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Introduction <p>Research about sexual minority mental health disparities has grown significantly over the past few decades, but there is still a lack of literature focused on obsessive-compulsive disorder (OCD) in this population.</p> Method <p>Online survey data were collected from 138 sexual minority adults with OCD in the U.S. We used multiple linear regression to analyze the relationship between anti-lesbian, gay, bisexual, trans, and queer (LGBTQ+) public policy and OCD symptoms, as well as the potential moderating role of positive LGB identity. Those variables were operationalized using state/territory policy tallies from the Movement Advancement Project, total scores on the Dimensional Obsessive-Compulsive Scale, and total scores on the LGB Positive Identity Measure, respectively.</p> Result <p>Political leanings in one’s city/town of residence was a significant predictor of OCD symptom severity. Additionally, trans-identified sexual minority participants had significantly higher levels of OCD symptoms than cisgender-identified sexual minority participants.</p> Conclusion <p>Further research is needed to better understand the impact of the local, state, and national political climate on sexual minorities with OCD.</p> Policy Implications <p>Local and national policymakers should combat anti-LGBTQ+ legislation (e.g., policies that undermine marriage equality, gender-affirming healthcare, and/or discrimination protections based on sexual orientation), given its potential to worsen mental health outcomes for sexual minorities with OCD.</p>

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Increased Obsessive-Compulsive Disorder Symptomology in U.S. Sexual Minority Adults Who Identify as Trans and/or Live in Politically Conservative Towns

  • 期刊论文

  • 发表日期：

    2026年3月13日

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  • Marla Munro,
  • Nathan Grant Smith

摘要

Introduction

Research about sexual minority mental health disparities has grown significantly over the past few decades, but there is still a lack of literature focused on obsessive-compulsive disorder (OCD) in this population.

Method

Online survey data were collected from 138 sexual minority adults with OCD in the U.S. We used multiple linear regression to analyze the relationship between anti-lesbian, gay, bisexual, trans, and queer (LGBTQ+) public policy and OCD symptoms, as well as the potential moderating role of positive LGB identity. Those variables were operationalized using state/territory policy tallies from the Movement Advancement Project, total scores on the Dimensional Obsessive-Compulsive Scale, and total scores on the LGB Positive Identity Measure, respectively.

Result

Political leanings in one’s city/town of residence was a significant predictor of OCD symptom severity. Additionally, trans-identified sexual minority participants had significantly higher levels of OCD symptoms than cisgender-identified sexual minority participants.

Conclusion

Further research is needed to better understand the impact of the local, state, and national political climate on sexual minorities with OCD.

Policy Implications

Local and national policymakers should combat anti-LGBTQ+ legislation (e.g., policies that undermine marriage equality, gender-affirming healthcare, and/or discrimination protections based on sexual orientation), given its potential to worsen mental health outcomes for sexual minorities with OCD.