to explore these experiences among Spanish speaking individuals. The present study aimed to examine the factor structure of the Daily Heterosexist Experiences Questionnaire (DHEQ) among LGBTQ+ adults from Spain, compare rates of minority stressors across diverse gender and sexual orientations, and examine the impact of daily heterosexist experiences (henceforth referred to as heterosexist experiences) on symptoms of depression and suicidal behavior. The sample was composed of 509 LGBTQ+ identifying adults in the age range of 18 to 60 years old. Confirmatory factor analysis indicated a good fit for the six dimensions of the DHEQ scale. Individuals identified as transgender or reporting a minority sexual orientation (i.e., asexual, pansexual) indicated higher levels of exposure to heterosexist experiences. Moreover, those with higher levels of heterosexist experiences had higher symptoms of depression and suicide behavior. The present study provides a tool for examining minority stressors in Spanish speaking LGBTQ+ adults. Assessing for minority stressors may aid in the identification of risk and protective factors when working with LGBTQ+ treatment seeking adults.

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Recent studies indicate that the perpetration of intimate partner violence via cyberspaces (cyber IPV), namely, psychological aggression, sexual aggression, and cyberstalking is high among emerging adults. However, little is known of the risk factors that lead to cyber IPV and far lesser within Hispanic adults. Based on the intergenerational transmission of violence hypothesis, the present study examined the indirect effect of witnessing parental violence during childhood on the three types of cyber IPV through attitudes condoning IPV in Hispanic men and women, separately. Participants were 1,136 Hispanic emerging adults in the age range of 18–29 years ( M = 20.53 years, SD = 2.42; 72.5% women, 88% Mexican descent). Over half of the participants (54.2%) witnessed at least one instance of parental violence during childhood. In contrast to women, men were more likely to hold attitudes accepting of IPV and perpetrate cyber sexual IPV, whereas women were more likely to report cyberstalking perpetration. Men and women with exposure to mother-to-father violence held attitudes justifying IPV that was associated with perpetrating the three cyber IPV types in adulthood (women: Brange = .016–.036; men: Brange = .016–.024). No significant gender differences were found in the associations of mother-to-father WPV and father-to-mother WPV on the three types of cyber IPV perpetration. These findings are discussed in the context of Hispanic culture, which has specific implications for cyber IPV intervention strategies.

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