JMIR Publications

ABSTRACT

Background:

Sexual and gender minority (SGM) individuals experience heightened risks of mental health disorders due to marginalization, discrimination, and inadequacies in healthcare.

Objective:

This study aims to identify the needs and expectations concerning an E-Mental-Health intervention designed for LGBTQIA+ people to reduce somatoform, anxiety and depressive (SAD) symptoms.

Methods:

A qualitative participative study was conducted, involving semi-structured interviews with SGM individuals experiencing SAD symptoms, and telephone interviews with healthcare professionals (HCPs). The study was part of a participatory project, emphasizing cooperation with the LGBTQIA+ community. Data were analyzed through a deductive-inductive content analysis to derive categories of needs and expectations relevant for the development of an E-Mental-Health intervention.

Results:

We conducted semi-strucutred interviews with N=10 adults with SAD symptoms, who identified as LGBTQIA+. Participants expressed a strong desire for the intervention to be inclusive, validating, and sensitive to the unique challenges faced by LGBTQIA+ people. Key themes included the need for information on the relationship between being queer and mental health, representation through case stories, psychoeducation, and exercises tailored to address minority stress, identity affirmation, and coping strategies. We also conducted semi-structured interviews with N=10 HCPs who emphasized the importance of addressing the coming-out process, managing rejection, fostering self-acceptance, and including content on minority stress and its impact on mental health. Both groups highlighted the need for direct interaction with therapists or peer support and a non-heteronormative therapeutic approach.

Conclusions:

The study underscores the need for E-Mental-Health interventions tailored to the specific needs of LGBTQIA+ people. Interventions should incorporate comprehensive psychoeducation, interactive elements, content reflecting the lived experiences of LGBTQIA+ individuals with SAD symptoms, and the possibility to connect and exchange experiences with others facing similar challenges. Engaging with both LGBTQIA+ people and HCPs in the development process is essential to ensure the intervention's relevance, effectiveness, and acceptability.