对性少数妇女的认知行为治疗:来自利益相关者和社区成员的声音

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Jillian R. Scheer, Kirsty A. Clark, Erin McConocha, Katie Wang, John E. Pachankis
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引用次数: 7

摘要

与异性恋女性相比,性少数群体女性出现心理健康问题的风险更高。然而,关于认知行为疗法(CBT)干预措施是否满足SMW的心理健康需求,仍存在知识差距。此外,几乎没有任何研究综合了利益相关者(即在法定最低工资的健康和临床提供者中具有内容专业知识的研究人员,他们与法定最低工资合作)和社区成员(即法定最低工资)的观点,以确定解决法定最低工资特定问题的CBT方法。本研究使用了从39名在过去3个月内报告抑郁、焦虑、自杀和酗酒的SMW以及16名内容专家和临床提供者收集的定性数据,以获得与增强SMW CBT相关的信息。此外,我们使用专题分析来确定与法定最低工资CBT的适应和实施相关的专题。基于先前的文献,本研究结果揭示了向法定最低工资提供心理健康服务的七个考虑因素:(1)关注法定最低工资的不同性别身份和表达;(2) 关注法定最低工资的非二元压力源;(3) 在女权主义框架内制定法定最低工资基于性别的压力源;(4) 应用交叉性框架;(5) 纳入多样性、多元文化和社会正义问题;(6) 处理创伤暴露的作用;以及(7)解决饮酒在法定最低工资生活中的作用。这些考虑因素对临床实践的影响进行了审查,重点是加强现有CBT干预措施的应用,以最佳地满足这一人群的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Toward Cognitive-Behavioral Therapy for Sexual Minority Women: Voices From Stakeholders and Community Members

Sexual minority women (SMW) experience an elevated risk of mental health problems compared to heterosexual women. However, knowledge gaps remain regarding whether cognitive-behavioral therapy (CBT) interventions meet SMW’s mental health needs. Further, virtually no studies have integrated stakeholder (i.e., researchers with content expertise in SMW’s health and clinical providers who work with SMW) and community member (i.e., SMW) perspectives to identify CBT approaches that address SMW-specific issues. This study used qualitative data gathered from 39 SMW who reported depression, anxiety, suicidality, and heavy drinking in the past 3 months and 16 content experts and clinical providers to obtain information relevant to enhancing CBT for SMW. In addition, we used thematic analysis to identify themes related to the adaptation and delivery of CBT for SMW. Building on prior literature, this study’s findings revealed seven considerations for delivering mental health services to SMW: (1) attending to SMW’s diverse gender identities and expressions; (2) focusing on SMW’s nonbinary stressors; (3) formulating SMW’s gender-based stressors within a feminist framework; (4) applying intersectionality frameworks; (5) incorporating issues of diversity, multiculturalism, and social justice; (6) addressing the role of trauma exposure; and (7) addressing the role of alcohol use in SMW’s lives. These considerations are reviewed in terms of their implications for clinical practice, with a focus on enhancing applications of existing CBT interventions to best respond to the unique needs of this population.

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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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