This study tested the efficacy of AFFIRM, a brief affirmative cognitive-behavioural group intervention tailored to reduce psychosocial distress and improve coping among sexual and gender minority adolescents and young adults (SGMY). SGMY (n = 138; M age = 22.44) were allocated to immediate 8-week AFFIRM intervention delivered at 12 community-based organisations or an 8-week waitlisted control. At baseline, post-intervention or post-waitlist, participants completed self-reported assessments of depression, hope, coping, and stress appraisal. Implementation outcomes of feasibility and acceptability were also assessed. Compared to waitlist, SGMY in the intervention condition significantly reduced their depressive symptoms (b = − 5.79, p = .001) as well as increased reports of hope (agency: b = 0.84, p = .001; pathway: b = 0.79, p = .001), and coping by emotional support (b = 0.59, p < .001), instrumental support (b = 0.67, p < .001), positive framing (b = 0.59, p < .001), humour (b = 0.36, p = .014), planning (b = 0.49, p < .001) as well as reflective coping (b = 0.27, p = .009). Intervention participants were also less likely to perceive stress as a threat (b = − 0.43, p = .001), and more likely to perceive stress as challenge (b = 0.67, p < .001) and have the resources to deal with that stress (b = 0.38, p = .016) in comparison to waitlisted control participants. All outcomes had medium to large effect sizes. AFFIRM participants reported low attrition (8.5%) and high levels of engagement and acceptability (e.g. 99% agreed intervention was relevant to their lives). Over 63% of the community organizations that participated in the training hosted AFFIRM at least once during the study. Results demonstrate efficacy for the community-based implementation of an affirmative clinical intervention designed for SGMY to address depression and foster coping with universal and minority stressors.

中文翻译：

---

加拿大安大略省社区环境中性和性别少数青少年和年轻人的肯定性认知行为团体治疗的效果

这项研究测试了 AFFIRM 的功效，这是一种简短的肯定性认知行为团体干预，旨在减少性和性别少数青少年和年轻人 (SGMY) 的心理社会困扰并改善他们的应对能力。SGMY（n = 138；M 年龄 = 22.44）被分配到 12 个社区组织提供的即时 8 周 AFFIRM 干预或 8 周的候补控制。在基线、干预后或候补名单后，参与者完成了对抑郁、希望、应对和压力评估的自我报告评估。还评估了可行性和可接受性的实施结果。与候补名单相比，干预条件下的 SGMY 显着减少了他们的抑郁症状（b = - 5.79，p = .001）以及增加的希望报告（机构：b = 0.84，p = .001；途径：b = 0.79， p = .001），通过情感支持 (b = 0.59, p < .001)、工具支持 (b = 0.67, p < .001)、积极框架 (b = 0.59, p < .001)、幽默 (b = 0.36, p = .014)、规划 (b = 0.49, p < .001) 以及反思性应对 (b = 0.27, p = .009)。干预参与者也不太可能将压力视为威胁（b = - 0.43，p = .001），更有可能将压力视为挑战（b = 0.67，p < .001）并有资源来应对与等候名单的对照参与者相比，压力（b = 0.38，p = .016）。所有结果都有中到大的效应量。AFFIRM 参与者报告低损耗 (8.5%) 和高参与度和可接受性（例如 99% 同意干预与他们的生活相关）。超过 63% 的参与培训的社区组织在研究期间至少举办了一次 AFFIRM。结果表明，基于社区实施为 SGMY 设计的肯定性临床干预措施的有效性，以解决抑郁症并促进应对普遍和少数压力源。