CONTRIBUTIONS OF COGNITIVE BEHAVIORAL THERAPY TO THE MENTAL HEALTH OF THE LGBT POPULATION: AN INTEGRATIVE LITERATURE REVIEW

Abstract

Studies indicate that the LGBT population experiences greater vulnerability to mental disorders and psychological distress compared to heterosexual and cisgender populations, largely due to exposure to chronic social stressors such as prejudice, discrimination, and social exclusion. In this context, Cognitive Behavioral Therapy (CBT) is widely recognized as an evidence-based approach for addressing mental health conditions. Objective: To analyze the contributions of CBT-based interventions to the mental health of the LGBT population through an integrative literature review. Methodology: The integrative review was conducted based on the PICO strategy, involving a systematic search of electronic databases, application of eligibility criteria, and a defined timeframe for recent publications. Empirical studies with different methodological designs investigating CBT interventions in both face-to-face and digital formats were included. Results: Six studies were identified, demonstrating reductions in symptoms of depression and anxiety, as well as improvements in psychological processes such as emotional regulation, coping strategies, social support, and reduction of internalized stigma. The findings also suggested the potential maintenance of therapeutic effects over time, with variations in treatment responsiveness according to participants’ sociodemographic characteristics. Conclusion: Affirmative CBT appears to be a promising intervention for promoting the mental health of the LGBT population. However, further studies with greater methodological rigor, more diverse samples, and a stronger focus on mechanisms of change are needed to enhance the robustness and generalizability of the findings.