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Description:The publisher's final edited version of this article is available at Psychol Bull See other articles in PMC that cite the published article. 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. The study of mental health of lesbian, gay, and bisexual LGB populations has been complicated by the debate on the classification of homosexuality as a mental disorder during the s and early s.

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