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LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach

Pachankis, John E. ; Hatzenbuehler, Mark L. ; Rendina, H. Jonathon ; Safren, Steven A. ; Parsons, Jeffrey T. Nezu, Arthur M

Journal of consulting and clinical psychology, 2015-10, Vol.83 (5), p.875-889 [Periódico revisado por pares]

United States: American Psychological Association

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Título:
LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach
Autor: Pachankis, John E. ; Hatzenbuehler, Mark L. ; Rendina, H. Jonathon ; Safren, Steven A. ; Parsons, Jeffrey T.
Nezu, Arthur M
Assuntos: Adolescent ; Adult ; Alcohol Drinking Patterns ; Anxiety Disorders ; Behavior modification ; Bisexuality ; Bisexuality - psychology ; Bisexuality - statistics & numerical data ; Clinical psychology ; Clinical trials ; Cognitive Behavior Therapy ; Cognitive Behavioral Therapy ; Cognitive therapy ; Evidence-based medicine ; Follow-Up Studies ; Gays & lesbians ; Homosexuality, Male - psychology ; Homosexuality, Male - statistics & numerical data ; Human ; Humans ; Major Depression ; Male ; Male Homosexuality ; Mental Disorders - psychology ; Mental Disorders - therapy ; Minority Groups ; Minority Groups - psychology ; Minority Groups - statistics & numerical data ; Minority Stress ; Risk-Taking ; Self Report ; Sexual Risk Taking ; Stress ; Stress, Psychological - psychology ; Stress, Psychological - therapy ; Treatment Outcome ; Young Adult ; Young adults
É parte de: Journal of consulting and clinical psychology, 2015-10, Vol.83 (5), p.875-889
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Objectives: We tested the preliminary efficacy of a transdiagnostic cognitive-behavioral treatment adapted to improve depression, anxiety, and co-occurring health risks (i.e., alcohol use, sexual compulsivity, condomless sex) among young adult gay and bisexual men. Treatment adaptations focused on reducing minority stress processes that underlie sexual orientation-related mental health disparities. Method: Young gay and bisexual men (n = 63; M age = 25.94) were randomized to immediate treatment or a 3-month waitlist. At baseline, 3-month, and 6-month assessments, participants completed self-reports of mental health and minority stress and an interview of past-90-day risk behavior. Results: Compared to waitlist, treatment significantly reduced depressive symptoms (b = −2.43, 95% CI: −4.90, 0.35, p < .001), alcohol use problems (b = −3.79, 95% CI: −5.94, −1.64, p < .001), sexual compulsivity (b = −5.09, 95% CI: −8.78, −1.40, p < .001), and past-90-day condomless sex with casual partners (b = −1.09, 95% CI: −1.80, −0.37, p < .001), and improved condom use self-efficacy (b = 10.08, 95% CI: 3.86, 16.30, p < .001). The treatment yielded moderate and marginally significant greater improvements than waitlist in anxiety symptoms (b = −2.14, 95% CI: −4.61, 0.34, p = .09) and past-90-day heavy drinking (b = −0.32, 95% CI: −0.71, 0.07, p = .09). Effects were generally maintained at follow-up. Minority stress processes showed small improvements in the expected direction. Conclusion: This study demonstrated preliminary support for the first intervention adapted to address gay and bisexual men's co-occurring health problems at their source in minority stress. If found to be efficacious compared to standard evidence-based treatments, the treatment will possess substantial potential for helping clinicians translate LGB-affirmative treatment guidelines into evidence-based practice. What is the public health significance of this article? Sexual orientation-related disparities in depression and anxiety co-occur with alcohol use, sexual compulsivity, and risky sexual behavior to form a syndemic health threat surrounding young gay and bisexual men. Clear and consistent evidence suggests that a major source of this syndemic is minority stress-the stress associated with stigma-related social disadvantage that compounds general life stress. This study represents the first test of an adapted cognitive-behavioral intervention designed to alleviate minority stress among young gay and bisexual men to improve the co-occurring health conditions facing this population.
Editor: United States: American Psychological Association
Idioma: Inglês

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LGB-Affirmative Cognitive-Behavioral Therapy for Young Adult Gay and Bisexual Men: A Randomized Controlled Trial of a Transdiagnostic Minority Stress Approach

Pachankis, John E. ; Hatzenbuehler, Mark L. ; Rendina, H. Jonathon ; Safren, Steven A. ; Parsons, Jeffrey T. Nezu, Arthur M

United States: American Psychological Association

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