The Rejection Sensitivity Model: Sexual Minority Adolescents in Context

Baams, Laura; Kiekens, Wouter J.; Fish, Jessica N.

doi:10.1007/s10508-019-01572-2

Cited by 19 publications

(25 citation statements)

References 34 publications

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“…Rejection sensitivity should be considered in case formulation of GSMs when the anxiety-fuelled anticipatory expectations of rejection leads to maladaptive coping consequencese.g. anger and aggression (Baams et al, 2020), and when it leads to avoidance behavior that hinders GSMs' healthe.g. avoiding healthcare services (Hughto et al, 2018).…”

Section: Rejection Sensitivitymentioning

confidence: 99%

Critical issues in cognitive behavioural therapy (CBT) with gender and sexual minorities (GSMs)

Carvalho

Castilho

Seabra

et al. 2022

tCBT

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In a cisheteronormative culture, gender and sexual minorities (GSMs) may experience additional challenges that get in the way of a meaningful life. It is crucial that clinicians are mindful of these challenges and cognizant about the specificities of clinical work with GSMs. This article points out how societal structure interferes with mental health, and clarifies what clinicians must take into account when using affirmative cognitive behavioural therapy (CBT) interventions. Knowledge of up-to-date terminology and use of affirmative language are the first steps that contribute to clients’ experience of respect, which is paramount for the development of a good therapeutic relationship. Considering a conceptual framework of minority stress to understand vulnerability in GSM, specificities in formulation and key psychological processes are discussed. Moreover, guidelines and practical tools for intervention are presented within a CBT approach. Some reflections on therapists’ own personal biases are encouraged, in order to increase the efficacy of interventions. Key learning aims After reading this article you will be able to: (1) Recognize the uniqueness of gender and sexual minorities (GSM) stressors in broad and specific contexts, and their impact on mental health. (2) Identify the underlying key processes and specificities in therapeutic work with GSMs, from a CBT perspective. (3) Recognize the importance of a culturally sensitive approach in affirmative CBT interventions.

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Section: Rejection Sensitivitymentioning

confidence: 99%

Critical issues in cognitive behavioural therapy (CBT) with gender and sexual minorities (GSMs)

Carvalho

Castilho

Seabra

et al. 2022

tCBT

View full text Add to dashboard Cite

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“…I also noted that the broader literature on RS points to additional strategies for reducing RS, such as identifying and challenging negatively biased interpretations of ambiguous situations (Normansell & Wisco, 2017) and targeting deficits in social problem-solving associated with RS using problem-solving therapy (Kraines & Wells, 2017). In their Commentaries, LeBeau (2019) and Baams et al (2019) identified a number of additional interventions that potentially could be used to reduce sexual orientation-related RS. LeBeau described how attention bias modification (ABM) could be used to target biased attention to threat cues, how cognitive bias modification for interpretation (CBM-I) could be used to target dysfunctional thought patterns that contribute to perceiving threat in ambiguous situations, and how behavioral activation (BA) could be used to target avoidance of situations where rejection might occur by increasing engagement in a variety of activities.…”

Section: Intervention Vs Preventionmentioning

confidence: 99%

“…While these intervention adaptations will need to be tested among SGM people, they point to a number of potentially promising avenues for reducing sexual orientation-related RS. However, Baams et al (2019) called our attention to the importance of preventing the development of sexual orientation-related RS as opposed to simply intervening once it has already developed. They noted that adolescents with high levels of RS may struggle to find their way to mental health providers and that there may be unique challenges for sexual minority youth who may not be out to their parents or who may not feel comfortable disclosing their sexual orientation to their provider.…”

Section: Intervention Vs Preventionmentioning

confidence: 99%

“…In my Target Article, I briefly noted that interventions that seek to reduce stigma and improve attitudes toward sexual minorities may prevent or disrupt the development of sexual orientation-related RS. Baams et al (2019) went further and described a number of additional strategies that have the potential to prevent the development of sexual orientationrelated RS. They suggested that schools could implement inclusive policies and programs to reduce bullying and improve acceptance, that LGBTQ community centers could deliver programs to help sexual minority youth develop coping strategies for RS and its associated mental health consequences, that psychoeducation and advocacy could be used to improve support and acceptance in the family context, and that education and training could be used to improve cultural competence in the medical system.…”

Section: Intervention Vs Preventionmentioning

confidence: 99%

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Response to Commentaries: Toward a Unifying Framework for Understanding and Improving Sexual and Gender Minority Mental Health

Feinstein

2020

Arch Sex Behav

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In my Target Article (Feinstein, 2019), I described how the rejection sensitivity (RS) model (Downey & Feldman, 1996) could be used to complement and extend minority stress theory (Meyer, 2003) and the psychological mediation framework (Hatzenbuehler, 2009). The commentaries on my Target Article expanded on the relevance of the RS model for diverse sexual and gender minority 1 (SGM) populations (e.g., adolescents; see Baams, Kiekens, & Fish, 2019; transgender and gender diverse individuals; see Wells, Tucker, & Kraines, 2019), and described additional theories that could also be used to advance our understanding of SGM mental health (e.g., explanatory models of suicidal thoughts and behaviors; see Wells et al., 2019; ecological systems theory; see Downey & Daniels, 2020). Here, I respond by discussing three issues that were raised in multiple commentaries: (1) the extent to which social versus individual factors should be considered in models of SGM mental health; (2) the range of existing theories that could be used to inform our understanding of SGM metal health; and (3) the need to not only intervene on RS, but to prevent it before it develops. Ultimately, by acknowledging the complex ways in which SGM people interact with the social environment, we can move toward developing a unifying framework for understanding and improving SGM mental health.Terms of use and reuse: academic research for non-commercial purposes, see here for full terms. https://www.springer.com/aamterms-v1

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“…To better understand the risk of alcohol consumption among SGM youth, future research should focus on other drivers of alcohol use besides minority stress, for example rejection sensitivity (Feinstein, 2020). It may be that youth high in rejection sensitivity react to perceived ambiguous events with alcohol use (Baams et al, 2020), although research among sexual minority men did not find a direct effect of rejection sensitivity on alcohol use (Pachankis et al, 2014).…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Sexual and Gender Minority Youth’s Mental Health and Substance Use

Kiekens¹

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PART I. Studies on Disparities CHAPTER 2. Sexual Identity Disparities in Mental Health Among UK Adults, US Adults, and US Adolescents: Examining Heterogeneity by Race/Ethnicity 2.1. Introduction 2.2. Method 2.3. Results 2.4. Discussion 2.5. Conclusion CHAPTER 3. Associations of Dating Experiences, Dating Violence, Sexual Harassment, and Assault with Alcohol Use Among Sexual and Gender Minority Adolescents3.1. Introduction 3.2. Methods 3.3. Results 3.4. Discussion 3.5. Conclusion PART II. Studies on Mechanisms CHAPTER 4. Sexual and Gender Identity-Based Microaggressions: Differences by Sexual and Gender Identity, and Sex Assigned at Birth Among Dutch Youth 4.1. Introduction 4.2. Study 1 4.3. Study 2 4.4. Discussion 4.5. Conclusion CHAPTER 5. Explaining Health Disparities Between Heterosexual and LGB Adolescents by Integrating the Minority Stress and Psychological Mediation Frameworks: Findings from the TRAILS Study 5.1. Introduction 5.2. Methods 5.3. Results 5.4. Discussion 5.5. Conclusion CHAPTER 6.

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The Rejection Sensitivity Model: Sexual Minority Adolescents in Context

Cited by 19 publications

References 34 publications

Critical issues in cognitive behavioural therapy (CBT) with gender and sexual minorities (GSMs)

Critical issues in cognitive behavioural therapy (CBT) with gender and sexual minorities (GSMs)

Response to Commentaries: Toward a Unifying Framework for Understanding and Improving Sexual and Gender Minority Mental Health

Sexual and Gender Minority Youth’s Mental Health and Substance Use

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