Affirmative Family and Individual Psychotherapy for Sexual and Gender Minority Adults and Their Nonaccepting Parents

Part of paid clinical trials in New York, New York.

Sponsor
Yale University
Study ID
NCT05766592
Phase
PHASE3
Status
Recruiting
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Conditions

  • Mental Health Issue
  • Parent-Child Relations

Eligibility Criteria

Sex
ALL
Age
20 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • LGBTQ-affirmative CBT — BEHAVIORAL
    16-session LGBTQ-affirmative psychotherapy using cognitive behavioral techniques
  • ABFT-SGM — BEHAVIORAL
    16-session attachment-based family therapy for sexual and gender minority young adults and their nonaccepting parents

Study Details

The purpose of this study is to assess the efficacy of an LGBTQ-affirmative individual cognitive behavioral psychotherapy (CBT) and LGBTQ-affirmative family therapy (attachment-based family therapy for sexual and gender minority young adults; ABFT-SGM) delivered via telehealth to a sample of sexual and gender minority adults with nonaccepting parent(s) in New York, Pennsylvania, Connecticut, and Israel. The investigators will assess whether both treatments are associated with significant decreases in depressive and anxiety symptoms. The investigators will also assess whether and how each treatment achieves reductions in mental health symptoms through specific mechanisms (e.g., rejection sensitivity, internalized stigma, emotion dysregulation, parental rejection and acceptance).

Key Dates

Start date
Aug 13, 2024
Status verified
Jan 2026
Primary completion
Jun 30, 2027
Completion
Jun 30, 2027

Study Design

Enrollment
124 participants (estimated)
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT

Arms

  • Experimental: LGBTQ-affirmative CBT
    Individuals assigned to LGBTQ-affirmative cognitive behavioral therapy will receive 16 weekly individually-delivered sessions, directly after baseline assessment, delivered via telehealth. Based on the Unified Protocol, sessions will address minority stress mechanisms underlying sexual and gender minority mental health disparities.
  • Experimental: ABFT-SGM
    Individuals assigned to attachment-based family therapy for sexual and gender minorities will receive a 16-session sequence of family-based therapy delivered via telehealth. This sequence will include sessions with sexual and/or gender minority adult children alone, adult children and parent(s), and parent(s) alone. Sessions will address the quality parent-child relationship in relation to child sexual orientation and gender identity to target mental health disparities.

Primary Outcome Measure

Change in depression symptoms [ Time Frame: Baseline, Immediate Post-intervention, 5-month Post-intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Yale LGBTQ Mental Health Initiative with the Yale School of Public Health OfficeNew YorkNew York10001
Danielle M Chiaramonte, PhD
[email protected]
708-334-8331
Benjamin E Eisenstadt, BA
[email protected]
347-633-0610
John E Pachankis, PhD (PRINCIPAL_INVESTIGATOR)

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By research site
Yale LGBTQ Mental Health Initiative with the Yale School of Public Health Office· New York, NY

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