Trial reportBMC psychology2025
LGBTQ + Affirmative CBT: a hierarchical linear model of longitudinal outcomes and mechanisms of change.
Trial report in BMC psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04318769 (An Affirmative Coping Skills Intervention to Improve Mental and Sexual Health of Sexual and Gender Minority Youth), which is not on this map. Not yet cited in PubMed.
What it found
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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.
An Affirmative Coping Skills Intervention to Improve Mental and Sexual Health of Sexual and Gender Minority Youth (AFFIRM): A Stepped Wedge Waitlist Crossover Trial
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
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
backgroundSexual and gender diverse adolescents and young adults (SGDAYA) experience mental health disparities, yet few empirical investigations into the long-term impact of affirmative treatments on their well-being exist.
methodsThis study explored the longitudinal effects of a brief affirmative cognitive-behavioral therapy (CBT) group intervention (AFFIRM) on the depression and anxiety of SGDAYA (N = 202), as well as how pre-treatment and mid-intervention change mechanisms contributed to their improved mental health. Participants' age ranged from 14 to 29 years old at baseline (M = 22.12, SD = 4.60). Data were collected at four time points (pre-test, post-test, 6 months, 1 year) and analyzed using hierarchical linear models.
resultsParticipants reported significant improvements in anxiety and depression from baseline to 1-year follow-up as well as increased engagement coping, social support, hope, and improved stress appraisal. SGDAYA, who appraised stress as a threat and had less ability to envision a hopeful future (hope pathway) at baseline, reported greater improvements in depression and anxiety; additionally, those who used more disengagement coping strategies prior to AFFIRM reported more reduction in depression. Participants with the most significant long-term improvement in depression reported (a) greater increases in their resources to deal with stress, (b) more uptake of engagement coping, and (c) improved hope pathway.
conclusionsThis study suggests that an affirmative cognitive-behavioural group intervention designed for SGDAYA can have a long-term impact on their depression and anxiety and highlights the important role of engagement coping, social support, hope and cognitive appraisals on youth mental health.
trial registrationAFFIRM was retrospectively registered as a clinical trial on March 24th, 2020 (identifier: NCT04318769).
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Registered trials
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