Department of Social and Behavioral Sciences.
Denver-Seattle Center of Innovation for Veteran-Centered and Value-Driven Care.
J Consult Clin Psychol. 2020 Jul;88(7):613-630. doi: 10.1037/ccp0000508. Epub 2020 May 21.
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 ( = 19) and expert providers with this population ( = 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 ( = 60; 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 ( = 30), participants randomized to immediately receive EQuIP ( = 30) experienced significantly reduced depression and anxiety ( = 0.85, 0.86, respectively); effects for alcohol use problems were smaller ( = 0.29) and marginally significant. In pre- to post-intervention pooled analyses, effect sizes for minority stress processes (mean = .25) and universal risk factors (mean = .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. (PsycInfo Database Record (c) 2020 APA, all rights reserved).
为了弥补针对性少数群体女性的循证治疗方面的显著差距，本研究测试了一种以少数群体压力为重点的认知行为治疗的疗效，该治疗旨在改善这一人群的心理健康和行为健康。
该干预措施，EQuIP（在心理治疗中赋予酷儿认同），是从一种跨诊断认知行为治疗改编而来的，最近也被改编为适用于性少数男性。有心理健康和行为问题风险的性少数女性（=19）和该人群的专家提供者（=12）塑造了治疗的发展，包括支持其主要关注该人群心理健康和行为健康状况不佳的普遍和少数群体压力为重点的过程。然后，将由此产生的治疗方法提供给年轻的性少数女性（=60；年龄=25.58；41.67%为少数民族/族裔；43.33%为跨性别/非二元性别），她们经历了抑郁/焦虑和过去 90 天的重度饮酒。
与候补名单（=30）相比，立即接受 EQuIP（=30）的参与者的抑郁和焦虑显著降低（分别为=0.85，0.86）；酒精使用问题的效果较小（=0.29），且略有统计学意义。在干预前至干预后的汇总分析中，少数群体压力过程的效应量（平均值=0.25）和普遍风险因素（平均值=0.48）分别较小和中等，且方向符合预期，这些过程和因素预计是治疗的作用机制。
本研究为性少数群体女性的以少数群体压力为重点的跨诊断认知行为治疗提供了初步支持。这些初步结果可以启动对通过其他机制和模式为这一人群提供循证支持的探索。
