Abstract

Sexual minority women (SMW) participate in higher rates of psychotherapy than their heterosexual counterparts, but little is known about how depression and anxiety interventions can meet the unique needs of these populations. This systematic review identified ten articles that focused on testing, developing, or informing depression and anxiety treatments for SMW. Adaptations to meet the needs of SMW focused on sexual orientation, gender, minority stress, and co-occurring mental health problems. Four studies included empirical evaluations of at least some elements of interventions, with only one of these studies involving a randomized controlled trial with a control group. Six articles, including study protocols and guidelines for interventions, proposed intervention strategies that have not yet been subject to empirical evaluation. The strongest evidence emerged in support of cognitive-behavioral interventions to meet the needs of SMW. Future research should empirically evaluate proposed identity-focused adaptations for treating depression and anxiety among SMW.

摘要

性少数女性 (SMW) 参与心理治疗的比例高于异性恋女性，但人们对抑郁和焦虑干预如何满足这些人群的独特需求知之甚少。该系统评价确定了十篇文章，这些文章侧重于测试、开发或告知 SMW 的抑郁和焦虑治疗。为满足 SMW 的需求而进行的调整侧重于性取向、性别、少数群体压力和同时发生的心理健康问题。四项研究包括对至少一些干预措施的经验评估，其中只有一项研究涉及与对照组进行的随机对照试验。包括研究方案和干预指南在内的六篇文章提出了尚未经过实证评估的干预策略。最有力的证据支持通过认知行为干预来满足 SMW 的需求。未来的研究应实证评估提出的以身份为中心的适应措施，以治疗 SMW 中的抑郁和焦虑。