Symposia
LGBTQ+
Eve A. Rosenfeld, Ph.D. (she/her/hers)
Podstdoctoral Fellow
National Center for PTSD
Menlo Park, California
Nadia Malek, PhD
Research Assistant
National Center for PTSD
Milpitas, California
Alex Cudd, B.A.
Graduate Student
Georgia Southern University
Statesboro, Georgia
Vaughan Hooper, M.S. (she/her/hers)
Research Coordinator
National Center for PTSD
Menlo Park, California
Donovan Edward, B.S. (All Pronouns)
Graduate Student
VA Palo Alto Health Care System
Guyton, Georgia
Laura Ong, B.A. (she/her/hers)
Research Assistant
National Center for PTSD
Menlo Park, California
Alexis Ceja, B.A. (Any pronouns)
Assistant Clinical Research Coordinator
University of California San Francisco
San Francisco, California
Cindy J. Chang, Psy.D.
Postdoctoral Fellow
VA San Diego/UCSD
San Diego, California
Kelly Harper, Ph.D. (she/they)
Postdoctoral fellow
National Center for PTSD
Brookline, Massachusetts
Cara Herbitter, PhD
Postdoctoral fellow
VA Boston Healthcare System
Boston, Massachusetts
Elizabeth N. Savarese, M.S. (she/they)
Psychology Intern
Boston VA Healthcare System
Brockton, Massachusetts
Background: Sexual and gender minority (SGM) individuals are disproportionately affected by PTSD and minority stress. This is particularly troubling given that minority stress exacerbates PTSD symptoms among SGM individuals. While SGM individuals are overrepresented in clinical populations, they report significant unmet mental health needs, suggesting that available services are insufficient. A growing body of literature is focused on PTSD and minority stress interventions for SGM individuals, however, to date no review has charted the landscape of this literature.
Objectives: This scoping review maps the literature on PTSD and minority stress interventions for SGM adults. First, we summarize efficacy/effectiveness evidence from clinical trials. Second, we discuss implementation outcomes (e.g., acceptability, feasibility). Third, we synthesize findings across studies to identify key intervention components that may facilitate change. Finally, we identify literature gaps, suggest future research directions, and provide clinical recommendations.
Methods: We searched 6 databases: PsycINFO, PubMed, Embase, Web of Science, Cochrane, and CINAHL. Titles/abstracts are screened for eligibility by two unique coders prior to full-text review. Discrepancies are resolved by a third screener. Full-text review follows the same procedures. Grey literature is searched to include relevant unpublished research.
Results: The initial literature search yielded 6,819 results. 1, 872 duplicates were removed, resulting in items 4,948 for title/abstract screening. 59 results were screened out, 3,817 are undergoing title/abstract screening, and 12 screened in for full-text review. Data elements to be charted include study type (e.g., case series, randomized clinical trial), publication type (e.g., peer reviewed journal, dissertation), publication year, intervention (if any), outcomes, modality, population (e.g., gay men, transgender women), and setting.
Conclusions: Identification of gaps in the literature, key intervention components, and recommendations and clinical recommendation equip the field to improve services and address needs of SGM individuals.