The LGBTQ community’s mental health suffered with Donald Trump’s rise to the presidency, according to two studies measuring distress levels before and after the 2016 election.

Neither report says the former president caused the downturn or even tried to make such a determination, but Dr. Adrienne Grzenda, lead author of one study, said there’s a “fairly strong” correlation based on Trump’s policies and rhetoric widely considered anti-LGBTQ.