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June 3, 20260 citationsOpen Access

Trajectories of Mental Health in a Tumultuous Period

CDClaire M. Kamp DushWMWendy D. ManningKDKaterina DMarcoulides

Key Points

  • This research aims to explore the mental health outcomes, including depression, anxiety, and loneliness, among LGBTQ+ families over time, particularly in the context of societal challenges.
  • Analyzed three waves of data from the National Couples’ Health and Time Study.
  • Utilized difference-in-difference models to assess changes in mental health indicators by sexual orientation.
  • Employed weighted Latent Growth Curve Models to identify vulnerabilities and strengths affecting wellbeing.
  • Discrimination significantly predicted negative mental health outcomes, particularly for depressive symptoms.
  • Social support and family functioning reduced but did not completely negate the negative impact of discrimination.
  • Overall wellbeing did not improve since the end of the pandemic.

Abstract

Families headed by LGBTQ+ parents are increasing in the US, as is the LGBTQ+ population. Yet these families are being targeted by significant onslaught of anti-LGBTQ+ legislation and a worsening social climate. We examine trajectories of depressive symptoms, anxious symptoms, and loneliness among by sexual orientation from the pandemic through the 2025 using three waves of data from the National Couples’ Health and Time Study. Overall, we find stability in depression, anxiety, and loneliness when examining weighted average within person change via difference-in-difference models by sexual identity. Yet spaghetti plots illustrated substantial sample variability despite aggregate stability. We then conducted weighted Latent Growth Curve Models. We examined key vulnerabilities and strengths; model fit improved when strengths were added to the model above and beyond vulnerability only models. Discrimination was a strong significant predictor of all three indicators of wellbeing and was most pronounced for depressive symptoms. Social support, community support, and family functioning attenuated the negative effects of discrimination but did not fully eliminate the discrimination effects. Relationship quality was consistently associated with better wellbeing across all three outcomes. Perceived lesbian, gay, and bisexual positive community climate buffered depression and anxiety for sexual minority groups. Overall, there is no evidence that wellbeing improved since the end of the pandemic.

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Cite This Study

Dush et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc509dee9eb8c0dce66f1https://doi.org/10.18128/mpc2026-02
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