Cognitive processing therapy for acute stress disorder resulting from an anti-gay assault

Kaysen, Debra; Lostutter, Ty W.; Goines, Marie A.

doi:10.1016/s1077-7229(05)80050-1

Cited by 35 publications

(20 citation statements)

References 81 publications

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“…Providers working with transgender veterans would be advised to assess, treat, and monitor these mental health symptoms to reduce suicide risk (Gradus, Suvak, Wisco, Marx, & Resick, ). Several evidence‐based treatments are available for depression and PTSD and may be helpful in alleviating these veterans’ symptoms (Heck, Croot, & Robohm, ; Kaysen, Lostutter, & Goines, ; Martell, Safren, & Prince, ). Nonetheless, additional research is needed to examine whether these treatments are as effective with transgender veterans as they are with the general population.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Suicidality Among a National Sample of Transgender Veterans

Lehavot

Simpson

Shipherd

2016

Suicide & Life Threat Behav

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Correlates of past-year suicidal ideation and lifetime suicide risk among a national sample of transgender veterans were examined. An online, convenience sample of 212 U.S. transgender veterans participated in a cross-sectional survey in February-May 2014. We evaluated associations between sociodemographic characteristics, stigma, mental health, and psychosocial resources with past-year suicidal ideation and lifetime suicide plans and attempts. Participants reported high rates of past-year suicidal ideation (57%) as well as history of suicide plan or attempt (66%). Transgender-related felt stigma during military service and current posttraumatic stress disorder and depressive symptoms were associated with suicide outcomes as were economic and demographic factors.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Suicidality Among a National Sample of Transgender Veterans

Lehavot

Simpson

Shipherd

2016

Suicide & Life Threat Behav

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“…Individual therapies, including CBT, cognitive processing therapy, motivational interviewing, and mindfulness-based stress reduction have been shown effective in managing negative emotions (e.g., depressive symptoms, hostility) associated with experiences of HIV stigma, homophobia, and childhood sexual abuse (Gayner et al, 2012; Gillies et al, 2013; Kaysen, Lostutter, & Goines, 2005; Saftlas et al, 2014). Social-structural interventions, including better access to free condoms, increased access to quality care and treatment programs for sexual violence victimization, and human rights campaigns that address institutionalized homophobia and social violence against MSM (Rodriguez et al, 2013) need to be developed and implemented throughout Mexico and other LMIC.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Sexual Violence Among Men Who Have Sex With Men in Tijuana, Mexico

et al. 2016

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Sexual violence against men who have sex with men (MSM) is prevalent in developing countries and is associated with increased HIV/STI risk. Despite high HIV prevalence (20%) among MSM in Tijuana, Mexico, little attention has been paid to the occurrence of sexual violence in this high-risk group. The present study used a syndemic conditions framework to examine correlates of sexual violence victimization in a sample of 201 MSM surveyed in Tijuana, Mexico during 2012 and 2013. Participants were recruited through respondent-driven sampling (RDS) and underwent a two-hour baseline interview and testing for HIV and syphilis. Sexual violence was defined as any incident during the past year in which the participant had been raped, sexually molested, or sexually harassed. The majority of participants self-identified as gay or bisexual, had never married, were employed, and had a high school education or greater. The average age was 29.7 years. Thirty-nine percent reported sexual violence in the past year. A hierarchical multiple linear regression model predicting more experiences of sexual violence was tested. In a final model, a higher number of experiences of sexual violence was associated with a history of childhood sexual abuse, more adult experiences of homophobia, more depression and hostility symptoms, and not living with a spouse or steady partner. The findings from this study support a model of co-occurring psychosocial factors that increase the likelihood of sexual violence experiences among MSM. Multi-level approaches to the prevention of childhood and adult experiences of sexual violence and homophobia are needed to avert the development of adverse mental and physical health outcomes associated with sexual violence victimization.

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“…Therefore, encouraging adaptive reactions to stigma, such as locating the source of one’s mental health problems in minority stress, drawing on personal resilience as a gay or bisexual man, and learning strategies for reducing maladaptive minority stress reactions such as internalized homophobia or rejection sensitivity have been argued to naturally lend themselves to a CBT approach (Pachankis, 2014; in press). Despite several successful case studies of LGB-affirmative CBT applied to gay and bisexual men’s mental health (Kaysen, Lostutter, & Goines, 2005; Safren & Rogers, 2001; Walsh & Hope, 2010), the efficacy of these approaches for reducing minority stress among gay and bisexual men has not yet been examined.…”

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confidence: 99%

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

Pachankis¹,

Hatzenbuehler²,

Rendina³

et al. 2015

Journal of Consulting and Clinical Psychology

471

396

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Objectives We 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. Method Young gay and bisexual men (n=63; M age=25.94) were randomized to immediate treatment or a three-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. Results Compared to waitlist, treatment significantly reduced depressive symptoms (b=−2.43, 95% CI: −4.90, 0.35, p<0.001), alcohol use problems (b =−3.79, 95% CI: −5.94, −1.64, p<0.001), sexual compulsivity (b =−5.09, 95% CI: −8.78, −1.40, p<0.001), and past-90-day condomless sex with casual partners (b =−1.09, 95% CI: −1.80, −0.37, p<0.001), and improved condom use self-efficacy (b =10.08, 95% CI: 3.86, 16.30, p<0.001). The treatment yielded moderate and marginally significant greater improvements than waitlist in anxiety symptoms (b =−2.14, 95% CI: −4.61, 0.34, p=0.09) and past-90-day heavy drinking (b =−0.32, 95% CI: −0.71, 0.07, p=0.09). Effects were generally maintained at follow-up. Minority stress processes showed small improvements in the expected direction. Conclusion This 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. Public Health Significance Sexual orientation-related disparities in depression and anxiety co-occur with alcohol use, sexual compulsivity, and risky sexual behavior to form a syndemic health threat surrounding young gay and bisexual men. Clear and consistent evidence suggests that a major source of this syndemic is minority stress—the stress associated with stigma-related social disadvantage that compounds general life stress. This study represents the first test of an adapted cognitive behavioral intervention designed to alleviate minority stress among young gay and bisexual men to improve the co-occurring health conditions facing this population.

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Cognitive processing therapy for acute stress disorder resulting from an anti-gay assault

Cited by 35 publications

References 81 publications

Factors Associated with Suicidality Among a National Sample of Transgender Veterans

Factors Associated with Suicidality Among a National Sample of Transgender Veterans

Correlates of Sexual Violence Among Men Who Have Sex With Men in Tijuana, Mexico

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

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