Omitted data in randomized controlled trials for anxiety and depression: A systematic review of the inclusion of sexual orientation and gender identity.

Nicholas C. Heck · Lucas A. Mirabito · Kelly L. LeMaire · Nicholas A. Livingston · Annesa Flentje

64 citations0/0 files storedJournal of Consulting and Clinical Psychology

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LGBTQ Health, Identity, and Policy Meta-analysis and systematic reviews Psychology Research and Bibliometrics

Abstract

OBJECTIVE: The current study examined the frequency with which randomized controlled trials (RCTs) of behavioral and psychological interventions for anxiety and depression include data pertaining to participant sexual orientation and nonbinary gender identities. METHOD: Using systematic review methodology, the databases PubMed and PsycINFO were searched to identify RCTs published in 2004, 2009, and 2014. Random selections of 400 articles per database per year (2,400 articles in total) were considered for inclusion in the review. Articles meeting inclusion criteria were read and coded by the research team to identify whether the trial reported data pertaining to participant sexual orientation and nonbinary gender identities. Additional trial characteristics were also identified and indexed in our database (e.g., sample size, funding source). RESULTS: Of the 232 articles meeting inclusion criteria, only 1 reported participants' sexual orientation, and zero articles included nonbinary gender identities. A total of 52,769 participants were represented in the trials, 93 of which were conducted in the United States, and 43 acknowledged the National Institutes of Health as a source of funding. CONCLUSIONS: Despite known mental health disparities on the basis of sexual orientation and nonbinary gender identification, researchers evaluating interventions for anxiety and depression are not reporting on these important demographic characteristics. Reporting practices must change to ensure that our interventions generalize to lesbian, gay, bisexual, and transgender persons. (PsycINFO Database Record

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References

2003Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: Conceptual issues and research evidence.2012The Health of lesbian, gay, bisexual, and transgender people: building a foundation for better understanding 2008A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people 2012A conceptual framework for clinical work with transgender and gender nonconforming clients: An adaptation of the Minority Stress Model.2011Suicidality and Depression Disparities Between Sexual Minority and Heterosexual Youth: A Meta-Analytic Review 2003Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States.2009Dimensions of Sexual Orientation and the Prevalence of Mood and Anxiety Disorders in the United States 2003The Acceptability of Treatment for Depression Among African-American, Hispanic, and White Primary Care Patients

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