Efficacy of a transdiagnostic internet-based program for adolescents with emotional disorders: A randomized controlled trial

IF 4.2 2区 心理学 Q1 PSYCHOLOGY, CLINICAL Behaviour Research and Therapy Pub Date : 2024-05-07 DOI:10.1016/j.brat.2024.104560
Victoria Espinosa, Rosa M. Valiente, Julia García-Escalera, Paloma Chorot, Sandra Arnáez, Julia C. Schmitt, Bonifacio Sandín
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Abstract

Objective

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) is a well-established transdiagnostic cognitive-behavioral therapy (T-CBT) intervention. The aim of the present study was to examine the efficacy of the program Learn to Manage your Emotions [Aprende a Manejar tus Emociones] (AMtE), a self-applied transdiagnostic internet-delivered program based on the Spanish version of the UP-A. This is the first transdiagnostic internet-based program designed for the treatment of emotional disorders in adolescents.

Method

A sample of Spanish adolescents with a primary diagnosis of an anxiety and/or depressive disorder (n = 58; age range = 12–18 years; 78.3% girls; 90% Caucasian) were randomly allocated to receive AMtE (n = 28) or the UP-A via videocall (n = 30). Pre-treatment, post-treatment and 3-month follow-up data were collected using self-reports and clinician-rated measures of anxiety, depression, positive and negative affect, anxiety sensitivity and emotional avoidance.

Results

Based on generalized estimating equations (GEE) models, both intervention programs were effective in significantly reducing self-reported anxiety and depressive disorder symptoms and clinician-rated severity of anxiety and depression, as well as self-reported transdiagnostic outcome variables.

Conclusions

Data provide empirical support for the efficacy of AMtE as a transdiagnostic online CBT treatment for anxiety and depressive disorders in adolescents. No marked nor consistent differences were observed between the UP-A and AMtE, highlighting the potential usefulness of the online self-administered AMtE program.

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针对患有情绪障碍的青少年的跨诊断互联网项目的疗效:随机对照试验
青少年情绪障碍跨诊断治疗统一方案(UP-A)是一种行之有效的跨诊断认知行为疗法(T-CBT)干预措施。本研究旨在考察 "学会管理你的情绪"(AMtE)项目的疗效,该项目是一个基于西班牙语版 UP-A 的自我应用跨诊断互联网项目。方法:对初步诊断为焦虑和/或抑郁障碍的西班牙青少年样本(样本数=58;年龄范围=12-18岁;78.3%为女孩;90%为白种人)进行随机分配,让他们接受AMtE(样本数=28)或通过视频电话接受UP-A(样本数=30)。治疗前、治疗后和3个月的随访数据均采用自我报告和临床医生评定的焦虑、抑郁、积极和消极情绪、焦虑敏感性和情绪回避测量方法进行收集。结果基于广义估计方程(GEE)模型,两个干预项目都能有效减少自我报告的焦虑和抑郁障碍症状、临床医生评定的焦虑和抑郁严重程度以及自我报告的跨诊断结果变量。在UP-A和AMtE之间没有观察到明显或一致的差异,凸显了在线自我管理AMtE项目的潜在作用。
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来源期刊
Behaviour Research and Therapy
Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-
CiteScore
7.50
自引率
7.30%
发文量
148
期刊介绍: The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.
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