Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Bisexuality among a cohort of university students: prevalence and psychological distress

Abstract

Sociocultural prejudices and pressures may impair the mental health of bisexual people. We aim to evaluate psychological status according to sexual orientation in a sample of Italian university students, with specific attention to bisexuality and its frequency. Among a recruited sample of 551 university students, we found the following percentages for sexual orientation: heterosexuals 96.9% (n = 534), homosexuals 1.1% (n = 6), bisexuals 2% (n = 11). The cross-sectional analysis for psychological symptoms, with the Symptoms Check List-90 Revised (SCL-90-R), revealed that bisexual subjects have statistically significant higher scores on some symptomatic scales compared to heterosexuals. In particular, obsession-compulsion, paranoid ideation, hostility were significantly higher in bisexuals. Therefore, if heterosexual or homosexual orientation are not specified by particular psychological symptoms, bisexuality is characterized by a strong link with some facets of psychological distress, which are likely caused by a peculiar double stigma. In conclusion, through a specific psychometric tool, we found an association between bisexuality and various forms of psychological suffering. This evidence should further encourage clinicians to accurately assess the psychological health in young bisexual people.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Fig. 1

Similar content being viewed by others

References

  1. Chakraborty A, McManus S, Brugha TS, Bebbington P, King M. Mental health of the non-heterosexual population of England. Br J Psychiatry 2011;198:143–8.

    Article  PubMed  Google Scholar 

  2. Ciocca G, Tuziak B, Limoncin E, Mollaioli D, Capuano N, Martini A, et al. Psychoticism, immature defense mechanisms and a fearful attachment style are associated with a higher homophobic attitude. J Sex Med. 2015;12:1953–60.

    Article  PubMed  Google Scholar 

  3. Lingiardi V, Nardelli N, Drescher J. New Italian lesbian, gay and bisexual psychotherapy guidelines: a review. Int Rev Psychiatry. 2015;27:405–15.

    Article  PubMed  Google Scholar 

  4. Lingiardi V, Nardelli N, Ioverno S, Falanga S, Di Cacchio C, Tanzilli A, Baiocco R. Homonegativity in Italy: cultural issues, personality characteristics, and demographic correlates with negative attitudes toward lesbians and gay men. Sex Res Soc Policy. 2015;12:na.

    Google Scholar 

  5. Bostwick W. Assessing bisexual stigma and mental health status: a brief report. J Bisex. 2012;12:214–22.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ochs R. Selected Quotes by Robyn Ochs. http://robynochs.com/quotes/, 2014.

  7. ISTAT. La popolazione omosessuale nella società italiana. 2012.

  8. Herbenick D, Reece M, Schick V, Sanders SA, Dodge B, Fortenberry JD. Sexual behavior in the United States: results from a national probability sample of men and women aged 14–94. J Sex Med. 2010;7:255–65.

    Article  PubMed  Google Scholar 

  9. Jorm AF, Korten AE, Rodgers B, Jacomb PA, Christensen H. Sexual orientation and mental health: results from a community survey of young and middle-aged adults. Brit J Psychiat. 2002;180:423–7.

    Article  PubMed  Google Scholar 

  10. Pompili M, Lester D, Forte A, Seretti ME, Erbuto D, Lamis DA, et al. Bisexuality and suicide: a systematic review of the current literature. J Sex Med. 2014;11:1903–13.

    Article  PubMed  Google Scholar 

  11. King M, Semlyen J, Tai SS, Killaspy H, Osborn D, Popelyuk D et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 2008;8:70.

  12. Colledge L, Hickson F, Reid D, Weatherburn P. Poorer mental health in UK bisexual women than lesbians: evidence from the UK 2007 Stonewall Women’s Health Survey. J Public Health-UK. 2015;37:427–37.

    Article  Google Scholar 

  13. Koh AS, Ross LK. Mental health issues: a comparison of lesbian, bisexual and heterosexual women. J Homosex. 2006;51:33–57.

    Article  PubMed  Google Scholar 

  14. Needham BL, Austin EL. Sexual orientation, parental support, and health during the transition to young adulthood. J Youth Adolesc. 2010;39:1189–98.

    Article  PubMed  Google Scholar 

  15. Juster RP, Smith NG, Ouellet E, Sindi S, Lupien SJ. Sexual orientation and disclosure in relation to psychiatric symptoms, diurnal cortisol, and allostatic load. Psychosom Med. 2013;75:103–16.

    Article  PubMed  Google Scholar 

  16. Langhinrichsen-Rohling J, Lamis DA, Malone PS. Sexual attraction status and adolescent suicide proneness: the roles of hopelessness, depression, and social support. J Homosex. 2011;58:52–82.

    Article  PubMed  Google Scholar 

  17. Derogatis L. SCL-90-R; administration, scoring and procedure manual-II. In: Towson MD: Clinical Psycometric Research. 1992.

  18. Conti L. Repertorio delle scale di valutazione in psichiatria- Self-Report Symptom Inventory - Revised (SCL-90-R). In: S.E.E. (ed): Firenze, 1999, pp 341–350.

  19. Stokes JP, Damon W, McKirnan DJ. Predictors of movement toward homosexuality: a longitudinal study of bisexual men. J Sex Res. 1997;34:304–12.

    Article  Google Scholar 

  20. Beres-Deak R. “I’ve Also Lived as a Heterosexual”—Identity Narratives of Formerly Married Middle-Aged Gays and Lesbians in Hungary. J Bisex. 2016;16:81–98.

    Article  Google Scholar 

  21. Breyer BN, Smith JF, Eisenberg ML, Ando KA, Rowen TS, Shindel AW. The impact of sexual orientation on sexuality and sexual practices in North American medical students. J Sex Med. 2010;7:2391–400.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Diamond LM. Female bisexuality from adolescence to adulthood: results from a 10-year longitudinal study. Dev Psychol. 2008;44:5–14.

    Article  PubMed  Google Scholar 

  23. Diamond LM. A new view of lesbian subtypes: stable versus fluid identity trajectories over an 8-year period. Psychol Women Quart. 2005;29:119–28.

    Article  Google Scholar 

  24. Jannini EA, Blanchard R, Camperio-Ciani A, Bancroft J. Male homosexuality: nature or culture? J Sex Med. 2010;7:3245–53.

    Article  PubMed  Google Scholar 

  25. Kim TH, Kim GW, Kim SK, Jeong GW. Brain activation-based sexual orientation in female-to-male transsexuals. Int J Impot Res. 2016;28:31–8.

    Article  PubMed  Google Scholar 

  26. Lingiardi V, Falanga S, D’Augelli AR. The evaluation of homophobia in an Italian sample. Arch Sex Behav. 2005;34:81–93.

    Article  PubMed  Google Scholar 

  27. Lau JTF, Kim JH, Tsui HY. Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong Kong: a population-based study. Int J Impot Res. 2006;18:130–40.

    Article  CAS  PubMed  Google Scholar 

  28. Eliason MJ. The prevalence and nature of biphobia in heterosexual undergraduate students. Arch Sex Behav. 1997;26:317–26.

    Article  CAS  PubMed  Google Scholar 

  29. Mulick PS, Wright LW,Jr, PSMLWW. Examining the existence of biphobia in the heterosexual and homosexual populations. J Bisex. 2002;2:45–64

    Article  Google Scholar 

  30. Persson TJ, Pfaus JG. Bisexuality and mental health: future research directions. J Bisex. 2015;15:82-98.

  31. Shindel AW, Breyer BN, Smith JF. Associations of desire for change in sexual life amongst female medical students in North America. Int J Impot Res. 2013;25:74–9.

    Article  CAS  PubMed  Google Scholar 

  32. Lingiardi V, Baiocco R, Nardelli N. Measure of internalized sexual stigma for lesbians and gay men: a new scale. J Homosex. 2012;59:1191–210.

    Article  PubMed  Google Scholar 

  33. Durso LE, Meyer IH. Patterns and predictors of disclosure of sexual orientation to healthcare providers among lesbians, gay men, and bisexuals. Sex Res Social Policy. 2013;10:35–42.

    Article  PubMed  Google Scholar 

  34. Cassano GB, Pini S, Saettoni M, Dell’Osso L. Multiple anxiety disorder comorbidity in patients with mood spectrum disorders with psychotic features. Am J Psychiatry. 1999;156:474–6.

    Article  CAS  PubMed  Google Scholar 

  35. Rossler W, Hengartner MP, Ajdacic-Gross V, Haker H, Angst J. Deconstructing sub-clinical psychosis into latent-state and trait variables over a 30-year time span. Schizophr Res. 2013;150:197–204.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors thank Drs. Capuano, Martini and Tuziak for their contribution to recruit sample.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Emmanuele A. Jannini.

Ethics declarations

Conflict of interest

Professor Jannini is consultant or paid speaker for Bayer, GSK, Ibsa, Menarini, Otsuka, Pfizer, and Shionogi. Dr. Limoncin has been paid speaker for Menarini.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ciocca, G., Solano, C., Di Lorenzo, G. et al. Bisexuality among a cohort of university students: prevalence and psychological distress. Int J Impot Res 30, 79–84 (2018). https://doi.org/10.1038/s41443-017-0014-2

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41443-017-0014-2

This article is cited by

Search

Quick links