Treatment Goals of Sexual Minority Men in LGBTQ-Affirmative CBT

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL Cognitive and Behavioral Practice Pub Date : 2023-12-27 DOI:10.1016/j.cbpra.2023.12.002
Cal D. Brisbin, Zachary A. Soulliard, Marc Puccinelli, Audrey Harkness, Benjamin K. Fetzner, Steven A. Safren, John E. Pachankis
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Abstract

Sexual minority men seek out mental health treatment at approximately twice the rate of the general population, with minority stress being the most likely explanation for this population’s heightened mental and behavioral health concerns and associated treatment seeking. However, little research identifies sexual minority men’s mental health treatment goals, thereby potentially hindering tailored treatment development and clinicians’ preparation. The present study qualitatively identifies treatment goals among 94 ethnically diverse, majority cisgender sexual minority men who participated in a trial of LGBTQ-affirmative CBT. Analyses identified 44 unique treatment goals across 10 themes (e.g., Increase Affirmation and Acceptance of Sexual Minority Identity, Address Instant Gratification as a Form of Coping). Results highlight the relevance of this population’s sexual minority identities and associated stressors to their treatment goals, prepare clinicians to expect to address these goals when working with sexual minority men, extend existing goal taxonomies to consider this population’s distinct treatment needs, and highlight the importance of goal-driven evidence-based practice for this population.

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性少数群体男性在 LGBTQ 平权 CBT 中的治疗目标
性少数群体男性寻求心理健康治疗的比例约为普通人群的两倍,而少数群体的压力最有可能解释这一人群对心理和行为健康的高度关注以及相关的治疗需求。然而,很少有研究能确定性少数群体男性的心理健康治疗目标,因此可能会阻碍针对性治疗的发展和临床医生的准备工作。本研究通过定性分析,确定了 94 名参与 LGBTQ 支持性 CBT 试验的不同种族、多数为顺性性别的性少数群体男性的治疗目标。分析确定了 44 个独特的治疗目标,涉及 10 个主题(例如,提高对性少数群体身份的肯定和接受度、将即时满足作为一种应对方式)。研究结果强调了该人群的性少数群体身份和相关压力与他们的治疗目标的相关性,使临床医生在与性少数群体男性合作时能够预期解决这些目标,扩展现有的目标分类法以考虑该人群独特的治疗需求,并强调了以目标为导向的循证实践对该人群的重要性。
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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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