To be or not to be Bi in Italy: Psychological well-being in a sample of bisexual individuals

Francesco Fantacci, Giulia Fallani, Miriana Cetola, Paolo Antonelli, Daniel Giunti, Sara Bocci Benucci, Giulia Fioravanti

Accepted September 7, 2023

First published December 22, 2023

https://doi.org/10.26387/bpa.2023.00012

Abstract

Since the Italian bisexual community is largely underrepresented in the scientific literature, the purpose
of the current study was to shed light on the experiences of Italian bisexual people and to investigate their psychological well-being. Specifically, aspects of sexual identity development, anxiety and depressive symptoms, and a history of childhood trauma will be investigated. 326 (% F = 73.9; 80.4% aged between 18-25) bisexual individuals completed an online survey. Results showed age and gender differences in aspects of sexual identity development. Bisexual young adults were less concerned with their sexual orientation and had more positive feelings about their LGB+ identity than older bisexual individuals. Bisexual men reported more uncertainty and concern about their sexual orientation, more internalized homonegativity, and more difficulties in their LGB+ identity development and acceptance than bisexual women. Bisexual individuals with higher sexual identity acceptance concerns reported more anxiety symptoms. Having experienced childhood traumata is associated with greater levels of anxiety and hopelessness. Interventions addressing the unique stressors associated with a bisexual identity are needed.

References

AMERICAN PSYCHOLOGICAL ASSOCIATION(2015). Guidelines for psychological practice with transgender and gender nonconforming people. American Psychologist, 70 (9), 832-864.
BALSAM, K.F. & MOHR, J.J. (2007). Adaptation to sexual orientationstigma: A comparison of bisexual and lesbian/gay adults. Journalof Counseling Psychology, 54 (3), 306-319.
BECK, A.T., EPSTEIN, N., BROWN, G. & STEER, R.A. (1988).An inventory for measuring clinical anxiety: Psychometricproperties. Journal of Consulting and Clinical Psychology, 56 (6),893-897.
BECK, A.T., WEISSMAN, A., LESTER, D. & TREXLER, L. (1974).The measurement of pessimism: The Hopelessness Scale. Journalof Consulting and Clinical Psychology, 42 (6), 861-865.
BERNSTEIN, D.P., STEIN, J.A., NEWCOMB, M.D., WALKER,E., POGGE, D., AHLUVALIA, T., … & ZULE, W. (2003).Development and validation of a brief screening version of theChildhood Trauma Questionnaire. Child Abuse & Neglect, 27 (2),169-190.
BIEBER, I. (1976). A discussion of “Homosexuality: The ethicalchallenge”. Journal of Consulting and Clinical Psychology, 44 (2),163-166.
BOSTWICK, W.B., BOYD, C.J., HUGHES, T.L., WEST, B.T. &McCABE, S.E. (2014). Discrimination and mental health amonglesbian, gay, and bisexual adults in the United States. AmericanJournal of Orthopsychiatry, 84 (1), 35-45.
BOSTWICK, W.B., HUGHES, T.L. & EVERETT, B. (2015). Healthbehavior, status, and outcomes among a community-basedsample of lesbian and bisexual women. LGBT Health, 2 (2),121-126.
BREGMAN, H.R., MALIK, N.M., PAGE, M.J., MAKYNEN, E. &LINDAHL, K.M. (2013). Identity profiles in lesbian, gay, andbisexual youth: The role of family influences. Journal of Youthand Adolescence, 42 (3), 417-430.
BRENNAN, D.J., ROSS, L.E., DOBINSON, C., VELDHUIZEN, S.& STEELE, L.S. (2010). Men’s sexual orientation and health inCanada. Canadian Journal of Public Health/Revue Canadienne deSante’e Publique, 101 (3), 255-258.
BREWSTER, M.E., MORADI, B., DeBLAERE, C. & VELEZ, B.L.(2013). Navigating the borderlands: The roles of minoritystressors, bicultural self-efficacy, and cognitive flexibility in themental health of bisexual individuals. Journal of CounselingPsychology, 60 (4), 543-556.
BROTTO, L.A. & YULE, M. (2017). Asexuality: Sexual orientation,paraphilia, sexual dysfunction, or none of the above? Archives ofSexual Behavior, 46 (3), 619-627.
CAMP, J., VITORATOU, S. & RIMES, K.A. (2020). LGBQ+ self-acceptance and its relationship with minority stressors andmental health: A systematic literature review. Archives of SexualBehavior, 49 (7), 2353-2373.
CARLUCCI, L., WATKINS, M.W., SERGI, M.R., CATALDI, F.,SAGGINO, A. & BALSAMO, M. (2018). Dimensions of anxiety,age, and gender: Assessing dimensionality and measurementinvariance of the State-Trait for Cognitive and Somatic Anxiety(STICSA) in an Italian sample. Frontiers in Psychology, 9, 1-12.
CHAN, R.C.H., OPERARIO, D. & MAK, W.W.S. (2020). Bisexualindividuals are at greater risk of poor mental health than lesbiansand gay men: The mediating role of sexual identity stress atmultiple levels. Journal of Affective Disorders, 260, 292-301.
CHMIELEWSKI, J.F. & YOST, M.R. (2013). Psychosocial influenceson bisexual women’s body image: Negotiating gender andsexuality. Psychology of Women Quarterly, 37 (2), 224-241.
CONRON, K.J., MIMIAGA, M.J. & LANDERS, S.J. (2010). Apopulation-based study of sexual orientation identity and genderdifferences in adult health. American Journal of Public Health,100 (10), 1953-1960.
COPEN, C.E., CHANDRA, A. & FEBO-VAZQUEZ, I. (2016).Sexual behavior, sexual attraction, and sexual orientation amongadults aged 18-44 in the United States: Data from the 2011-2013national survey of family growth. National Health StatisticsReports, 88, 1-14.
DE BEURS, E., WILSON, K.A., CHAMBLESS, D.L., GOLDSTEIN,A.J. & FESKE, U. (1997). Convergent and divergent validity ofthe Beck Anxiety Inventory for patients with panic disorder andagoraphobia. Depression and Anxiety, 6 (4), 140-146.
DIAMOND, L.M. (2007). A dynamical systems approach to thedevelopment and expression of female same-sex sexuality.Perspectives on Psychological Science, 2 (2), 142-161.
DYAR, C. & FEINSTEIN, B.A. (2018). 6 Binegativity: Attitudestoward and stereotypes about bisexual individuals. In D.J.Swan & S. Habibi (Eds.), Bisexuality: Theories, research, andrecommendationsfortheinvisiblesexuality.SpringerInternationalPublishing.
DYCE, J.A. (1996). Factor structure of the beck hopelessness scale.Journal of Clinical Psychology, 52 (5), 555-558.
ELIZUR, Y., & MINTZER, A. (2001). A framework for the formationof gay male identity: Processes associated with adult attachmentstyle and support from family and friends. Archives of SexualBehavior, 30 (2), 143-167.
FEINSTEIN, B.A. & DYAR, C. (2017). Bisexuality, minority stress,and health. Current Sexual Health Reports, 9, 42-49.
FEINSTEIN, B.A., DYAR, C. & LONDON, B. (2017). Are outness andcommunity involvement risk or protective factors for alcohol anddrug abuse among sexual minority women? Archives of SexualBehavior, 46 (5), 1411-1423.
FLOYD, F.J. & STEIN, T.S. (2002). Sexual orientation identityformation among gay, lesbian and bisexual youths: Multiplepatterns of milestone experiences. Journal of Research onAdolescence, 12 (2), 167-191.
FREUD, S. (1910). Three contributions to sexual theory. New York Journal of Nervous and Mental Disorders, 7, 472-474.
HALL, W.J., DAWES, H.C. & PLOCEK, N. (2021). Sexual orientationidentity development milestones among lesbian, gay, bisexual,and queer people: A systematic review and meta-analysis.Frontiers in Psychology, 12.
HENDRICKS, M.L. & TESTA, R.J. (2012). A conceptual frameworkfor clinical work with transgender and gender nonconformingclients: An adaptation of the Minority Stress Model. ProfessionalPsychology: Research and Practice, 43 (5), 460-467.
HUGHES, T., SZALACHA, L.A. & McNAIR, R. (2010). Substanceabuse and mental health disparities: Comparisons across sexualidentity groups in a national sample of young Australian women.Social Science & Medicine, 71 (4), 824-831.
JORM, A., KORTEN, A., RODGERS, B., JACOMB, P. &CHRISTENSEN, H. (2002). Sexual orientation and mentalhealth: Results from a community survey of young and middle –aged adults. British Journal of Psychiatry, 180 (5), 423-427.
KATZ-WISE, S.L., MEREISH, E.H. & WOULFE, J. (2017).Associations of bisexual-specific minority stress and healthamong cisgender and transgender adults with bisexualorientation. Journal of Sex Research, 54 (7), 899.
KINSEY, A.C., POMEROY, W.B. & MARTIN, C.E. (1948). Sexualbehavior in the human male. Philadelphia: W.B. Saunders.
KOCALEVENT, R.D., FINCK, C., PÉREZ-TRUJILLO, M., SAUTIER,L., ZILL, J. & HINZ, A. (2017). Standardization of the BeckHopelessness Scale in the general population. Journal of MentalHealth, 26 (6), 516-522.
KOH, A.S. & ROSS, L.K. (2006). Mental health issues: A comparisonof lesbian, bisexual and heterosexual women. Journal ofHomosexuality, 51 (1), 33.
KUYPER, L. & FOKKEMA, T. (2011). Minority stress and mentalhealth among Dutch LGBs: Examination of differences betweensex and sexual orientation. Journal of Counseling Psychology, 58(2), 222-233.
MacLEOD, M.A., BAUER, G.R., ROBINSON, M., MacKAY, J. &ROSS, L.E. (2015). Biphobia and anxiety among bisexuals inOntario, Canada. Journal of Gay & Lesbian Mental Health, 19 (3),217-243.
MAGUEN, S., FLOYD, F.J., BAKEMAN, R. & ARMISTEAD, L.(2002). Developmental milestones and disclosure of sexualorientation among gay, lesbian, and bisexual youths. Journal ofApplied Developmental Psychology, 23 (2), 219-233.
McCRORY, E., DE BRITO, S.A. & VIDING, E. (2012). The linkbetween child abuse and psychopathology: A review ofneurobiological and genetic research. Journal of the Royal Societyof Medicine, 105 (4), 151-156.
McNAIR, R., KAVANAGH, A., AGIUS, P. & TONG, B. (2005). Themental health status of young adult and midlife nonheterosexualAustralian women. Australian and New Zealand Journal of PublicHealth, 29 (3), 265.
MEYER, I.H. (2003). Prejudice, social stress, and mental health inlesbian, gay, and bisexual populations: Conceptual issues andresearch evidence. Psychological Bulletin, 129 (5), 674-697.
MEYER, I.H., RUSSELL, S.T., HAMMACK, P.L.,FROST, D.M.& WILSON, B. (2021). Minority stress, distress, and suicideattempts in three cohorts of sexual minority adults: A U.S.probability sample. PLoS ONE, 16, e0246827.
MILLER, M., ANDRÉ, A., EBIN, J. & BESSONOVA, L. (2007).Bisexual health: An introduction and model practices for HIV/STIprevention programming. New York: National Gay and LesbianTask Force Policy Institute, the Fenway Institute at FenwayCommunity Health and BiNet USA.
MOHR, J.J. & KENDRA, M.S. (2011). Revision and extension of amultidimensional measure of sexual minority identity: TheLesbian, Gay, and Bisexual Identity Scale. Journal of CounselingPsychology, 58 (2), 234-245.
MULICK, P.S. & WRIGHT, L.W. JR. (2002). Examining the existenceof biphobia in the heterosexual and homosexual populations.Journal of Bisexuality, 2 (4), 45-64.
MULICK, P.S. & WRIGHT, L.W. (2008). Examining the existenceof biphobia in the heterosexual and homosexual populations.Journal of Bisexuality, 2 (4), 45-64.
OCHS, R. (1996). Biphobia: It goes more than two ways. In B.A.Firestein (Ed.), Bisexuality: The psychology and politics of aninvisible minority. Sage Publications, Inc.
PERSSON, T.J. & PFAUS, J.G. (2015). Bisexuality and mental health: Future research directions. Journal of Bisexuality, 15 (1), 82-98.
PISTELLA, J., CARICATO, V. & BAIOCCO, R. (2020). Coming outto siblings and parents in an Italian sample of lesbian womenand gay men. Journal of Child and Family Studies, 29 (10),2916-2929.
POMPILI, M., ILICETO, P., LESTER, D., INNAMORATI, M.,GIRARDI, P. & TATARELLI, R. (2009). BHS Beck HopelessnessScale: Manuale. Firenze: Giunti O.S. Organizzazioni Speciali.
POMPILI, M., LESTER, D., FORTE, A., SERETTI, M.E., ERBUTO,D., LAMIS, D.A., … & GIRARDI, P. (2014). Bisexuality andsuicide: A systematic review of the current literature. Journal ofSexual Medicine, 11 (8), 1903-1913.
PUCKETT, J.A., TORNELLO, S., MUSTANSKI, B. & NEWCOMB,M.E. (2022). Gender variations, generational effects, and mentalhealth of transgender people in relation to timing and status ofgender identity milestones. Psychology of Sexual Orientation andGender Diversity, 9, 165-178.
RICHTERS, J., ALTMAN, D., BADCOCK, P.B., SMITH, A.M.A., DEVISSER, R.O., GRULICH, A.E., … & SIMPSON, J.M. (2014).Sexual identity, sexual attraction and sexual experience: Thesecond Australian study of health and relationships. SexualHealth, 11 (5), 451-460.
ROSTOSKY, S.S., CARDOM, R.D., HAMMER, J.H. & RIGGLE,E.D. (2018). LGB positive identity and psychological well-being. Psychology of Sexual Orientation and Gender Diversity, 5,482-489.
SACCHI, C., VIENO, A. & SIMONELLI, A. (2018). Italian validationof the Childhood Trauma Questionnaire – Short Form on acollege group. Psychological Trauma: Theory, Research, Practice,and Policy, 10 (5), 563-571.
SCANDURRA, C., PENNASILICO, A., ESPOSITO, C., MEZZA,F., VITELLI, R., BOCHICCHIO, V., MALDONATO, N.M. &AMODEO, A.L. (2020). Minority stress and mental health inItalian bisexual people. Social Sciences, 9 (4), 46-63.
SEABROOK, R.C., WARD, L.M., REED, L., MANAGO, A.,GIACCARDI, S. & LIPPMAN, J.R. (2016). Our scriptedsexuality: The development and validation of a measure of theheterosexual script and its relation to television consumption.Emerging Adulthood, 4 (5), 338-355.
SHIVELY, M.G. & DE CECCO, J.P. (1977). Components of sexualidentity. Journal of Homosexuality, 3 (1), 41-48.
SICA, C. & GHISI, M. (2007). The Italian versions of the BeckAnxiety Inventory and the Beck Depression Inventory-II:Psychometric properties and discriminant power. In M.A. Lange(Ed.), Leading-edge psychological tests and testing research. NovaScience Publishers.
SMITH, A.M.A., RISSEL, C.E., RICHTERS, J., GRULICH, A.E. & DEVISSER, R.O. (2003). Sexual identity, sexual attraction and sexualexperience among a representative sample of adults. Australianand New Zealand Journal of Public Health, 27 (2), 138-145.
STEED, L. (2001). Further validity and reliability evidence for BeckHopelessness Scale scores in a nonclinical sample. Educationaland Psychological Measurement, 61 (2), 303-316.
STEELE, L., ROSS, L., DOBINSON, C., VELDHUIZEN, S. &TINMOUTH, J. (2009). Women’s sexual orientation and health:Results from a Canadian population-based survey. Women &Health, 49 (5), 353-367.
THOMBS, B.D., BERNSTEIN, D.P., LOBBESTAEL, J. & ARNTZ,A. (2009). A validation study of the Dutch Childhood TraumaQuestionnaire – Short Form: Factor structure, reliability, andknown-groups validity. Child Abuse & Neglect, 33 (8), 518-523.
YOSHINO, K. (2000). The epistemic contract of bisexual erasure.Stanford Law Review, 52 (2), 353-461.

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Fantacci Francesco . Fallani Giulia . Cetola Miriana . Antonelli Paolo . Giunti Daniel . Bocci Benucci Sara . Fioravanti Giulia . To be or not to be Bi in Italy: Psychological well-being in a sample of bisexual individuals. BPA Applied Psychology Bulletin. 2023;298(1):17-29. doi:10.26387/bpa.298.1.

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