Multi-Method Assessment of Self-Regulation as a Moderator of the Associations Between Social Support and Service Use With Mental Health in LGBTQ+ Emerging Adults

Background: LGBTQ + individuals face higher levels of oppression and discrimination which contributes to large mental health disparities. This includes risk of social rejection and increased barriers to receiving appropriate and affirming therapeutic and medical services. Method: N = 142 ( M age = 21.97, SD = 3.17 ) LGBTQ + emerging adults completed self-report, behavioral, and physiological indices of self-regulation and self-report social support, service use, and mental health symptoms. Structural equation modeling examined (1) direct effects of social support, service use, and self-regulation on mental health and (2) self-regulation as a moderator. Results: There were direct effects of social support, service use, and self-regulation on mental health. No significant moderations were found, and behavioral measures of self-regulation were not related to mental health outcomes. Discussion: Social support, service use, and self-reported self-regulation may be independently important protective factors for LGBTQ + individuals. Continued work is needed examining multi-method assessment of self-regulation in this population, particularly considering physiological measures.