Category: Gay / Lesbian / Bisexual / Transgender Issues
Keywords: L / G / B / T | Transdiagnostic
Presentation Type: Symposium
Objective: Individuals identifying as lesbian, gay, bisexual, and/or queer (LGBQ) report more mental health issues (e.g., depression, self-injury) and seek mental health treatment at higher rates than individuals identifying as heterosexual. However, there are no studies examining mental health treatment outcomes for LGBQ populations receiving traditional treatments. As noted by ABCT’s 2017 convention theme, it is crucial to ensure that evidence based treatments are effective for this at risk population. The present study compared LGBQ and heterosexual individuals on baseline characteristics and treatment outcomes following a Cognitive Behavioral Therapy (CBT) and Dialectical Behavior therapy (DBT) skills based partial hospital program.
Method: 572 participants (99 LGBQ) receiving brief CBT and DBT-based treatment at a partial hospital completed measures as part of standard clinical care. We compared LGBQ and heterosexual individuals on symptom severity (Patient Health Questionnaire-9 items; Generalized Anxiety Disorder-7 items; Behavior and Symptom Identification Scale–24 items) at admission and discharge. We also compared groups’ frequencies of inpatient hospitalization, self-rated clinical global improvement, and perceived quality of care.
Results: At admission to the partial hospital program, LGBQ individuals reported significantly more prior hospitalizations, more self-injurious thoughts and behaviors, and more traits of borderline personality disorder. At discharge, LGBQ individuals reported significantly less improvement in self-injurious thoughts, less treatment satisfaction, but greater improvement in relationship functioning. LGBQ individuals did not differ from heterosexual individuals on most other baseline characteristics or indicators of treatment outcome.
Conclusions: While LGBQ individuals were comparable to heterosexual individuals across many clinical characteristics and indicators of treatment response, they experienced significantly less improvement in self-injurious thoughts, and provided poorer satisfaction ratings of their care. Implications of these findings for researchers and clinicians will be discussed.
McLean Hospital/Harvard Medical School
Saturday, November 18
1:45 PM – 3:15 PM
Sunday, November 19
8:30 AM – 10:00 AM
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