Abstract

LGBTQ + youth are at elevated risk for suicidality, substance use, and other mental health concerns. Evidence-based psychotherapeutic interventions are often the first line treatment for mental health concerns. However, there is limited research examining the effectiveness of such interventions among LGBTQ + adolescents. This systematic review synthesizes extant literature examining psychotherapeutic interventions for LGBTQ + adolescents with mental illness and/or substance use. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses, studies were assessed for inclusion eligibility. Researchers consulted three electronic databases, yielding a total of 666 results. Ten studies, with interventions ranging from drug use prevention to school-counseling, met inclusion criteria. Seven studies implemented adaptations to standard intervention protocol to make intervention content more accessible to LGBTQ + clients. Outcomes included decreased depressive symptoms, substance use, and social isolation. Significant design and methodological limitations were present across most studies, with four using a case study design and only two using a randomized controlled trial design. The review highlights preliminary evidence supporting the use of mental health interventions for LGBTQ + youth. However, more rigorous research is needed to determine if adapted interventions that include population-specific concerns of minority stress are more effective than treatment as usual.

摘要

LGBTQ + 青少年自杀、药物滥用和其他心理健康问题的风险较高。循证心理治疗干预通常是心理健康问题的一线治疗。然而，在 LGBTQ + 青少年中检验此类干预措施的有效性的研究有限。本系统评价综合了现有文献，研究了对患有精神疾病和/或物质使用的 LGBTQ + 青少年的心理治疗干预措施。使用系统评价和荟萃分析的首选报告项目，评估研究的纳入资格。研究人员查阅了三个电子数据库，总共产生了 666 个结果。十项研究的干预措施从预防吸毒到学校咨询，均符合纳入标准。七项研究对标准干预协议进行了调整，以使 LGBTQ + 客户更容易获得干预内容。结果包括减少抑郁症状、物质使用和社会孤立。大多数研究都存在重大的设计和方法学限制，其中四项使用案例研究设计，只有两项使用随机对照试验设计。该审查强调了支持对 LGBTQ + 青年使用心理健康干预措施的初步证据。然而，需要更严格的研究来确定包括针对少数群体压力的特定人群关注的适应性干预是否比通常的治疗更有效。和社会孤立。大多数研究都存在重大的设计和方法学限制，其中四项使用案例研究设计，只有两项使用随机对照试验设计。该审查强调了支持对 LGBTQ + 青年使用心理健康干预措施的初步证据。然而，需要更严格的研究来确定包括针对少数群体压力的特定人群关注的适应性干预是否比通常的治疗更有效。和社会孤立。大多数研究都存在重大的设计和方法学限制，其中四项使用案例研究设计，只有两项使用随机对照试验设计。该审查强调了支持对 LGBTQ + 青年使用心理健康干预措施的初步证据。然而，需要更严格的研究来确定包括针对少数群体压力的特定人群关注的适应性干预是否比通常的治疗更有效。