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Sexual orientation,gender: Where is the problem? Nowhere! Correct self-identification and minority stigma
Institution:1. Department of Emergency Psychiatry and Post Acute Care, CHRU de Montpellier, France;2. IGF, Université de Montpellier, CNRS-INSERM, Montpellier, France;3. Therapy Center for Mood and Emotional Disorders, Department of adult psychiatry, La Colombière, CHRU Montpellier, France;4. Department of Psychology and Sociology, Area of Personality, Assessment and Psychological Treatment, University of Zaragoza, Teruel, Spain;1. Assistance Publique–Hôpitaux de Paris, GHU Mondor, DMU IMPACT Psychiatrie et Addictologie, Créteil, France;2. INSERM (French National Institute of Health and Medical Research), U955, team 15, Créteil, France;3. Fondation FondaMental, Créteil, France;4. Coltea Clinical Hospital, Bucharest, Romania;5. Clinical Hospital of Psychiatry “Prof. Dr. Al. Obregia”, Bucharest, Romania;6. UPEC, University Paris-Est, Faculté de médecine, Créteil, France;7. University of Medicine and Pharmacy “Carol Davila”, Bucharest, Romania;1. École de psychologie, faculté des sciences sociales, 2325, rue des Bibliothèques, local L-042, Québec, G1V 0A6, Canada;2. Centre de recherche du Centre intégré de santé et de service sociaux Chaudière-Appalaches, Lévis, QC, Canada;3. Centre de recherche de l’Institut universitaire de cardiologie et de pneumologie de Québec, Québec, Canada;1. Service de psychiatrie B CHU Hèdi Chaker, 3000 Sfax, Tunisie;2. Faculté de médecine de Tunis, 1007 Tunis, Tunisie;1. Hôpitaux Pédiatrique de Nice–CHU Lenval, 57, avenue de la Californie, 06200 Nice, France;2. Centre de recherche en Épidémiologie et Santé des Populations, Psychiatrie du Développement et Trajectoires, U1018 INSERM UPS UVSQ, 94800 Villejuif, France;3. PsyQ ADHD, Lijnbaan 4, 2512 VA The Hague, Netherlands;1. Centre hospitalier Charles-Perrens, 33000 Bordeaux, France;2. University Bordeaux, Inserm, Bordeaux Population Health Research Center, Team Pharmacoepidemiology, UMR 1219, 33000 Bordeaux, France;3. Établissement public de Santé mentale de la Marne, 51100 Reims, France
Abstract:PurposeSelf-concept, at the core of minority stress, is associated with negative mental health outcomes.MethodsWe aimed to assess the effectiveness of a one-shot third-wave CBT intervention targeting correct self-identification to address suffering related to minority stress. The study population included 172 participants (n = 98 heterosexuals, n = 13 transgenders). The intervention consisted of a 90 minutes conference including overview of LGBT's suffering related to distal and proximal factors, a wisdom understanding of the root of suffering (mistaken self-identification) followed by a Questions & Answers session. Participants completed online self-questionnaires assessing sociodemographic data, acceptance by others (external) and oneself (internal) for sexual orientation and gender variables before the conference, immediately after the conference, and three months later.ResultsThe conference helped to improve external acceptance of transgender for the whole sample, especially among the majority group. Those belonging to the minority (LGBT) had a positive benefit from the conference by reducing their fear of judgment. Adding a Q&A session to the conference failed to show any additional benefits.ConclusionA specific wisdom-based self-identification conference appears to be an effective and low-cost intervention to target minority stigma, and therefore mental health and social integration of LGBT people.
Keywords:LGBT  Minority stress  Self-concept  Third-wave cognitive behavioral therapy  Stigma  LGBT  Stress des minorités  Conception de soi  Thérapies cognitives et comportementales de troisième vague  Stigmatisation
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