OBJECTIVE To remedy the notable gap in evidence-based treatments for sexual minority women, this study tested the efficacy of a minority-stress-focused cognitive-behavioral treatment intended to improve this population's mental and behavioral health. METHOD The intervention, EQuIP (Empowering Queer Identities in Psychotherapy), was adapted from a transdiagnostic cognitive-behavioral treatment as also recently adapted for sexual minority men. Sexual minority women at risk of mental and behavioral health problems (n = 19) and expert providers with this population (n = 12) shaped the treatment's development, including by supporting its primary focus on universal and minority-stress-focused processes underlying this population's disproportionately poor mental and behavioral health. The resulting treatment was then delivered to young adult sexual minority women (n = 60; M age = 25.58; 41.67% racial/ethnic minority; 43.33% transgender/nonbinary) experiencing depression/anxiety and past 90-day heavy alcohol use. RESULTS Compared to waitlist (n = 30), participants randomized to immediately receive EQuIP (n = 30) experienced significantly reduced depression and anxiety (d = 0.85, 0.86, respectively); effects for alcohol use problems were smaller (d = 0.29) and marginally significant. In pre- to post-intervention pooled analyses, effect sizes for minority stress processes (mean d = .25) and universal risk factors (mean d = .48), through which the treatment was expected to work, were small and moderate, respectively, and in the expected direction. CONCLUSIONS This study provides initial support for a minority-stress-focused transdiagnostic cognitive-behavioral treatment for sexual minority women. These first results can launch exploration of other mechanisms and modalities through which to equip this population with evidence-based support. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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针对性别多样化的性少数女性抑郁、焦虑和不健康饮酒的跨诊断少数压力干预：一项随机对照试验。


目的 为了弥补针对性少数女性的循证治疗中的显着差距，本研究测试了旨在改善该人群心理和行为健康的以少数群体压力为中心的认知行为治疗的功效。方法 EQuIP（在心理治疗中增强酷儿身份）干预措施改编自跨诊断认知行为治疗，最近也适用于性少数男性。面临精神和行为健康问题风险的性少数女性 (n = 19) 和该人群的专家提供者 (n = 12) 影响了治疗的发展，包括支持其主要关注该人群潜在的普遍和少数群体压力过程心理和行为健康状况极差。然后将所得的治疗提供给经历抑郁/焦虑和过去 90 天酗酒的年轻成年性少数女性（n = 60；M 年龄 = 25.58；4​​1.67% 种族/族裔少数；43.33% 跨性别/非二元性别）。结果 与候补名单 (n = 30) 相比，随机分配立即接受 EQuIP 的参与者 (n = 30) 的抑郁和焦虑显着减轻（分别为 d = 0.85、0.86）；对酒精使用问题的影响较小（d = 0.29）并且略微显着。在干预前后的汇总分析中，预期治疗有效的少数应激过程（平均 d = .25）和普遍风险因素（平均 d = .48）的效应大小分别较小和中等，并且朝着预期的方向。结论 这项研究为针对性少数女性的以少数压力为重点的跨诊断认知行为治疗提供了初步支持。 这些初步结果可以启动对其他机制和方式的探索，通过这些机制和方式为这一人群提供基于证据的支持。 （PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。