Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress

ABSTRACT Research on bullying and LGBTQ+ Black and Latinx youth is limited, yet findings suggest experiencing bullying is associated with high levels of psychological distress, which can be internalized. Similarly, research on aspects such as parental acceptance and informed therapy suggest these ca...

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Main Authors: Aldo M. Barrita, Joshua G. Parmenter, Roberto L. Abreu, Jules P. Sostre, Ryan J. Watson
Format: Article
Language:English
Published: Wiley 2025-03-01
Series:Mental Health Science
Subjects:
Online Access:https://doi.org/10.1002/mhs2.70009
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author Aldo M. Barrita
Joshua G. Parmenter
Roberto L. Abreu
Jules P. Sostre
Ryan J. Watson
author_facet Aldo M. Barrita
Joshua G. Parmenter
Roberto L. Abreu
Jules P. Sostre
Ryan J. Watson
author_sort Aldo M. Barrita
collection DOAJ
description ABSTRACT Research on bullying and LGBTQ+ Black and Latinx youth is limited, yet findings suggest experiencing bullying is associated with high levels of psychological distress, which can be internalized. Similarly, research on aspects such as parental acceptance and informed therapy suggest these can operate as protective factors when experiencing oppression. Yet, these relations are often tested individually. Thus, using an intersectional approach, we explore the cumulative effect of these variables using a sample of LGBTQ+ Black and Latinx youth to highlight specific mental health disparities among these groups. Using a national online cross‐sectional survey with LGBTQ+ Black and Latinx youth (N = 2414), we assessed the relation between school bullying (predictor), internalized LGBTQ+ stigma (mediator), and psychological distress (outcome) and tested the influence of access to therapy (moderator 1) and parental acceptance (moderator 2) in a moderated mediation analysis. Additionally, a second moderated mediation analysis tested among participants who have access to therapy if LGBTQ+ informed therapy (moderator 1) and parental acceptance (moderator 2) influenced the relation between our main variables. Using a moderated mediation analysis PROCESS Model 11 for two models, results suggested in model 1 that internalized stigma mediated the relation between school bullying and psychological distress. Furthermore, both parental acceptance and access to therapy moderated the association between school bullying and internalized LGBTQ+ stigma. The second model found that for those with access to therapy, receiving LGBTQ+ ‐informed therapy and high parental acceptance disrupted the relationship between school bullying and internalized LGBTQ+ stigma. Our findings suggested that LGBTQ+ Black and Latinx youth receiving LGBTQ+ informed therapy reported less internalized LGBTQ+ stigma, particularly when parental acceptance is high. Implications and limitations are discussed.
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spelling doaj-art-e6dbad34a0db4cb281292d826b601f7e2025-08-20T02:04:49ZengWileyMental Health Science2642-35882025-03-0131n/an/a10.1002/mhs2.70009Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological DistressAldo M. Barrita0Joshua G. Parmenter1Roberto L. Abreu2Jules P. Sostre3Ryan J. Watson4Department of Psychology Michigan State University Lansing Michigan USAEducational School & Counseling Psychology University of Missouri‐Columbia Columbia Missouri USADepartment of Psychology University of Florida Gainesville Florida USADepartment of Psychology University of Florida Gainesville Florida USADepartment of Human Development and Family Sciences University of Connecticut Storrs Connecticut USAABSTRACT Research on bullying and LGBTQ+ Black and Latinx youth is limited, yet findings suggest experiencing bullying is associated with high levels of psychological distress, which can be internalized. Similarly, research on aspects such as parental acceptance and informed therapy suggest these can operate as protective factors when experiencing oppression. Yet, these relations are often tested individually. Thus, using an intersectional approach, we explore the cumulative effect of these variables using a sample of LGBTQ+ Black and Latinx youth to highlight specific mental health disparities among these groups. Using a national online cross‐sectional survey with LGBTQ+ Black and Latinx youth (N = 2414), we assessed the relation between school bullying (predictor), internalized LGBTQ+ stigma (mediator), and psychological distress (outcome) and tested the influence of access to therapy (moderator 1) and parental acceptance (moderator 2) in a moderated mediation analysis. Additionally, a second moderated mediation analysis tested among participants who have access to therapy if LGBTQ+ informed therapy (moderator 1) and parental acceptance (moderator 2) influenced the relation between our main variables. Using a moderated mediation analysis PROCESS Model 11 for two models, results suggested in model 1 that internalized stigma mediated the relation between school bullying and psychological distress. Furthermore, both parental acceptance and access to therapy moderated the association between school bullying and internalized LGBTQ+ stigma. The second model found that for those with access to therapy, receiving LGBTQ+ ‐informed therapy and high parental acceptance disrupted the relationship between school bullying and internalized LGBTQ+ stigma. Our findings suggested that LGBTQ+ Black and Latinx youth receiving LGBTQ+ informed therapy reported less internalized LGBTQ+ stigma, particularly when parental acceptance is high. Implications and limitations are discussed.https://doi.org/10.1002/mhs2.70009internalized LGBTQ+ stigmaLGBTQ BIPOC youthparental acceptancepsychological distressschool bullying
spellingShingle Aldo M. Barrita
Joshua G. Parmenter
Roberto L. Abreu
Jules P. Sostre
Ryan J. Watson
Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
Mental Health Science
internalized LGBTQ+ stigma
LGBTQ BIPOC youth
parental acceptance
psychological distress
school bullying
title Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
title_full Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
title_fullStr Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
title_full_unstemmed Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
title_short Therapy and Parental Acceptance for LGBTQ+ Latinx and Black Youth: A Moderated Mediation Analysis of Internalized Stigma, School Bullying, and Psychological Distress
title_sort therapy and parental acceptance for lgbtq latinx and black youth a moderated mediation analysis of internalized stigma school bullying and psychological distress
topic internalized LGBTQ+ stigma
LGBTQ BIPOC youth
parental acceptance
psychological distress
school bullying
url https://doi.org/10.1002/mhs2.70009
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