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Motivations for Sexual Identity Concealment and Their Associations with Mental Health among Bisexual, Pansexual, Queer, and Fluid (Bi+) Individuals

Bibliographic Data

ID12759657
AuthorsBrian A Feinstein (0000-0002-1360-9320, Northwestern University, corresponding author), Casey D Xavier Hall (0000-0003-1658-3717, Northwestern University), Christina Dyar (0000-0003-2802-1949, Northwestern University), Joanne Davila (0000-0003-1250-5068, Stony Brook University)
Year2020
Volume20
Issue3
Pages324-341
Publication date2020-04-07
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Bisexuality (JOURNAL)
Journal identifiersISSN: 1529-9716 • E-ISSN: 1529-9724
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/15299716.2020.1743402
PMID33727893
OpenAlexW3015212455
LanguageEN
Citations received53
References cited34

Bisexual and other non-monosexual (bi+) people are at increased risk for depression and anxiety compared to both heterosexual and gay/lesbian people. Bi+ people are also more likely to conceal their sexual orientation than gay/lesbian people are, and concealment is generally associated with negative mental health outcomes. Despite evidence that concealment is a particularly salient stressor for bi+ people, there has been a lack of attention to their motivations for concealment. As such, the goal of the current study was to examine the associations among concealment, motivations for concealment, and depression and generalized anxiety symptoms in a sample of 715 bi+ people who completed an online survey. Nearly half of participants endorsed purposely trying to conceal their bi+ identity in their day-to-day life, and concealment was significantly associated with higher levels of depression and generalized anxiety. Using exploratory factor analysis, we identified two motivations for concealment: intrapersonal motivations (e.g., one's bi+ identity not being a central part of one's overall identity, not being comfortable with being bi+) and interpersonal motivations (e.g., concern about being judged or treated negatively, concern about putting oneself at risk of physical harm). Interpersonal motivations were significantly associated with higher levels of depression and generalized anxiety, whereas intrapersonal motivations were not. In sum, while concealment may generally be associated with negative mental health outcomes, this may only be the case for those who conceal out of concern for discrimination and victimization. These findings highlight the importance of examining bi+ people's motivations for concealing their sexual orientation in order to understand the extent to which they experience negative mental health outcomes

Anxiety · Depression (economics · Homosexuality · Human sexuality · Identity (music · Interpersonal communication · Intrapersonal communication · Lesbian · Mental health · Minority stress · Psychiatry · Sexual identity · Sexual minority · Sexual orientation · Stressor · Clinical Psychology · Hate Speech and Cyberbullying Detection · LGBTQ Health, Identity, and Policy · Psychology · Social and Intergroup Psychology · Social Psychology

  • Confirmatory factor analysis and measurement invariance of the sexual orientation concealment scale among nonbinary LGBTQ+ adults

    Open Access•Peter D Goldie, Michael T Bixter et al.•Psychology and Sexuality•2026

  • Internalized Heterosexism and Depressive Symptoms Among Bisexual and Pansexual Women

    Open Access•Sue Mclaren, Saffron Scott et al.•Journal of Bisexuality•2026

  • Complex Identities, Complex Outcomes

    Open Access•Ilias Kassaras, Panagiotis Kordoutis•Journal of Bisexuality•2026

  • Bisexuality in Europe

    Emiel Maliepaard, Renate Baumgartner•Bisexuality in Europe•2020

  • Beyond the Boundaries

    Open Access•Deana Williams, Elizabeth Bartelt et al.•Archives of Sexual Behavior•2022

  • Does online support matter? The relationship between online identity-related support, mattering, and well-being in sexual minority men

    Open Access•Stephan A Brandt, Cheryl L Carmichael•Computers in Human Behavior•2020

  • ‘I’m not sure how they would react if they knew…’

    Dionne Cross Francis, Simone Wilson et al.•Teachers and Teaching•2025

  • Behind Monosexual Norms

    Open Access•Mafalda Esteves, Soraia Morais et al.•Sexuality & Culture•2026

  • Sexual Identity Uncertainty and Risk of Alcohol Use Disorder

    MacKenzie Wantje, Amelia E Talley et al.•Substance Use & Misuse•2026

  • The Role of Identity Shifting in the Link Between Gendered Racial Microaggressions and Mental Health

    Open Access•Lauren M Hall, Yara Mekawi et al.•Sex Roles•2026

  • Adaptation and Validation of the LGBTQIA+ Minority Stress Measure in Spanish Adults

    Open Access•Juan E Nebot-Garcia, Jaime Barrientos-Delgado et al.•Archives of Sexual Behavior•2026

  • Differences between Australian bisexual and pansexual women

    James S Morandini, James Morandini et al.•Psychology and Sexuality•2022

  • Sexual Victimization Outcomes and Adjustment Among Bisexual Women

    Open Access•Selime R Salim, A Alex McConnell et al.•Trauma Violence & Abuse•2023

  • “It’s Inauthentic, but I Also Don’t Want to Get Responses from Men About Threesomes”

    Olivia M Copeland•Journal of Bisexuality•2026

  • Avoidance and empowerment

    Open Access•Toni Daniel, Jessica Lamb et al.•Sexualities•2025

  • When worlds collide

    Open Access•Cheryl Baierl‐kwok, Sharon S Rostosky•Personal Relationships•2023

  • Covid-19 Stress and Sexual Identities

    Open Access•W D Manning, Claire M Kamp Dush et al.•Socius Sociological Research for…•2022

  • Development and Initial Validation of a Short Form of the Multidimensional Sexuality Questionnaire for Multisexual People

    Ilias Kassaras, Panagiotis Kordoutis•Journal of Bisexuality•2025

  • Binegativity Within Intimate Relationships

    Open Access•Mafalda Esteves, Carla Moleiro et al.•Journal of Bisexuality•2026

  • Internalized Heterosexism, Hope, and Depressive Symptoms Among Gay and Bisexual Men

    Open Access•Keith Kulda, Sue Mclaren et al.•Journal of Bisexuality•2024

  • Deconstructing the Clinging Myth of ‘Straight-Passing privilege’ for bi+ People

    Open Access•Rosie Nelson•Journal of Bisexuality•2024

  • Quality of Life, Life Satisfaction, and Sexual Agency Among Plurisexual People with Different Sexual Identities in Sweden

    Open Access•Amanda Klysing, Benjamin Claréus et al.•Journal of Bisexuality•2025

  • Relations Between Harmful Substance Use, Minority Stressors and Other Psychosocial Resources Among Bisexual Emerging Adult Women and Men

    Tien Do, Jonathan G Tubman•Journal of Bisexuality•2025

  • Introduction to the Special Issue

    Brian A Feinstein•Journal of Bisexuality•2020

  • Contested Sexual Identities and Bi + Identity Disclosure Experiences

    Rebecca Cipollina, Zoey Eddy et al.•Journal of Bisexuality•2023

  • Minorities within Minorities

    Hilary M Miller, Bianca L Kahl et al.•Journal of Bisexuality•2021

  • Structural Stigma and Bisexual + People

    Daniele Rucco, Annalisa Anzani et al.•Journal of Bisexuality•2022

  • It’s Like Bisexuality, but It Isn’t

    Open Access•Nikki Hayfield, Karolina Křížová•Journal of Bisexuality•2021

  • Types of Discrimination as Predictors of Identity Concealment in a Sexual and Gender Minority Sample

    Open Access•Charlie Giraud, Michelle T Leonard et al.•Sexuality & Culture•2024

  • Life Course Trajectories Among Plurisexual Emerging Adult Women

    Open Access•Scott S Hall, David Knox et al.•Sexuality & Culture•2025

  • Identity Centrality, Social Identity Threat, and Differences in Concealment between Religious Minorities and Nonreligious Individuals

    Cameron D Mackey, Kimberly Rios•International Journal for the…•2022

  • Bisexuality, Romantic Relationships, and Depression

    Open Access•Jaime Hsu, Sara E Mernitz•Social Science & Medicine•2025

  • Is Being Queer Gay? Sexual Attraction Patterns, Minority Stressors, and Psychological Distress in Non-Traditional Categories of Sexual Orientation

    Liadh Timmins, Katharine A Rimes et al.•The Journal of Sex Research•2020

  • Monosexism as an Additional Dimension of Minority Stress Affecting Mental Health among Bisexual and Pansexual Individuals in Hong Kong

    Randolph C H Chan, Janice Sin Yu Leung•The Journal of Sex Research•2022

  • A Content Analysis of Reasons for Disclosing Sexual Fantasies and Partner Responses

    Matthew L Kimberley, Samuel A Jones et al.•The Journal of Sex Research•2024

  • Contextual Navigation

    Open Access•Joshua G Parmenter, R V Galliher et al.•Emerging Adulthood•2022

  • Identifying subgroups of Chinese men who have sex with men based on sexual behavior and drug use patterns using a clustering analysis approach

    Open Access•Bingyang She, Jiajun Sun et al.•BMC Public Health•2025

  • Authenticity, Well-Being, and Minority Stress in LGB Individuals

    Open Access•Emily R Roberts, Martha F Lee et al.•Journal of Homosexuality•2025

  • Relationship satisfaction among plurisexual young adults

    Open Access•A M Pollitt, Alexa Martin-Storey•Psychology of Sexual Orientation…•2024

  • Disclosure, minority stress, and mental health among bisexual, pansexual, and queer (Bi+) adults

    Open Access•Brian A Feinstein, Manuel Hurtado et al.•Psychology of Sexual Orientation…•2021

  • Hidden grief is complicated

    Benjamin F Shepherd, Paula M Brochu et al.•Psychology and Sexuality•2021

  • Sexual identity visibility, mental health, and body dissatisfaction in bisexual cisgender men

    Open Access•Loren Cahill, Treshi-Marie Perera•Psychology and Sexuality•2025

  • Navigating identity on the move

    Blanka Maderová, Andrea Stašek et al.•Psychology and Sexuality•2025

  • Theorizing a denial reaction to coming out

    Open Access•Sonali Patel•Sociology Compass•2024

  • Sexual Minority Stigma and Nonsuicidal Self-Injury Among Sexual Minorities

    Open Access•Danrui Chen, Jiefeng Ying et al.•Sexuality Research and Social…•2022

  • Complex Outness Patterns Among Sexual Minority Youth

    Open Access•Antonia E Caba, Allen B Mallory et al.•Journal of Youth and Adolescence•2022

  • The New Genetic Evidence on Same-Gender Sexuality

    Lisa M Diamond•The Journal of Sex Research•2021

  • Results from an LGBTQ+ Community Health Needs Assessment in Nassau and Suffolk Counties of New York State

    Open Access•Allison Eliscu, Allison H Eliscu et al.•Community Mental Health Journal•2023

  • The Changing Needs of Peer Support Among Gay Men Living with HIV in Australia

    Open Access•Neil Lucas, Glen Bates et al.•Archives of Sexual Behavior•2025

  • Re‐theorizing the Sexual Minority Closet

    Open Access•Sonali Patel•Canadian Review of Sociology/Revue…•2026

  • Sexual Orientation Concealment, Hope, and Depressive Symptoms Among Sexual Minority Women

    Sophie Anne Glynn, Sue Mclaren et al.•Journal of Homosexuality•2024

  • Discrimination and Psychological Well-Being Among LGBTQ+ Australians

    Open Access•Oliver Mai, Clifford Lewis et al.•Journal of Homosexuality•2025

  • Fighting bisexual erasure with a double-edged sword

    Open Access•Marisa Tangeman•Sexualities•2025

  • Disclosure and concealment of sexual orientation and the mental health of non-gay-identified, behaviorally bisexual men.

    Eric W Schrimshaw, Karolynn Siegel et al.•Journal of Consulting and…•2013

  • Revision and extension of a multidimensional measure of sexual minority identity

    Jonathan J Mohr, Matthew S Kendra•Journal of Counseling Psychology•2011

  • Adaptation to sexual orientation stigma

    Kimberly F Balsam, Jonathan J Mohr•Journal of Counseling Psychology•2007

  • Bisexuality, Minority Stress, and Health

    Open Access•Brian A Feinstein, Christina Dyar•Current Sexual Health Reports•2017

  • A Systematic Review and Meta-Analysis of Disparities in the Prevalence of Suicide Ideation and Attempt Among Bisexual Populations

    Open Access•Travis Salway, Lori E Ross et al.•Archives of Sexual Behavior•2019

  • Non-binary/Genderqueer Identities

    Open Access•Emmie Matsuno, Stephanie L Budge•Current Sexual Health Reports•2017

  • Cutoff criteria for fit indexes in covariance structure analysis

    Li‐tze Hu, Peter M Bentler•Structural Equation Modeling: A…•1999

  • A Brief Measure for Assessing Generalized Anxiety Disorder

    Robert L Spitzer, Carmen Pérez de los Ríos et al.•A.M.A. Archives of Internal…•2006

  • The PHQ-8 as a measure of current depression in the general population

    Open Access•Kurt Kroenke, Tara W Strine et al.•Journal of Affective Disorders•2009

  • Testing Structural Equation Models

    J Scott Long, Kenneth A Bollen•Testing Structural Equation Models•2012

  • Use of different strategies to make one’s bisexual+ identity visible

    Open Access•Brian A Feinstein, Christina Dyar et al.•Stigma and Health•2020

  • Perspectives on Substance Use and Disclosure Among Behaviorally Bisexual Black Men With Female Primary Partners

    Ellen Benoit, Juline A Koken•Journal of Ethnicity in Substance…•2012

  • Conceptions of privacy and the non-disclosure of same-sex behaviour by behaviourally-bisexual men in heterosexual relationships

    Eric W Schrimshaw, Martin J Downing et al.•Culture Health & Sexuality•2014

  • Prevalence of Depression and Anxiety Among Bisexual People Compared to Gay, Lesbian, and Heterosexual Individuals

    Open Access•Lori E Ross, Travis Salway et al.•The Journal of Sex Research•2018

  • Sexual orientation openness and depression symptoms

    Arjan Van Der Star, John E Pachankis et al.•Psychology of Sexual Orientation…•2019

  • Differentiating disclosure and concealment in measurement of outness for sexual minorities

    Peter C Meidlinger, Debra A Hope•Psychology of Sexual Orientation…•2014

  • Conceptualizing the closet

    Skyler D Jackson, Jonathan J Mohr•Psychology of Sexual Orientation…•2015

  • How, when, and why do bisexual+ individuals attempt to make their identity visible

    Open Access•Joanne Davila, Brian A Feinstein et al.•Psychology of Sexual Orientation…•2020

  • Anxiety and depression across gender and sexual minorities

    Nicholas C Borgogna, Ryon C Mcdermott et al.•Psychology of Sexual Orientation…•2018

  • Individual and Social Factors Related to Mental Health Concerns Among Bisexual Men in the Midwestern United States

    Brian Dodge, Phillip Schnarrs et al.•Journal of Bisexuality•2012

  • We can Shapeshift and Build Bridges”

    Monica A Ghabrial•Journal of Bisexuality•2019

  • Navigating identity

    Chassitty N Fiani, Heather Han et al.•International Journal of…•2018

  • Exploring the “Bisexual Bridge”

    David J Malebranche, Kimberly Jacob Arriola et al.•American Journal of Public Health•2010

  • Sexual Orientation Self-Presentation Among Bisexual-Identified Women and Men

    Open Access•Jonathan J Mohr, Skyler D Jackson et al.•Archives of Sexual Behavior•2017

  • Are Outness and Community Involvement Risk or Protective Factors for Alcohol and Drug Abuse Among Sexual Minority Women

    Open Access•Brian A Feinstein, Christina Dyar et al.•Archives of Sexual Behavior•2017

  • Sexual Identity and Behavior Among U.S. High School Students, 2005–2015

    Open Access•G Phillips, Lauren B Beach et al.•Archives of Sexual Behavior•2019

  • Reasons for Non-Disclosure of Sexual Orientation Among Behaviorally Bisexual Men

    Open Access•Eric W Schrimshaw, Martin J Downing et al.•Archives of Sexual Behavior•2018

  • Stigma, Concealment and Symptoms of Depression as Explanations for Sexually Transmitted Infections among Gay Men

    Open Access•D M Frost, Jeffrey T Parsons et al.•Journal of Health Psychology•2007

  • Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations

    Ilan H Meyer•Psychological Bulletin•2003

  • The psychological implications of concealing a stigma

    John E Pachankis•Psychological Bulletin•2007

  • Exploring the Links Between Interpersonal Trust and the Reasons Underlying Gay and Bisexual Males' Disclosure of Their Sexual Orientation to Their Mothers

    D Boon, Susan D Boon et al.•Journal of Homosexuality•1999

Unique citing works53
Citations per year8,83
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 50
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