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June 6, 2026Journal of Traumatic Stress

Sexual orientation differences in trauma exposure and posttraumatic stress symptoms among adults in treatment for obsessive–compulsive disorder

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Authors

ABAndreas BezahlerNKNathaniel Van KirkBFBrian A. Feinstein

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Overview

Randomized trial finds trauma exposure differences among sexual minorities in treatment for OCD, highlighting the need for tailored care.

Key Points

  • This research aims to compare trauma exposure and posttraumatic stress symptoms among sexual minority and heterosexual adults undergoing treatment for OCD.
  • Participants included 696 adults undergoing treatment for OCD, categorized by sexual orientation.
  • Examined trauma history and PTSS outcomes through statistical analyses.
  • Utilized exposure response prevention (ERP) as the main treatment approach.
  • Sexual minority participants reported more interpersonal trauma compared to heterosexual participants (χ²(1, N=695) = 5.97, p=0.015).
  • Bi+ individuals exhibited higher PTSS at baseline compared to heterosexual participants, while gay/lesbian and asexual individuals did not show significant differences.
  • PTSS significantly improved during ERP treatment across all participants, regardless of sexual orientation.

Cite This Study

Bezahler et al. (2026) studied this question.

synapsesocial.com/papers/6a23b9ac71a5da9775e757d3https://doi.org/10.1002/jts.70082
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Fitting Linear Mixed-Effects Models Using<b>lme4</b>2015 · 89,383 citations
  2. 2Mental health of sexual minorities. A systematic review2015 · 793 citations