UH Faculty, Staff, and Student Works
Permanent URI for this collectionhttps://hdl.handle.net/10657/22
The collection gathers research products generated by University of Houston faculty, staff, and students
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Browsing UH Faculty, Staff, and Student Works by Department "Psychological, Health, and Learning Sciences"
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Item Project PRIDE: A Cognitive-Behavioral Group Intervention to Reduce HIV Risk Behaviors Among HIV-Negative Young Gay and Bisexual Men(2016) Smith, Nathan Grant; Hart, Trevor A.; Moody, Cherie; Willis, Amy C.; Anderson, Marie Faaborg; Blais, Martin; Adam, BarryYoung gay and bisexual men are at increased risk for HIV infection. Research suggests that the stress associated with being a stigmatized minority is related to negative mental health outcomes, substance use, and condomless sex. However, interventions aimed at reducing HIV risk behaviors in young gay and bisexual men have failed to address these important variables. The purpose of the present paper is to assist cognitive and behavioral therapists who work with young gay and bisexual men to conduct therapy for stress management and HIV prevention. This paper provides an overview of the research on stress and coping among gay and bisexual men and its relation with condomless sex among young gay and bisexual men. The treatment described here integrates minority stress theory (e.g., Meyer, 2003) and stress and coping theory (e.g., Lazarus, 2000) in a small group counseling framework that uses psychoeducation, cognitive reframing, and role-plays to help young gay and bisexual men to manage stress, reduce substance use, and reduce condomless sex. The application of empirically-supported theory and a combination of cognitive and behavioral techniques to reduce both psychological distress and HIV risk behavior for young gay and bisexual men is illustrated using three case examples. The present treatment may help therapists working with young HIV-negative gay and bisexual men who engage in condomless sex and who wish to remain HIV-negative by decreasing their HIV risk behavior.Item The Role of Bisexual-Specific Minority Stressors in Sexual Compulsivity among Bisexual Men(2018) Smith, Nathan Grant; Mohr, Jonathan J.; Ross, Lori E.The current study examined the role of bisexual-specific distal stressors (i.e., anti-bisexual discrimination from heterosexuals and from lesbians and gay men) and proximal stressors (i.e., internalized binegativity and anticipated discrimination) in sexual compulsivity among bisexual men. Sexual compulsivity disproportionately affects gay and bisexual men and confers risk of sexually transmitted infections, including HIV. A total of 942 bisexual male adults, recruited primarily from three large cities in the United States and Canada, completed online self-report surveys. Results revealed that discrimination from lesbians and gay men (but not from heterosexuals) was associated with both internalized binegativity and anticipated discrimination. Internalized binegativity and anticipated discrimination, in turn, were associated with increased sexual compulsivity. Moreover, there was a significant indirect effect of discrimination from heterosexuals and from lesbians and gay men on sexual compulsivity through anticipated discrimination. There was also a significant indirect effect of discrimination from lesbians and gay men on sexual compulsivity through internalized binegativity. Results suggest that these bisexual-specific distal and proximal minority stressors are important risk factors for sexual compulsivity. As such, treatment providers are encouraged to address these underlying risk factors in treating sexual compulsivity among bisexual men.