LGBQ adults’ experiences of a CBT wellbeing group for anxiety and depression in an Improving Access to Psychological Therapies Service: a qualitative service evaluation

Christopher E. M. Lloyd, Katharine A. Rimes and David G. Hambrook 2021. LGBQ adults’ experiences of a CBT wellbeing group for anxiety and depression in an Improving Access to Psychological Therapies Service: a qualitative service evaluation. Cognitive Behaviour Therapist. 13, p. E58. https://doi.org/10.1017/s1754470x20000598

TitleLGBQ adults’ experiences of a CBT wellbeing group for anxiety and depression in an Improving Access to Psychological Therapies Service: a qualitative service evaluation
TypeJournal article
AuthorsChristopher E. M. Lloyd, Katharine A. Rimes and David G. Hambrook
Abstract

Sexual minorities, including those identifying as lesbian, gay, bisexual or queer (LGBQ) are at heightened risk of experiencing mental health problems. Nationally, treatment outcomes within England’s Improving Access to Psychological Therapies (IAPT) services are worse for sexual minority patients than for heterosexuals. An IAPT service in London developed a cognitive behavioural therapy (CBT) group specifically for sexual minority patients to provide a safe, affirmative intervention to learn skills for overcoming depression, anxiety and stress. A qualitative online survey was emailed to all 59 service users who had completed the eight-session intervention, to explore their experiences inductively. Survey data were analysed using qualitative content analysis. Themes were identified in participants’ responses in order to establish which aspects of the group intervention were deemed to be helpful and unhelpful, and to explore suggestions for group improvement. Eighteen people completed the survey (response rate 30.5%). Respondents reported that they found the CBT frame of the group useful, with the LGBQ focus experienced as particularly beneficial, often enhancing engagement with CBT concepts and tools. In addition to generic elements of group therapy that some found difficult, others reported that intragroup diversity, such as generational differences, could lead to a reduced sense of connection. Several suggestions for group improvement were made, including incorporating more diverse perspectives and examples in session content and focusing more on issues relating to intersectionality. These results provide preliminary evidence that a culturally adapted CBT group intervention developed specifically for sexual minorities is acceptable and perceived as offering something unique and helpful.

JournalCognitive Behaviour Therapist
Journal citation13, p. E58
ISSN1754-470X
Year2021
PublisherCambridge University Press
Digital Object Identifier (DOI)https://doi.org/10.1017/s1754470x20000598
Web address (URL)https://doi.org/10.1017/S1754470X20000598
Publication dates
Published05 Jan 2021

Related outputs

‘Meeting the client where they are rather than where I’m at’: A Qualitative Survey Exploring CBT And Psychodynamic Therapist Perceptions Of Psychotherapy Integration
Kaluzeviciute-Moreton, G. and Lloyd, C.E.M. 2024. ‘Meeting the client where they are rather than where I’m at’: A Qualitative Survey Exploring CBT And Psychodynamic Therapist Perceptions Of Psychotherapy Integration. British Journal of Psychotherapy. 40 (2), pp. 150-174. https://doi.org/10.1111/bjp.12894

“Prayer Is Fine, but Don’t Then Quickly Move on, as If You’re Done and Dusted”: How Can the Evangelical Church Better Support Those with Mental Illness?
Lloyd, C. 2024. “Prayer Is Fine, but Don’t Then Quickly Move on, as If You’re Done and Dusted”: How Can the Evangelical Church Better Support Those with Mental Illness? Journal of Disability & Religion. 28 (2), pp. 110-131. https://doi.org/10.1080/23312521.2023.2173712

The Experiences of Faith and Church Community among Christian Adults with Mental Illness: A Qualitative Meta-Synthesis
Lloyd, C., Cathcart, J., Panagopoulos, M.C. and Reid, G. 2023. The Experiences of Faith and Church Community among Christian Adults with Mental Illness: A Qualitative Meta-Synthesis. Psychology of Religion and Spirituality. Advanced online publication. https://doi.org/10.1037/rel0000511

Accounting for the Demonic: Helpful and Unhelpful Factors Associated with Belief in Demonic Etiologies of Mental Illness Amongst Evangelical Christians
Lloyd, C.E.M., Cathcart, J. and Panagopoulos, M.C. 2023. Accounting for the Demonic: Helpful and Unhelpful Factors Associated with Belief in Demonic Etiologies of Mental Illness Amongst Evangelical Christians. Spirituality in Clinical Practice. Advanced online publication. https://doi.org/10.1037/scp0000354

Narratives of Externality, Oppression, and Agency: Perceptions of the Role of the Demonic in Mental Illness Among Evangelical Christians
Lloyd, C. and Panagopoulos, Maxinne C. 2023. Narratives of Externality, Oppression, and Agency: Perceptions of the Role of the Demonic in Mental Illness Among Evangelical Christians. Pastoral Psychology. 72, p. 501–523. https://doi.org/10.1007/s11089-023-01079-7

Stories Matter: A Novel Approach to Exploring Perceptions, Discourses, and the Symbolic Social Order in Pastoral Psychology
Lloyd, C. 2023. Stories Matter: A Novel Approach to Exploring Perceptions, Discourses, and the Symbolic Social Order in Pastoral Psychology. Pastoral Psychology. 72, p. 317–336. https://doi.org/10.1007/s11089-023-01056-0

“A gentle balance of pushing, pulling and sitting with”: An interpretative phenomenological analysis of psychological therapists’ experiences of working with goals in adult pluralistic private practice
Christopher E.M. Lloyd and Raffaello Antonino 2022. “A gentle balance of pushing, pulling and sitting with”: An interpretative phenomenological analysis of psychological therapists’ experiences of working with goals in adult pluralistic private practice. Counselling Psychology Quarterly. 35 (1), pp. 190-214. https://doi.org/10.1080/09515070.2021.1954881

“It's easy to dismiss it as simply a spiritual problem.” Experiences of mental distress within evangelical Christian communities: A qualitative survey
Lloyd, C. and Hutchinson, J. 2022. “It's easy to dismiss it as simply a spiritual problem.” Experiences of mental distress within evangelical Christian communities: A qualitative survey. Transcultural Psychiatry. Advanced online publication. https://doi.org/10.1177/13634615211065869

Perceived God support as a mediator of the relationship between religiosity and psychological distress
Lloyd, C. and Graham Reid 2022. Perceived God support as a mediator of the relationship between religiosity and psychological distress. Mental Health, Religion & Culture. 25 (7), pp. 696-711. https://doi.org/10.1080/13674676.2022.2116633

‘Mad, bad, or possessed’? Perceptions of Self-Harm and Mental Illness in Evangelical Christian Communities
Lloyd, Christopher and Panagopoulos, Maxinne C. 2022. ‘Mad, bad, or possessed’? Perceptions of Self-Harm and Mental Illness in Evangelical Christian Communities. Pastoral Psychology. 71, p. 291–311. https://doi.org/10.1007/s11089-022-01005-3

Mapping Stories of Cause and Cure Using Story Stem Completion: Mental Distress in the Evangelical Christian Community. A Study Protocol
Lloyd, C. 2021. Mapping Stories of Cause and Cure Using Story Stem Completion: Mental Distress in the Evangelical Christian Community. A Study Protocol. Journal of Concurrent Disorders. 4 (1), pp. 54-61.

A Qualitative Exploration of CBT and Psychodynamic Therapists’ Views, Experiences and Perceptions of Integrating Different Therapeutic Modalities into their Private Practice with Adult Clients: Study Protocol
Kaluzeviciute, G. and Lloyd, C. 2021. A Qualitative Exploration of CBT and Psychodynamic Therapists’ Views, Experiences and Perceptions of Integrating Different Therapeutic Modalities into their Private Practice with Adult Clients: Study Protocol. Journal of Concurrent Disorders.

Contending with Spiritual Reductionism: Demons, Shame, and Dividualising Experiences Among Evangelical Christians with Mental Distress
Lloyd, C. 2021. Contending with Spiritual Reductionism: Demons, Shame, and Dividualising Experiences Among Evangelical Christians with Mental Distress. Journal of Religion and Health. 60, p. 2702–2727. https://doi.org/10.1007/s10943-021-01268-9

From Whence Cometh My Help? Psychological Distress and Help-Seeking in the Evangelical Christian Church
Lloyd, C., Reid, G. and Kotera, Y. 2021. From Whence Cometh My Help? Psychological Distress and Help-Seeking in the Evangelical Christian Church. Frontiers in Psychology. 12. https://doi.org/10.3389/fpsyg.2021.744432

Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care
Mike Chase, Lloyd, Christopher, Benjamin J. Peters, Elaine Chase and Kellyn Lee 2020. Joining the dots: Day to day challenges for practitioners in delivering integrated dementia care. Health & Social Care in the Community. 29 (4), pp. 1061-1071. https://doi.org/10.1111/hsc.13140

Demon? Disorder? Or none of the above? A survey of the attitudes and experiences of evangelical Christians with mental distress
Lloyd, C. and Robert M. Waller 2020. Demon? Disorder? Or none of the above? A survey of the attitudes and experiences of evangelical Christians with mental distress. Mental Health, Religion & Culture. 23 (8), pp. 657-732. https://doi.org/10.1080/13674676.2019.1675148

Goal measures for psychotherapy: A systematic review of self‐report, idiographic instruments.
Lloyd, Christopher, Charlie Duncan and Mick Cooper 2019. Goal measures for psychotherapy: A systematic review of self‐report, idiographic instruments. Clinical Psychology: Science and Practice. 26 (3). https://doi.org/10.1111/cpsp.12281

Measuring outcomes using goals
Lloyd, C. 2018. Measuring outcomes using goals. in: Working with Goals in Psychotherapy and Counselling Oxford Academic. pp. 111–138

Authenticity, validation and sexualisation on Grindr: an analysis of trans women’s accounts
Lloyd, C. 2017. Authenticity, validation and sexualisation on Grindr: an analysis of trans women’s accounts. Psychology and Sexuality. 8 (1-2), pp. 158-169. https://doi.org/10.1080/19419899.2017.1316769

Permalink - https://westminsterresearch.westminster.ac.uk/item/w618z/lgbq-adults-experiences-of-a-cbt-wellbeing-group-for-anxiety-and-depression-in-an-improving-access-to-psychological-therapies-service-a-qualitative-service-evaluation


Share this

Usage statistics

43 total views
0 total downloads
These values cover views and downloads from WestminsterResearch and are for the period from September 2nd 2018, when this repository was created.