根据性取向和性别分类的心理治疗结果:一个回顾性队列研究
Tom Kent1,2, Jae W Suh3, Glyn Lewis1
1Division of Psychiatry, University College London, London, UK.
Psychological medicine
|July 24, 2025
概括
与异性恋者相比,女同性恋者,同性恋者和双性恋者在心理治疗中表现出类似或更好的结果. 尽管他们面临更高的心理健康负担,但他们的康复率和参与度是可比的或改善的.
科学领域:
- 心理健康服务研究 心理健康服务研究
- 心理治疗结果 心理治疗结果
- 性和性别少数群体的健康 性和性别少数群体的健康
背景情况:
- 女同性恋,男同性恋和双性恋 (LGB) 个人比异性恋者有更高的焦虑和抑郁率.
- 少数民族压力理论表明,耻辱和歧视会对LGB个人的心理健康和临床治疗产生负面影响.
- 这项研究旨在比较LGB和异性恋患者之间的心理治疗结果,按性别分层.
研究的目的:
- 调查LGB和异性恋患者之间心理治疗结果的差异.
- 分析按性别分层的结果,考虑可靠的恢复,改善,症状严重程度,消耗和参与.
主要方法:
- 一项回顾性队列研究,利用伦敦7个NHS谈话治疗服务的数据 (2013年4月 - 2023年12月).
- 包括100389名患者,其中7422人被认定为LGB.
- 使用了多级回归模型,调整了社会人口统计学和临床因素,主要结果是可靠的焦虑和抑郁的恢复.
主要成果:
- 与异性恋男性相比,同性恋男性的可靠恢复和改善几率更高,磨损率更低,抑郁和焦虑的减少更大.
- 与异性恋者相比,双性恋男性和双性恋女性的治疗消耗率较低.
- 女同性恋和双性恋女性和双性恋男性参加的治疗次数略高于异性恋患者;没有发现其他显著差异.
结论:
- 尽管LGB个人面临着重大的心理健康挑战,但他们在心理治疗中取得了相似的或稍微更好的结果.
- 患者的参与度和康复率没有受到性取向的负面影响,即使是在少数民族压力的背景下.
- 研究结果表明,心理治疗对LGB个人的有效性,突出需要包容性和可访问的心理健康服务.
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