Longitudinal effects of psychotherapy with transgender and nonbinary clients: A randomized controlled pilot trial.
Longitudinal effects of psychotherapy with transgender and nonbinary clients: A randomized controlled pilot trial.
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DOI：
10.1037/pst0000310
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发表时间：
2021-03
期刊：
影响因子：
--
通讯作者：
Hoyt WT
中科院分区：
文献类型：
--
作者：
Budge SL;Sinnard MT;Hoyt WT
少数民族的压力已被确定为有助于跨性别，非二元和性别歧视（TNG）个人的一些心理健康问题，但很少有人知道有关干预措施，以减少少数民族的压力的影响。这项试点研究的目的是评估的可行性和相对有效性的两个干预措施的工作与变性客户。招募跨性别个体（N = 20）参加一项随机对照试验（RCT），比较两种针对跨性别成年人寻求心理治疗的心理治疗干预措施：a）跨性别肯定心理治疗（TA）和B）建立对少数压力源的认识（BAMS）+ TA。在干预前、干预后即刻和干预后6个月评估与性别相关的压力和弹性;在这三个时间点以及干预期间每周评估心理困扰和工作联盟。支持研究和心理治疗干预的可行性和可接受性。探索性分析表明，在两组的基础上，一般的结果措施的改善，有针对性的结果措施表明，改善的趋势，内化的耻辱和nonaffirmation的经验。本研究的结果支持在更大规模的RCT中对两个治疗组进行进一步评价。
Minority stress has been determined to contribute to some mental health concerns for transgender, nonbinary, and gender nonconforming (TNG) individuals, yet little is known regarding interventions to decrease the effects of minority stress. The purpose of this pilot study was to assess the feasibility and relative effectiveness of two interventions developed for work with transgender clients. Transgender individuals (N = 20) were recruited to participate in a randomized controlled trial (RCT) comparing two psychotherapy interventions for transgender adults seeking psychotherapy for a variety of concerns: a) Transgender Affirmative psychotherapy (TA) and b) Building Awareness of Minority Stressors (BAMS) + TA. Gender-related stress and resilience were assessed before, immediately after, and 6 months following the intervention; psychological distress and working alliance were assessed at these three time points as well as weekly during the intervention. Feasibility and acceptability of the study and psychotherapy interventions were supported. Exploratory analyses indicate improvement in both groups based on general outcome measures; targeted outcome measures indicate a trend of improvement for internalized stigma and nonaffirmation experiences. Results from this study support further evaluation of both treatment arms in a larger RCT.
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