为有抑郁症状的 LGBTQ+ 青年开发和试点基于社区的便携式干预措施。

IF 4.2 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Natalia Ramos, Elizabeth Ollen, David J Miklowitz, Jeanne Miranda
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引用次数: 0

摘要

目的:女同性恋、男同性恋、双性恋、跨性别者和有疑问者(LGBTQ+)青少年在心理健康方面经历着众所周知的不平等,包括抑郁和自杀。促进幸福和复原力(PWR)课程是一个互动的、根据发展情况量身定制的小组,为患有抑郁症的 LGBTQ+ 青少年提供以力量为基础的实用技能。该课程旨在由准专业人员实施,以增加社区护理的可及性:研究人员为 12 至 17 岁的 LGBTQ+ 青少年(N=21)(男=14.8 岁,81% 白种人,57% 性别多元化,100% 非异性恋)开发并试点了一个为期八节课的认知行为课程。青少年以小组形式(每组 5-8 人)接受情绪调节、沟通技巧、压力管理和目标设定方面的培训。结果是青少年在治疗前和治疗后报告的抑郁(主要)、焦虑和创伤症状。采用配对样本(依赖性)单尾 t 检验来检查治疗效果。此外,还与参与者进行了焦点小组讨论,以评估满意度并收集有关课程内容和形式的定性反馈:抗逆力课程与治疗后抑郁症状的减少有关(t(17) = 3.3,p = .002,d = 0.5),但与焦虑(t(17) = 1.8,p = .049,d = 0.3)或创伤症状(t(17) = 1.2,p = .118,d = 0.1)无关。所有小组课程的完成率都很高(95%),大多数参与者(57%)都返回参加了可选的复习课程:初步结果表明,由辅助专业人员提供的为期 8 周、以技能为基础的认知行为小组干预手册可能会有效减轻积极抑郁的 LGBTQ+ 青年的抑郁症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Development and Pilot of a Portable Community-Based Intervention for LGBTQ+ Youth with Depression Symptoms.

Objective: Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) youth experience known inequities in mental health outcomes, including depression and suicidality. The Promoting Wellbeing & Resilience (PWR) class is an interactive, developmentally tailored group that provides strength-based, practical skills to LGBTQ+ teenagers with depression. It is designed to be implemented by paraprofessionals to increase community-based access to care.

Method: Investigators developed and piloted an eight-session cognitive-behavioral class for LGBTQ+ youth (N = 21) ages 12 to 17 (M = 14.8 years, 81% Caucasian, 57% gender diverse, 100% non-heterosexual) with depression symptoms. The youth received training in mood regulation, communication skills, stress management, and goal setting in a small group format (5-8 youth per group). Outcomes were youth-reported depression (primary), anxiety, and trauma symptoms at pre-treatment and post-treatment. Paired sample (dependent) one-tailed t-tests were used to examine treatment effects. Focus groups were also conducted with participants to assess satisfaction and collect qualitative feedback regarding class content and format.

Result: The resilience class was associated with reductions in depression symptoms post-treatment (t(17) = 3.3, p = .002, d = 0.5) but not anxiety (t(17) = 1.8, p = .049, d = 0.3) or trauma symptoms (t(17) = 1.2, p = .118, d = 0.1). Completion rates for all group sessions were high (95%), and the majority (57%) of participants returned for an optional review session.

Conclusion: Preliminary results suggest a manualized 8-week skills-based cognitive-behavioral group intervention designed to be delivered by paraprofessionals may be effective at reducing depression symptoms in actively depressed LGBTQ+ youth.

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来源期刊
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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