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N/A Completed N=120 Randomized Single-blind Health Services Research

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

LGBTQ · Sexual Behavior
Source: ClinicalTrials.gov NCT04408469 ↗
Enrolled (actual)
120
Serious AEs
0.8%
Results posted
May 2024
Primary outcomePrimary: Change in Distress — 1.43; 1.57; 1.22; 1.34 score on a scale

Summary

This study is to test the efficacy of an online CBT intervention (EQuIP) that addresses the pathways through which minority stress compromises LGBTQ young adults' co-occurring mental (e.g., depression) and behavioral (e.g., substance use, condomless anal sex) health problems. This purpose of this study is to determine if the treatment is efficacious when delivered online and if its efficacy exceeds that of the self-monitoring control.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change in Distress
1.43; 1.57; 1.22; 1.34; 1.07; 1.21
PRIMARY
Change in Depression
14.17; 15.41; 12.68; 13.45; 12.44; 13.38
PRIMARY
Change in Depression Severity
7.20; 8.40; 6.07; 6.98; 6.15; 6.63
PRIMARY
Change in Anxiety Symptoms
9.12; 8.97; 7.32; 7.45; 7.25; 7.52
PRIMARY
Number of Participants Reporting Any Alcohol Use
42; 41; 28; 36; 34; 34
PRIMARY
Number of Participants Reporting Any Suicidal Ideation
37; 35; 25; 24; 28; 25
PRIMARY
Number of Participants Reporting Any Sexual Risk Behavior
4; 3; 2; 4; 4; 3

Eligibility Criteria

Inclusion Criteria

  • identify as lesbian, bisexual, gay, or another sexual minority identity (e.g., pansexual, demisexual)
  • past-week symptoms of depression or anxiety using the Brief Symptom Inventory-4 cutoff of 2.5 on either the depression subscale or anxiety subscale
  • weekly access to internet on a laptop, desktop, or tablet device
  • ability to read, write, and speak in English
  • provision of informed consent.

Exclusion Criteria

  • current active suicidality or homicidality (defined as active intent or concrete plan, as opposed to passive suicidal ideation)
  • evidence of active untreated mania, psychosis, or gross cognitive impairment - current enrollment in an intervention study
  • current enrollment in intensive mental health treatment (i.e., receiving mental health treatment more than once per month or 8 or more sessions of CBT within the past year.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT04408469). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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