Clinical trial NCT03980873: Cognitive-Behavioral Therapy for Young Adult Lesbian, Gay and Bisexual: Transdiagnostic Minority Stress Approach
Official title: Cognitive-Behavioral Therapy for Young Adult Lesbian, Gay and Bisexual: Transdiagnostic Minority Stress Approach
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Depression, Anxiety
Alcohol Abuse
Sexual Compulsivity
Unsafe Sex
Keywords: minority stress
LGB
stigma
cognitive behavioral therapy (CBT)
Lead sponsor: University of the Basque Country (UPV/EHU)
Sponsor class: OTHER
First posted: 2019-06-10
Enrollment: 63
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: INCLUSION CRITERIA:

1. being born male and currently identifying as a man; or being born female and currentry identifying as a female
2. gay, lesbian or bisexual identity
3. minimum age 18

EXCLUSION CRITERIA:

1. not currently receiving regular mental health services
2. not having and addictive disorder

Primary outcomes:
measure: Symptom Assessment-45 Questionnaire from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
measure: Change of Sexual Compulsivity Scale (SCS) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
measure: Change of Safer Sex Self-Efficacy Questionnaire (SSSE) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
Secondary outcomes:
measure: Change of Measure of Gay-Related Stress (MOGS) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
measure: Change of Gay-related Rejection Sensitivity Scale (GRSS) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
measure: Change of Internalized Homophobia Scale (IHP) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
measure: Change of Sexual Orientation Concealment Scale (SOCS) from baseline to 16 months
timeFrame: baseline (week 0), end of treatment (week 10), and during the maintenance phase
Other outcomes:
Locations:
city: San Sebastián
country: Spain
facility: Universidad del País Vasco
state: Guipuzcoa
Study officials:
affiliation: University of the Basque Country (UPV/EHU)
name: Jose I. Pérez-Fernández, Ph. D
role: PRINCIPAL_INVESTIGATOR
References: