ArticleBehaviour research and therapy2023
Guided LGBTQ-affirmative internet cognitive-behavioral therapy for sexual minority youth's mental health: A randomized controlled trial of a minority stress treatment approach.
Article in Behaviour research and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Group Therapies for Gender Minority Stress: Systematic Review and Affirmative Cognitive Behavioral Group Therapy Process PresentationTurk psikiyatri dergisi = Turkish journal of psychiatry · 2025Pooled it
- Effectiveness of psychosocial interventions to improve the mental health in men who have sex with men: a systematic review and meta-analysis.Frontiers in psychiatry · 2025Pooled it
- Toward a mechanistic understanding of LGBTQ-affirmative cognitive-behavioral therapy: Testing treatment mediators in a randomized controlled trial with young gay and bisexual men.Behaviour research and therapy · 2026Trial
- LGBTQ + Affirmative CBT: a hierarchical linear model of longitudinal outcomes and mechanisms of change.BMC psychology · 2025Trial
- Guided internet-based LGBTQ-affirmative cognitive-behavioral therapy: A randomized controlled trial among sexual minority men in China.Behaviour research and therapy · 2024Trial
- Mindfulness and Avoidant Coping: Examining the Behavioral Correlates of Suicidal Ideation Among LGB+ College Students.Journal of LGBTQ issues in counseling · 2026Article
- Psychosocial and mental health outcomes associated with gender-affirming interventions among transgender youth: a scoping review.Frontiers in public health · 2026Article
- The role of sleep quality and duration in associations between daily minority stress and next-day suicidal ideation in LGBTQ+ youth.Journal of affective disorders · 2025Article
- Minority stress and eating pathology among sexual minority undergraduate women.Eating behaviors · 2025Article
- Implementing LGBTQ-affirmative CBT: study protocol for an effectiveness-implementation trial at 90 LGBTQ community centers.BMC health services research · 2025Article
- A Pilot Trial of an LGBTQ-Affirmative Cognitive-Behavioral Therapy for Transgender and Gender Expansive Individuals' Mental, Behavioral, and Sexual Health.Behavior therapy · 2025Article
- Mental Health Treatment Preferences of Sexual Minority Youth and Young Adults: Findings from Three Samples.Psychology of sexual orientation and gender diversity · 2025Article
- The evolving field of digital mental health: current evidence and implementation issues for smartphone apps, generative artificial intelligence, and virtual reality.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Digital Mental Health Interventions for Young People Aged 16-25 Years: Scoping Review.Journal of medical Internet research · 2025Article
- Internalized Transnegativity, Self-Warmth, Self-Coldness, and Eating Disorder Symptomatology Among Transgender and Nonbinary Adults.Journal of clinical psychology · 2025Article
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- Implementing LGBTQ-affirmative cognitive-behavioral therapy: implementation strategies across five clinical trials.Implementation science communications · 2024Article
- Recruitment, Retention, and Wellbeing of LGBTQ-Serving Child Psychiatrists and Mental Health Providers.Child and adolescent psychiatric clinics of North America · 2024Review
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Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
Abstract
objectiveLGBTQ-affirmative cognitive-behavioral therapy (CBT) addresses the adverse impacts of minority stress. However, this treatment has rarely been tested in randomized controlled trials with LGBTQ youth and never using an asynchronous online platform for broad reach. This study examined the feasibility, acceptability, preliminary efficacy, and multi-level stigma moderators of LGBTQ-affirmative internet-based CBT (ICBT).
methodParticipants were 120 LGBTQ youth (ages 16-25; 37.5% transgender or non-binary; 75.8% assigned female at birth; 49.2% non-Latino White) living across 38 U.S. states and reporting depression and/or anxiety symptoms. Participants were randomized to receive 10 sessions of LGBTQ-affirmative ICBT or only complete 10 weekly assessments of mental and behavioral health and minority stress; all completed measures of psychological distress, depression, anxiety, suicidal thoughts, alcohol use, and HIV-transmission-risk behavior at baseline and 4 and 8 months post-baseline; 20 LGBTQ-affirmative ICBT participants completed a qualitative interview regarding intervention acceptability.
resultsParticipants randomized to LGBTQ-affirmative ICBT completed, on average, 6.08 (SD = 3.80) sessions. Participants reported that LGBTQ-affirmative ICBT was helpful and engaging and provided suggestions for enhancing engagement. Although most outcomes decreased over time, between-group comparisons were small and non-significant. LGBTQ-affirmative ICBT was more efficacious in reducing psychological distress than assessment-only for participants in counties high in anti-LGBTQ bias (b = -1.73, p = 0.001, 95% CI [-2.75, -0.70]). Session dosage also significantly predicted reduced depression and anxiety symptoms.
conclusionsLGBTQ-affirmative ICBT represents a feasible and acceptable treatment. Future research can identify more efficacious approaches and modalities for engaging LGBTQ youth, especially those living under stigmatizing conditions, who might benefit most.
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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.