Comparing Cognitive Processing Therapy and STAIR Narrative Therapy for PTSD in LGBTQIA Adults

What this Trial Is About

Researchers are evaluating the effectiveness of two PTSD treatments, Cognitive Processing Therapy CPT and STAIR Narrative Therapy SNT, among adults who identify as part of the LGBTQIA community. The study aims to find out which treatment better reduces PTSD symptoms, improves quality of life, and lessens depression. It also explores how stress from stigma, discrimination, and drug or alcohol use may affect treatment outcomes, and whether these treatments work differently for various groups within the LGBTQIA population. Participants will be randomly assigned to receive either CPT, which involves about 12 sessions focusing on changing beliefs and processing emotions related to trauma, or SNT, a longer therapy with about 16 sessions including coping skills for emotional regulation and a trauma-focused narrative component. Treatments are delivered either in person or via videoconferencing. The study compares these two therapies to understand which is more effective for LGBTQIA adults with PTSD. During the study, participants will complete assessments at the start and at 3, 6, and 12 months to measure changes in PTSD symptoms, depression, quality of life, and satisfaction with therapy. Researchers will also track treatment completion rates. The total participation time covers these assessments and treatment sessions, with monitoring to understand how well participants respond and adhere to the therapies.

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