University of California, San Francisco.
Psychotherapy (Chic). 2020 Mar;57(1):35-49. doi: 10.1037/pst0000243. Epub 2019 Aug 1.
Sexual minority (i.e., nonheterosexual) individuals are at greater risk than heterosexual individuals for substance use and poor mental health attributed to exposure to minority stress (Meyer, 2003). Minority stress is stress that places an additional burden on sexual minority people over and above the stress experienced by heterosexual people. Sexual minority men may also be subject to minority stress related to intersecting identities or individual characteristics (e.g., HIV status, race). This study obtained initial feedback about the AWARENESS intervention from sexual minority men living with HIV who use substances and determined the feasibility of the intervention to address minority stress related to intersecting identities. AWARENESS is a 9-session cognitive-behavioral intervention targeting minority stress as a driver of greater substance use and poorer mental and physical health. Ten sexual minority men living with HIV who were episodic substance users (>1 episode of illicit drug use or binge drinking in the previous 3 months) began the intervention. Feedback on the intervention was obtained through open-ended interviews analyzed using thematic analysis and Likert scale questionnaires about experiences with the intervention. Therapists tracked identities discussed in relation to minority stress to evaluate feasibility of AWARENESS to address intersectional minority stress. Participants identified they gained cognitive-behavioral skills to cope with intersectional minority stress and described destigmatization and integration of identities. Participants discussed an average of 3.2 identity characteristics in addition to sexual minority status in relation to intervention content. This study lays the groundwork for additional testing of this intervention. (PsycINFO Database Record (c) 2020 APA, all rights reserved).
性少数群体（即非异性恋者）比异性恋者更容易出现物质使用和心理健康不良的情况，这归因于他们面临着少数群体压力（Meyer，2003）。少数群体压力是指除了异性恋者所经历的压力之外，还给性少数群体带来额外负担的压力。性少数男性也可能面临与交叉身份或个体特征相关的少数群体压力（例如，艾滋病毒状况、种族）。本研究从使用物质的感染艾滋病毒的性少数男性那里获得了关于 AWARENESS 干预措施的初步反馈，并确定了该干预措施解决与交叉身份相关的少数群体压力的可行性。AWARENESS 是一项为期 9 节的认知行为干预措施，针对少数群体压力作为导致更多物质使用和更差的心理和身体健康的驱动因素。十名感染艾滋病毒的间歇性物质使用者（过去 3 个月内有 1 次或以上非法药物使用或狂欢饮酒）开始接受干预。通过主题分析和关于干预体验的李克特量表问卷对开放性访谈进行分析，获得了对干预措施的反馈。治疗师跟踪与少数群体压力相关的身份，以评估 AWARENESS 解决交叉性少数群体压力的可行性。参与者确定他们获得了应对交叉性少数群体压力的认知行为技能，并描述了去污名化和身份整合。参与者平均讨论了 3.2 个身份特征，除了性少数群体地位外，还与干预内容有关。这项研究为进一步测试该干预措施奠定了基础。（APA，所有权利保留）。
