Minority stress has been determined to contribute to some mental health concerns for transgender, nonbinary, and gender nonconforming individuals, yet little is known regarding interventions to decrease the effects of minority stress. The purpose of this pilot study was to assess the feasibility and relative effectiveness of two interventions developed for work with transgender clients. Transgender individuals (N = 20) were recruited to participate in a randomized controlled trial comparing two psychotherapy interventions for transgender adults seeking psychotherapy for a variety of concerns: (a) transgender affirmative psychotherapy (TA) and (b) Building Awareness of Minority Stressors + Transgender Affirmative psychotherapy. Gender-related stress and resilience were assessed before, immediately after, and 6 months following the intervention; psychological distress and working alliance were assessed at these three time points as well as weekly during the intervention. Feasibility and acceptability of the study and psychotherapy interventions were supported. Exploratory analyses indicate improvement in both groups based on general outcome measures; targeted outcome measures indicate a trend of improvement for internalized stigma and nonaffirmation experiences. Results from this study support further evaluation of both treatment arms in a larger randomized controlled trial. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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跨性别和非二元客户进行心理治疗的纵向效果：一项随机对照试验。

已经确定了少数群体的压力会导致跨性别，非二元和性别不合规个体的心理健康问题，但对于减少少数群体压力的干预措施知之甚少。这项初步研究的目的是评估针对跨性别客户开发的两种干预措施的可行性和相对有效性。招募跨性别者（N = 20）参加一项随机对照试验，比较针对寻求各种心理关注的跨性别成年人的两种心理治疗干预措施：（a）跨性别者肯定心理治疗（TA）和（b）增强少数群体压力源的意识+变性人肯定性心理治疗。在干预之前，之后和之后六个月评估与性别有关的压力和适应力；在这三个时间点以及干预期间每周评估一次心理困扰和工作联盟。研究和心理治疗干预措施的可行性和可接受性得到了支持。探索性分析表明，基于总体结果指标，两组患者均有改善。有针对性的结果衡量指标表明内部化的污名和不肯定经历有改善的趋势。这项研究的结果支持在更大的随机对照试验中进一步评估两个治疗组。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。探索性分析表明，基于总体结果指标，两组患者均有改善。有针对性的结果衡量指标表明内部化的污名和不肯定经历有改善的趋势。这项研究的结果支持在更大的随机对照试验中进一步评估两个治疗组。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。探索性分析表明，基于总体结果指标，两组患者均有改善。有针对性的结果衡量指标表明内部化的污名和不肯定经历有改善的趋势。这项研究的结果支持在更大的随机对照试验中进一步评估两个治疗组。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。