A transdiagnostic minority stress intervention for gender diverse sexual minority women's depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.
A transdiagnostic minority stress intervention for gender diverse sexual minority women's depression, anxiety, and unhealthy alcohol use: A randomized controlled trial.
复制标题
DOI：
10.1037/ccp0000508
复制
发表时间：
2020-07
影响因子：
5.9
通讯作者：
Lehavot K
中科院分区：
文献类型：
--
作者：
Pachankis JE;McConocha EM;Clark KA;Wang K;Behari K;Fetzner BK;Brisbin CD;Scheer JR;Lehavot K
为了弥补性少数群体女性循证治疗的显着差距，本研究测试了旨在改善这一人群心理和行为健康的以少数群体压力为重点的认知行为治疗的有效性。干预措施EQuIP（在心理治疗中赋予酷儿身份）改编自跨诊断认知行为治疗，最近也适用于性少数男性。有精神和行为健康问题风险的性少数女性（n = 19）和这一人群的专家提供者（n = 12）塑造了治疗的发展，包括支持其主要关注普遍和少数民族压力为重点的过程，这些过程是这一人群不成比例的精神和行为健康状况不佳的基础。然后将所得治疗提供给经历抑郁/焦虑和过去90天重度饮酒的年轻成年性少数女性（n = 60; M年龄= 25.58; 41.67%种族/少数民族; 43.33%变性人/非二元）。与等待名单（n = 30）相比，随机分配立即接受EQuIP（n = 30）的参与者的抑郁和焦虑显着减少（d = 0.85，0.86，分别）;对酒精使用问题的影响较小（d = 0.29）和轻微显着。在干预前后的汇总分析中，少数压力过程（平均d = 0.25）和普遍风险因素（平均d = 0.48）的效应量，通过这些因素，治疗预计会起作用，分别是小的和中等的，并且在预期的方向上。这项研究提供了初步的支持，少数民族压力为重点的跨诊断的认知行为治疗性少数民族妇女。这些初步成果可以启动对其他机制和模式的探索，通过这些机制和模式为这一群体提供循证支持。
To remedy the notable gap in evidence-based treatments for sexual minority women, this study tested the efficacy of a minority-stress-focused cognitive–behavioral treatment intended to improve this population’s mental and behavioral health. The intervention, EQuIP (Empowering Queer Identities in Psychotherapy), was adapted from a transdiagnostic cognitive–behavioral treatment as also recently adapted for sexual minority men. Sexual minority women at risk of mental and behavioral health problems (n = 19) and expert providers with this population (n = 12) shaped the treatment’s development, including by supporting its primary focus on universal and minority-stress-focused processes underlying this population’s disproportionately poor mental and behavioral health. The resulting treatment was then delivered to young adult sexual minority women (n = 60; M age = 25.58; 41.67% racial/ethnic minority; 43.33% transgender/nonbinary) experiencing depression/anxiety and past 90-day heavy alcohol use. Compared to waitlist (n = 30), participants randomized to immediately receive EQuIP (n = 30) experienced significantly reduced depression and anxiety (d = 0.85, 0.86, respectively); effects for alcohol use problems were smaller (d = 0.29) and marginally significant. In preto post-intervention pooled analyses, effect sizes for minority stress processes (mean d = .25) and universal risk factors (mean d = .48), through which the treatment was expected to work, were small and moderate, respectively, and in the expected direction. This study provides initial support for a minority-stress-focused transdiagnostic cognitive–behavioral treatment for sexual minority women. These first results can launch exploration of other mechanisms and modalities through which to equip this population with evidence-based support.
登录
查看更多内容
影响因子：
4.6
作者：
Cochran, Susan D.;Mays, Vickie M.
通讯作者：
Mays, Vickie M.
DOI：
10.1111/josi.12233
发表时间：
2017-09
期刊：
The Journal of social issues
影响因子：
--
作者：
Chaudoir SR;Wang K;Pachankis JE
通讯作者：
Pachankis JE
影响因子：
3.8
作者：
Davila, Joanne;Jabbour, Jeremy;Feinstein, Brian A.
通讯作者：
Feinstein, Brian A.
DOI：
10.1111/j.2517-6161.1995.tb02031.x
发表时间：
1995-01-01
影响因子：
5.8
作者：
BENJAMINI, Y;HOCHBERG, Y
通讯作者：
HOCHBERG, Y
影响因子：
5.9
作者：
Cochran SD;Björkenstam C;Mays VM
通讯作者：
Mays VM