RecruitingNot ApplicableNCT06367764

A Comparative Effectiveness Study of PTSD Treatments Among Sexual and Gender Minority Populations

LGBTQIA+ Initiative for Empowerment, Support, Coping, and PTSD Education: A Comparative Effectiveness Study of PTSD Treatments Among Sexual and Gender Minority Populations

Sponsor

Stanford University

Enrollment

400 participants

Start Date

Aug 1, 2024

Study Type

INTERVENTIONAL

Conditions

PTSD

Summary

The goal of this clinical trial is see if Cognitive Processing Therapy and STAIR Narrative Therapy work to treat posttraumatic stress disorder (PTSD) among lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual/aromantic, and all other sexual or gender minority (LGBTQIA+) adults. The main questions it aims to answer are: * Do these treatments reduce PTSD symptoms in LGBTQIA+ patients? * Do these treatments help improve quality of life and reduce depression in LGBTQIA+ patients? * Do stress from stigma and discrimination and drug/alcohol use change the impact of the treatment on PTSD symptoms? * Are LGBTQIA+ patients satisfied with these treatments? Do these treatments work differently among different groups within the LGBTQIA+ community? * Do LGBTQIA+ patients complete these treatments? Study participants will receive one of these two PTSD treatments. Participants will complete assessments before and after receiving treatment.

Eligibility

Min Age: 18 Years

Inclusion Criteria10

18 years of age or older
Currently live in California
Ability to understand study procedures and to comply with them for the entire length of the study
Ability to understand a written informed consent document and the willing to sign it
Ability to speak and read English or Spanish
Identify as a sexual and/or gender minority
Score 33 or higher on the PTSD Checklist-5 (PCL-5)
Interest in getting treatment for PTSD
Not be in another concurrent psychotherapy treatment (group or individual) for PTSD (psychotherapy treatment for non-PTSD conditions is allowed).
Able to attend treatment sessions in person in San Francisco or have access to a device that allows for treatment via videoconferencing.

Exclusion Criteria3

Contraindication to any study-related procedure or assessment
Clinically significant impairment which interferes with ability to fully participate in the study (including symptoms of schizophrenia, schizoaffective disorder, bipolar disorder, or other disorders)
Active suicidal intent

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Interventions

BEHAVIORALCognitive Processing Therapy

Cognitive Processing Therapy teaches cognitive restructuring skills to help clients change beliefs and process emotions related to a traumatic event or events.

BEHAVIORALSTAIR Narrative Therapy

STAIR Narrative Therapy teaches coping skills (e.g., for emotional regulation, interpersonal relationships, everyday stress) and includes a narrative trauma-focused component.