Evidence map›Paper›PMID 26147563›Full record

Trial reportJournal of consulting and clinical psychology2015

LGB-affirmative cognitive-behavioral therapy for young adult gay and bisexual men: A randomized controlled trial of a transdiagnostic minority stress approach.

John E Pachankis, Mark L Hatzenbuehler, H Jonathon Rendina, Steven A Safren, Jeffrey T Parsons

2 registry-linked trialsOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 252 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
252citing papers in PubMed, 10 pooled it
50.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04408469 nacompletednot on this mapstarted 2020, after this paper: background citation

A Randomized Controlled Trial of Online LGBTQ-affirmative Cognitive Behavioral Therapy to Reduce Depression and Associated Health Risks Among Young Adults

TypeinterventionalSponsorYale UniversityRan2020 to 2022Enrolled120ConditionsLGBTQ, Sexual BehaviorArmsOnline EQuIP, Self-monitoring control
NCT05070793 nasuspendednot on this mapstarted 2020, after this paper: background citation

Improving Alcohol Use Disorder Treatment for Gender Minority Populations

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2020 to 2026Enrolled30ConditionsAlcohol Use DisorderArmsCulturally adapted interpersonal psychotherapy
3 · Its place in the literature

Who cites it

252 citing papers in PubMed, 10 syntheses or guidelines pooled it, 598 citations in OpenAlex.

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  12. Hope predicts long-term well-being following cognitive behavioral therapy for anxiety and related disorders.Psychotherapy research : journal of the Society for Psychotherapy Research · 2026
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192 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

John E PachankisDepartment of Chronic Disease Epidemiology, Social and Behavioral Sciences Division, Yale School of Public Health, Yale University.
Mark L HatzenbuehlerDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University.
H Jonathon RendinaCenter for HIV/AIDS Educational Studies & Training (CHEST).
Steven A SafrenDepartment of Psychiatry, Massachusetts General Hospital, Harvard Medical School.
Jeffrey T ParsonsCenter for HIV/AIDS Educational Studies & Training (CHEST).
Center for Children · USColumbia University · USHarvard University · USYale University · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
Addressing psychosocial comorbidities in HIV treatment and preventionK24DA040489 · NIDA · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2016 to 2020
$931k
Addressing psychosocial comorbidities in HIV treatment and preventionK24MH094214 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI SAFREN, STEVEN A · 2011 to 2015
$858k
Developing a mobile emotion regulation intervention for HIV-positive menK01DA039030 · NIDA · HUNTER COLLEGE · PI RENDINA, H. JONATHON · 2015 to 2018
$743k
Intervention Development for Social Stress, Mental Health, and HIV Risk Among MSMR34MH096607 · NIMH · YESHIVA UNIVERSITY · PI PACHANKIS, JOHN EDWARD · 2012 to 2014
$729k
NIDA NIH HHS K01 DA039030NIDA NIH HHS K01DA039030NIDA NIH HHS K24 DA040489NIMH NIH HHS K24 MH094214NIMH NIH HHS P30 MH062294NIMH NIH HHS R34 MH096607NIMH NIH HHS R34-MH096607
6 · The paper itself

Abstract

objectivesWe tested the preliminary efficacy of a transdiagnostic cognitive-behavioral treatment adapted to improve depression, anxiety, and co-occurring health risks (i.e., alcohol use, sexual compulsivity, condomless sex) among young adult gay and bisexual men. Treatment adaptations focused on reducing minority stress processes that underlie sexual orientation-related mental health disparities.

methodYoung gay and bisexual men (n = 63; M age = 25.94) were randomized to immediate treatment or a 3-month waitlist. At baseline, 3-month, and 6-month assessments, participants completed self-reports of mental health and minority stress and an interview of past-90-day risk behavior.

resultsCompared to waitlist, treatment significantly reduced depressive symptoms (b = -2.43, 95% CI: -4.90, 0.35, p < .001), alcohol use problems (b = -3.79, 95% CI: -5.94, -1.64, p < .001), sexual compulsivity (b = -5.09, 95% CI: -8.78, -1.40, p < .001), and past-90-day condomless sex with casual partners (b = -1.09, 95% CI: -1.80, -0.37, p < .001), and improved condom use self-efficacy (b = 10.08, 95% CI: 3.86, 16.30, p < .001). The treatment yielded moderate and marginally significant greater improvements than waitlist in anxiety symptoms (b = -2.14, 95% CI: -4.61, 0.34, p = .09) and past-90-day heavy drinking (b = -0.32, 95% CI: -0.71, 0.07, p = .09). Effects were generally maintained at follow-up. Minority stress processes showed small improvements in the expected direction.

conclusionThis study demonstrated preliminary support for the first intervention adapted to address gay and bisexual men's co-occurring health problems at their source in minority stress. If found to be efficacious compared to standard evidence-based treatments, the treatment will possess substantial potential for helping clinicians translate LGB-affirmative treatment guidelines into evidence-based practice. (PsycINFO Database Record

Indexed as

Cognitive Behavioral TherapyAdolescentAdultBisexualityFollow-Up StudiesHomosexuality, MaleHumansMaleMental DisordersMinority GroupsRisk-TakingSelf ReportStress, PsychologicalTreatment OutcomeYoung Adult

Identifiers

PMID26147563
PMCPMC4573250
OpenAlexW2274662974

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.