Interned-delivered Intervention Based on Acceptance Principles (LGBT)

West University of Timisoara

Status: Completed

Conditions: Well-Being; Mental Health Issue; Depression; Anxiety Disorders

Treatments: Behavioral: Feasibility study

Study type: Interventional

Funder types: Other

Identifiers

NCT05514964

RO-NO-2019-0412

Details and patient eligibility

About

The main objectives for the online intervention were the following:

Designing and implementing an internet-delivered prevention program based on acceptance principles, to support LGBT participants to tackle emotional difficulties more effectively and to become more resilient;

Helping LGBT individuals to remain out of the clinical level of depression and anxiety;

Creating this primary prevention program as a suitable strategy for LGBT individuals to confront emotional difficulties by targeting key risk factors before they evolve further.

Full description

This study is part of a research project which addresses a topic under the thematic area of "social sciences and humanities, including gender studies and social inclusion studies." The study targets a particularly disadvantaged group known as the LGBT (lesbian, gay, bisexual, and transgender) community.

The psycho-social and socioeconomic status, in a broader sense, encompasses more than just financial, educational, and occupational aspects. This status also includes the quality of life, an attribute that is consistently dependent on physical and psychological health.

Evidence suggests that people who identify as LGBT are susceptible to various inequalities, including differences in incomes, workplace, and social discrimination. The participants also may suffer from marginalization, poorer mental and physical health, and even legal discrimination (e.g., no recognition of same-sex unions).

This study aims at implementing evidence-based interventions meant to improve the quality of life within the LGBT community. The investigators will also provide mental health support for young LGBT people to cope with potential adverse events.

The implementation of the study will contribute in achieving the three objectives presented above. For instance, by developing and validating an online intervention meant to increase the identity self-acceptance among LGBT participants, the investigators will provide an easily accessible tool to apply the research results with expected positive mental health outcomes for this target group.

Enrollment: 15 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• be fluent in Romanian,
• be at least 18 years of age,
• sexual orientation: gay or bisexual,
• having low or moderate symptoms for at least one of the following self-report scales: generalized anxiety - GAD7 between 5 - 14; social anxiety - SPIN between 21 - 40; depression - PHQ9 between 5 and 14; alcohol - AUDIT between 8 and 14

Exclusion criteria

• suicidal ideation (i.e., if exceed a score of 1 on suicide item 9 from PHQ9);
• changes in the dosage if psychotropic medication during the last month (if present),
• have bipolar disorder or psychosis (according to medication status),
• have an alcohol/substance abuse and/or dependence (i.e., AUDIT score > 15),
• have high/clinical levels of anxiety, social anxiety or depression (above the cut-off range - see above)
• currently take part in other psychological treatment,
• obvious obstacle to participation (i.e., no current Internet access, long travel plans during the treatment period etc.)

Trial design

Primary purpose: Prevention

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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15 participants in 1 patient group

Intervention Arm

Experimental group

Description:

The experimental arm were provided an intervention program based on John Forsyth \& Georg Eifert (2016) The Mindfulness \& Acceptance Workbook for Anxiety: A Guide to Breaking Free from Anxiety, Phobias \& Worry Using Acceptance \& Commitment Therapy, New Harbinger Publications. However, the initial treatment was adapted for the LGBT community using the suggestions from APA Guidelines for Psychological Practice With Lesbian, Gay and Bisexual Clients (2012) and Pachankis, J. E. (2014). Uncovering Clinical Principles and Techniques to Address Minority Stress, Mental Health, and Related Health Risks Among Gay and Bisexual Men. Clinical Psychology: Science and Practice, 21(4), 313-330. doi:10.1111/cpsp.12078.

Treatment:

Behavioral: Feasibility study