Cognitive-Behavioral Therapy for Young Adult Lesbian, Gay and Bisexual: Transdiagnostic Minority Stress Approach
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 63
- 试验地点
- 2
- 主要终点
- Change of Sexual Compulsivity Scale (SCS) from baseline to 16 months
研究概览
简要总结
Background: LGB people experience a large number of anxiety and mood disorders, and risk behaviors than heterosexual (Marshall et al., 2011). The evidence points to the importance played by the stress of minorities in the development of such problems (Bränstrom, Hatzenbuehler, Pachankis and Link, 2016).
Objective: The present study aims to adapt and analyze the efficacy of the ESTEEM program designed for this population (Burton, Wang and Pachankis, in press) in: 1) the reduction of psychopathological symptoms, abusive alcohol consumption and risky sexual behavior, 2 ) the decrease in the level of stress, anxiety for rejection, internalized homophobia and level of concealment, and finally, 3) the improvement of assertiveness levels. The effect of the variables social support, emotional regulation strategies and rumination will be analyzed.
Method: A quasi-experimental design will be used, where the LGB people (n = 63, 18<) will be assigned to the experimental group (immediate treatment), or to the control group (three-month waitlist). At baseline, 3-month, 6-month and 12-month assessments, participants completed self-reports of mental health and minority stress.
Results: It is expected that after treatment, LGB people mental health will be improved, as well as, minority stress will be reduced.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •being born male and currently identifying as a man; or being born female and currentry identifying as a female
- •gay, lesbian or bisexual identity
- •minimum age 18
排除标准
- •not currently receiving regular mental health services
- •not having and addictive disorder
结局指标
主要结局
Change of Sexual Compulsivity Scale (SCS) from baseline to 16 months
时间窗: baseline (week 0), end of treatment (week 10), and during the maintenance phase
The SCS contains 10 items (e.g., "my desires to have sex have disrupted my daily life"), rated from 1 (not at all like me) to 4 (very much like me). Item responses are summed to derive an overall score (range 10-40). The SCS has high reliability and validity across multiple studies (Hook, Hook, Davis, Worthington, \& Penberthy, 2010). A score of 24 or higher is frequently used to distinguish problematic sexual compulsivity (e.g., Grov, Parsons, \& Bimbi, 2010; Ventuneac, Rendina, Grov, Mustanski, \& Parsons, 2015).
Symptom Assessment-45 Questionnaire from baseline to 16 months
时间窗: baseline (week 0), end of treatment (week 10), and during the maintenance phase
Is an inventory developed to assess the intensity of symptoms inventoried during the last weeks. Each of the 45 items that is integrated in the self-report questionnaire is answered in a likert scale from 0 (nothing) to 4 (a lot), depending on the intensity with which the subject has lived in the last weeks the discomfort that each one explores. It is evaluated and interpreted in function of 10 primary dimensions (somatization, obsession-compulsion, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychotic and diverse symptoms and three global indexes of psychological disorders). The application does not require more than 15 minutes.
Change of Safer Sex Self-Efficacy Questionnaire (SSSE) from baseline to 16 months
时间窗: baseline (week 0), end of treatment (week 10), and during the maintenance phase
The 13-item SSSE assesses self-efficacy for condom use in various situations (e.g., "When you really need affection," "When your partner says he/she does not want to use a condom") in response to the prompt, "How confident are you that you could avoid having anal sex without a condom?" using a scale ranging from 1 (not at all tempted) to 5 (extremely tempted). The SSSE predicts condomless anal intercourse among men who have sex with men (MSM; Rendina, 2014).
次要结局
- Change of Internalized Homophobia Scale (IHP) from baseline to 16 months(baseline (week 0), end of treatment (week 10), and during the maintenance phase)
- Change of Measure of Gay-Related Stress (MOGS) from baseline to 16 months(baseline (week 0), end of treatment (week 10), and during the maintenance phase)
- Change of Gay-related Rejection Sensitivity Scale (GRSS) from baseline to 16 months(baseline (week 0), end of treatment (week 10), and during the maintenance phase)
- Change of Sexual Orientation Concealment Scale (SOCS) from baseline to 16 months(baseline (week 0), end of treatment (week 10), and during the maintenance phase)
研究者
Jose I. Perez-Fernandez, PhD
Phd. Lecturer of School of Psychology
University of the Basque Country (UPV/EHU)