Talking Therapies Southwark, South London and Maudsley NHS Foundation Trust, Denmark Hill, London, UK.
Department of Psychology, Institute of Psychiatry, Psychology and Neuroscience, King's College London, De Crespigny Park, London, UK.
Behav Cogn Psychother. 2022 Nov;50(6):575-589. doi: 10.1017/S1352465822000297. Epub 2022 Aug 11.
Stigma against lesbian, gay, bisexual or queer (LGBQ) people may increase their risk of mental illness and reduce their access to and/or benefit from evidence-based psychological treatments. Little is known about the feasibility, acceptability and effectiveness of adapted psychological interventions for sexual minority individuals in the UK.
To describe and evaluate a novel LGBQ Wellbeing group therapy for sexual minority adults experiencing common mental health problems, provided in a UK Improving Access to Psychological Therapies (IAPT) service.
An eight-session LGBQ Wellbeing group intervention was developed drawing on CBT and LGBQ affirmative principles. We compare the socio-demographic and clinical characteristics of patients who completed and dropped out of the groups, and explore changes in self-reported symptoms of depression, anxiety and functional impairment.
Over eight courses provided, 78 service-users attended at least one session, of whom 78.2% completed the intervention (drop-out rate 21.8%). Older participants were more likely to drop out. There was a lower proportion of female and bisexual or ethnic/racial minority individuals than would be expected. There were significant reductions in severity of depression, anxiety and functional impairment following the group, and more than half of those who completed the intervention needed no further treatment.
There was preliminary evidence of the feasibility of, and potential clinical benefit in, a group therapy intervention for sexual minority adults experiencing common mental health problems. Future research should investigate access and outcomes for participants with additional social disadvantage, e.g. those who are female, older, bisexual or ethnic/racial minority.
针对女同性恋、男同性恋、双性恋或酷儿（LGBQ）的污名可能会增加他们患精神疾病的风险，并减少他们获得和/或受益于基于证据的心理治疗的机会。在英国，关于适应于性少数群体的心理干预措施的可行性、可接受性和有效性知之甚少。
描述和评估一种针对性少数群体成年人常见心理健康问题的新型 LGBQ 幸福感小组治疗方法，该方法在英国改善获得心理治疗服务（IAPT）中提供。
借鉴 CBT 和 LGBQ 肯定原则，开发了一个八节的 LGBQ 幸福感小组干预措施。我们比较了完成和退出小组的患者的社会人口统计学和临床特征，并探讨了自我报告的抑郁、焦虑和功能障碍症状的变化。
在提供的八轮课程中，78 名服务使用者至少参加了一次课程，其中 78.2%完成了干预（退出率为 21.8%）。年龄较大的参与者更有可能退出。女性和双性恋或族裔/种族少数群体的比例低于预期。小组治疗后，抑郁、焦虑和功能障碍的严重程度显著降低，超过一半完成干预的人不需要进一步治疗。
针对经历常见心理健康问题的性少数成年人的小组治疗干预措施具有可行性，并具有潜在的临床益处。未来的研究应调查具有额外社会劣势的参与者（例如女性、年龄较大、双性恋或族裔/种族少数群体）的参与情况和结果。
