Measuring LGBTQ-affirmative therapist behavior: Development of the LGBTQ Affirmation and Discussion In-Session (LADI) Inventory.

IF 3.8 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-10-15 DOI:10.1080/10503307.2026.2743594

Timothy J Sullivan, Michael Katz, Kriti Behari, Kate McMillen, Bianca Cersosimo, Mark L Hatzenbuehler, Steven A Safren, John E Pachankis

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引用次数: 0

Abstract

Objective: The within-session processes that constitute LGBTQ-affirmative psychotherapy remain under-specified.

Methods: We developed and validated an observational measure of therapists' LGBTQ affirmation and discussion in-session (LADI) in a study of 57 gay and bisexual men who received 10 sessions of treatment-as-usual in two LGBTQ community organizations as part of a larger trial.

Results: Independent raters reliably agreed on the presence of LGBTQ affirmation and discussion in sessions when using the LADI. Even when controlling for the therapeutic alliance, clients exhibited greater change in observer-rated depressive symptoms, self-reported substance use consequences, and internalized heterosexism when they had a therapist who displayed more LGBTQ affirmation on the LADI, although results for internalized heterosexism may have been sensitive to an outlier. The LADI did not predict changes in HIV-risk-transmission behavior, alcohol use, anxiety symptoms, suicidal ideation, rejection sensitivity, sexual orientation concealment, or identity affirmation.

Conclusions: The LADI can facilitate future research on LGBTQ-affirmative psychotherapy.

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测量LGBTQ肯定治疗师行为：LGBTQ肯定与讨论（LADI）量表的编制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.