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The COVID-19 pandemic has been associated with poor mental health symptoms, particularly among vulnerable populations such as LGBTQ+ individuals. In the present study, we aimed to (i) identify different psychological adjustment profiles among LGBTQ+ young adults during the COVID-19 pandemic and compare LGBTQ+ young adults in relation to (ii) sociodemographic characteristics and COVID-19-related experiences and (iii) the internal and external protective resources associated with each adjustment profile. An online questionnaire was administered to 1699 LGBTQ+ young adults from six countries (Brazil, Chile, Italy, Portugal, Sweden, and the UK). A cluster analysis was conducted, and four profiles of psychological adjustment were identified: unchallenged, resilient, distressed, and at-risk. The at-risk cluster scored lowest in social support (particularly from family). The profiles of participants who experienced the highest levels of pandemic adversity (at-risk and resilient) comprised mostly South American participants, those under lockdown at the time of survey completion, those who self-identified as transgender and non-binary, and those with a plurisexual sexual orientation. Interventions should consider strategies to help young adults maintain support systems and reinforce the value of positive family relationships. Specific groups within the LGBTQ+ community that seem to be in a particularly vulnerable situation may need additional tailored support.

Stressors arising from the COVID-19 pandemic can spill over into the quality of couple relationships, with negative consequences on mental health. The mental health impact of COVID-19 might be particularly pronounced in disadvantaged populations such as LGBT people. This study aimed to examine direct and indirect dyadic associations between emotional impact of COVID-19 and depressive symptoms through relationship satisfaction in male same-sex couples. Using a cross-sectional design, 158 male same-sex Chilean couples completed self-report measures of the emotional impact of COVID-19, relationship satisfaction and depressive symptoms. We used the actor-partner interdependence mediation model for indistinguishable dyads to explore the direct and indirect dyadic associations. Results indicated that each partner's perceived emotional impact of COVID-19 was associated with his own higher depressive symptoms directly and indirectly, through his own lower relationship satisfaction. The other partner's perceived emotional impact of COVID-19 was associated with one's own higher depressive symptoms only directly. Our findings reinforce the notion that satisfactory couple relationships can act as a protective factor against depression in the LGBT population. Programs to promote adaptive coping strategies to deal with the emotional impact of the COVID-19 pandemic may have beneficial effects for the emotional adjustment of male same-sex couples, also by promoting relationship satisfaction.

The human infection caused by the novel SARS-CoV-2 is a public health emergency of international concern. Although the disease associated to this virus, named COVID-19, mainly affects the lungs, the infection can spread to extrapulmonary tissues, causing multiorgan involvement in severely ill patients. The broad infective capacity of SARS-CoV-2 is related to the pattern of expression of the viral entry factors ACE2 and TMPRSS2 in human tissues. As such, the respiratory and gastrointestinal tracts are at high risk for SARS-CoV-2 infection due to their high expression of ACE2 and TMPRSS2, which explains the clinical phenotype described in the vast majority of infected patients that includes pneumonia and diarrhea. Recently, preoccupation about the potential of the virus to infect the skin has been raised by dermatologists due to the increasing observations of cutaneous manifestations in patients with SARS-CoV-2 infection. Although there is little evidence of the expression of ACE2 and TMPRSS2 in the normal skin, the dermatological findings observed among COVID-19 patients warrants further investigation to delineate the mechanisms of skin affection after SARS-CoV-2 infection. Here, we provide a summary of the dermatological findings observed among patients with laboratory-confirmed SARS-CoV-2 infection based on recent reports. In addition, we analyze possible mechanisms of skin injury in COVID-19 patients and discuss about the risk of individuals with chronic skin conditions for SARS-CoV-2 infection. The present review constitutes a useful informative tool to improve our understanding of the pathophysiological mechanisms of COVID-19 and the possible implications of the current pandemic in dermatology., (© 2020. Springer-Verlag GmbH Germany, part of Springer Nature.)

Across the world, people have seen their lives interrupted by the COVID-19 pandemic. Using an online survey, we explored how the psychosocial effects of the pandemic affected the mental health of LGBTQ+ young adults who were confined with their parents during the lockdown period ( N = 1,934), from six countries: Portugal, UK, Italy, Brazil, Chile, and Sweden. South American participants experienced more negative psychosocial effects of the pandemic. Depression and anxiety were higher among participants who were younger, not working, living in Europe and who reported feeling more emotionally affected by the pandemic, uncomfortable at home, or isolated from non-LGBTQ friends. Not attending higher education predicted depression while not being totally confined at home, residing habitually with parents, and fearing more future infection predicted anxiety. LGBTQ+ community groups, as well as health and educational services should remain particularly attentive to the needs of LGBTQ+ young adults during health crises.

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La pandémie de COVID-19 a conduit de nombreux pays à travers le monde, et notamment le Chili à adopter diverses mesures, y compris le confinement physique et social. Les effets de ces mesures, nécessaires pour empêcher la propagation du virus, doivent être étudiées. En particulier, on sait que les quarantaines ont un impact sur la qualité de vie et le bien-être (par exemple, les symptômes associés tels que la dépression, l'anxiété, le stress post-traumatique et autres conséquences psychosociales). En outre, on suppose que ces effets sont plus prononcés dans des populations déjà vulnérables, comme les personnes LGBT. Cet article décrit les principales mesures adoptées par la population LGBT, au Chili, en réponse à la situation de quarantaine pour éviter le COVID-19 et ses conséquences psychosociales. Un échantillonnage non probabiliste a été construit. Une enquête en ligne auto-administrée a permis de recueillir 1181 questionnaires. Il s'agissait de lesbiennes, de gays, de bisexuels et de transgenres âgés de plus de 18 ans au Chili. Près de huit participants sur dix étaient en situation de quarantaine totale. 18,2 % d'entre eux étaient en isolement partiel et seulement 4,6 % n'étaient pas en quarantaine. Le COVID-19 a touché la majorité des participants LGBT et en outre, et en outre, dans une certaine mesure, il a affecté émotionnellement la grande majorité d'entre eux. En d'autres termes, la pandémie a affecté leur vie. Cet impact psychosocial de la COVID a été plus important pour les personnes qui se définissent comme *sexuelles (y compris les homosexuels, les asexués, les pansexuels, les démisexuels). Les mesures prises pour prévenir la transmission du virus affectent de manière significative les personnes LGBT. Les personnes *sexuelles doivent affronter la discrimination dont elles sont les victimes ainsi que la stigmatisation de leur identité dans de nombreux contextes, notamment leur famille. COVID-19 pandemic has led many countries around the world, including Chile, to take various measures, including physical and, social isolation. The effects of these measures, necessary to prevent the virus from spreading, must be studied. In particular, quarantines are known to have an impact on quality of life and well-being (for example, associated symptoms such as depression, anxiety, post-traumatic stress, and other psychosocial consequences). Furthermore, these effects are expected to be more pronounced in previously disadvantaged populations, such as LGBT people. This paper describes the main measures taken by LGBT population during quarantine to avoid COVID-19 and its psychosocial consequences on an individual and social basis. Non-probability sampling was used. An online self-administered survey including 1181 participants was used. These were lesbians, gays, bisexuals, and transgender residents over 18 years old from Chile. Almost eight out of ten participants were in a total quarantine situation. From them, 18.2% were in partial isolation and only 4.6% were not in quarantine. COVID-19 has affected almost all the LGBT participants to a certain extent. COVID-19 has emotionally affected the vast majority of the LGBT participants to a certain extent. In other words, the pandemic has affected their lives. This psychosocial impact of COVID has been greater for people who define themselves as *sexual (include queer, asexual, pansexual, demisexual). The measures taken to prevent the virus transmission significantly affect LGBT people's life. In particular, these measures affect *sexual people. *sexual people must manage discrimination and misunderstanding of their identity in many contexts including their family. [ABSTRACT FROM AUTHOR]