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Empirical Papers

Effectiveness of the Unified Protocol for transdiagnostic treatment of emotional disorders in group format in Spain: Results from a randomized controlled trial with 6-months follow-up

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Pages 329-342 | Received 23 Feb 2021, Accepted 28 May 2021, Published online: 16 Jun 2021

References

  • AL-Marshadi, A. H. (2014). Selecting the covariance structure in mixed model using statistical methods calibration. Journal of Mathematics and Statistics, 10(3), 309–315. https://doi.org/10.3844/jmssp.2014.309.315
  • Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011a). The Unified Protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford University Press.
  • Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich-May, J. (2011b). The Unified Protocol for transdiagnostic treatment of emotional disorders: Client workbook. Oxford University Press.
  • Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K. (2014). The nature, diagnosis, and treatment of neuroticism. Clinical Psychological Science, 2(3), 344–365. https://doi.org/10.1177/2167702613505532
  • Beck, A., & Steer, R. (1993). Beck anxiety inventory manual. Psychological Corporation.
  • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). BDI-II, Beck depression inventory: Manual second edition. Psychological Corporation.
  • Bentley, K. H., Gallagher, M. W., Carl, J. R., & Barlow, D. H. (2014). Development and validation of the overall depression severity and impairment scale. Psychological Assessment, 26(3), 815–830. https://doi.org/10.1037/a0036216
  • Boswell, J. F., Sauer-Zavala, S. E., Gallagher, M. W., Delgado, N. K., & Barlow, D. H. (2012). Readiness to change as a moderator of outcome in transdiagnostic treatment. Psychotherapy Research, 22(5), 570–578. https://doi.org/10.1080/10503307.2012.688884
  • Botella, C., & Ballester, R. (1997). Trastorno de pánico, evaluación y tratamiento [Panic disorder, evaluation and treatment] (4th ed.). Martínez Roca.
  • Brown, T. A., & Barlow, D. H. (2009). A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. Psychological Assessment, 21(3), 256–271. https://doi.org/10.1037/a0016608
  • Brown, T. A., Di Nardo, P. A., Lehman, C. L., & Campbell, L. A. (2001). Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology, 110(1), 49–58. https://doi.org/10.1037/0021-843X.110.1.49
  • Bullis, J. R., Boettcher, H., Sauer-Zavala, S., Farchione, T. J., & Barlow, D. H. (2019). What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention. Clinical Psychology: Science and Practice, 26(2), e12278. https://doi.org/10.1111/cpsp.12278
  • Bullis, J. R., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Carl, J. R., & Barlow, D. H. (2015). The Unified Protocol for transdiagnostic treatment of emotional disorders: Preliminary exploration of effectiveness for group delivery. Behavior Modification, 39(2), 295–321. https://doi.org/10.1177/0145445514553094
  • Burlingame, G. M., Strauss, B., & Joyce, A. (2013). Change mechanisms and effectiveness of small group treatments. In M. J. Lambert (Ed.), Bergin and Garfield’s handbook of psychotherapy and behavior change (6th ed., pp. 640–689). Wiley.
  • Cassiello-Robbins, C., Southward, M. W., Tirpak, J. W., & Sauer-Zavala, S. (2020). A systematic review of Unified Protocol applications with adult populations: Facilitating widespread dissemination via adaptability. Clinical Psychology Review, 78, 101852. https://doi.org/10.1016/j.cpr.2020.101852
  • Costa, P. T., & McCrae, R. R. (1999). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI). TEA Ediciones.
  • de Ornelas Maia, A. C. C., Egidio, A. E., & Cardoso, A. (2015). The utilization of Unified Protocols in behavioral cognitive therapy in transdiagnostic group subjects: A clinical trial. Journal of Affective Disorders, 172, 179–183. https://doi.org/10.1016/j.jad.2014.09.023
  • de Ornelas Maia, A. C. C., Sanford, J., Boettcher, H., Nardi, A. E., & Barlow, D. (2017). Improvement in quality of life and sexual functioning in a comorbid sample after the Unified Protocol transdiagnostic group treatment. Journal of Psychiatric Research, 93, 30–36. https://doi.org/10.1016/j.jpsychires.2017.05.013
  • Di Nardo, P. A., Brown, T. A., & Barlow, D. H. (1994). Anxiety disorders interview schedule for DSM-IV: Lifetime version (ADIS-IV-L). Oxford University Press.
  • Grill, S. S., Castañeiras, C., & Fasciglione, M. P. (2017). Aplicación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionales en población Argentina. Revista de Psicopatologia y Psicologia Clinica, 22(3), 171–181. https://doi.org/10.5944/rppc.vol.22.num.3.2017.18122
  • IBM Corp. (2013). IBM SPSS statistics for windows, Version 22.0. (No. 22). IBM Corp.
  • Kerig, P. K., Schulz, M. S., & Hauser, S. T. (2011). Adolescence and beyond: Family processes and development. Oxford University Press.
  • Laposa, J. M., Mancuso, E., Abraham, G., & Loli-Dano, L. (2017). Unified Protocol transdiagnostic treatment in group format: A preliminary investigation with anxious individuals. Behavior Modification, 41(2), 253–268. https://doi.org/10.1177/0145445516667664
  • Leichsenring, F., Salzer, S., Beutel, M. E., Herpertz, S., Hiller, W., Hoyer, J., Huesing, J., Joraschky, P., Nolting, B., Poehlmann, K., Ritter, V., Stangier, U., Strauss, B., Stuhldreher, N., Tefikow, S., Teismann, T., Willutzki, U., Wiltink, J., & Leibing, E. (2013). Psychodynamic therapy and cognitive-behavioral therapy in social anxiety disorder: A multicenter randomized controlled trial. American Journal of Psychiatry, 170(7), 759–767. https://doi.org/10.1176/appi.ajp.2013.12081125
  • Mezzich, J. E., Ruipérez, M. A., Pérez, C., Yoon, G., Liu, J., & Mahmud, S. (2000). The Spanish version of the quiality of life index. The Journal of Nervous and Mental Disease, 188(5), 301–305. https://doi.org/10.1097/00005053-200005000-00008
  • Norman, S. B., Hami Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity and Impairment Scale (OASIS). Depression and Anxiety, 23(4), 245–249. https://doi.org/10.1002/da.20182
  • Osma, J., Castellano, C., Crespo, E., & García-Palacios, A. (2015). The Unified Protocol for transdiagnostic treatment of emotional disorders in group format in a Spanish public mental health setting. Behavioral Psychology/Psicologia Conductual, 23(3), 447–466. https://doi.org/10.1177/0145445514553094
  • Osma, J., Quilez-Orden, A., Suso-Ribera, C., Peris-Baquero, O., Norman, S. B., Bentley, K. H., & Sauer-Zavala, S. (2019). Psychometric properties and validation of the Spanish versions of the overall anxiety and depression severity and impairment scales. Journal of Affective Disorders, 252, 9–18. https://doi.org/10.1016/j.jad.2019.03.063
  • Osma, J., Suso-Ribera, C., García-Palacios, A., Crespo-Delgado, E., Robert-Flor, C., Sánchez-Guerrero, A., Ferreres-Galan, V., Pérez-Ayerra, L., Malea-Fernández, A., & Torres-Alfosea, MÁ. (2018). Efficacy of the Unified Protocol for the treatment of emotional disorders in the Spanish public mental health system using a group format: Study protocol for a multicenter, randomized, non-inferiority controlled trial. Health and Quality of Life Outcomes, 16(1), 46. https://doi.org/10.1186/s12955-018-0866-2
  • Reinholt, N., Aharoni, R., Winding, C., Rosenberg, N., Rosenbaum, B., & Arnfred, S. (2017). Transdiagnostic group CBT for anxiety disorders: The Unified Protocol in mental health services. Cognitive Behaviour Therapy, 46(1), 29–43. https://doi.org/10.1080/16506073.2016.1227360
  • Ruiz-Rodríguez, P., Cano-Vindel, A., Muñoz Navarro, R., Medrano, L., Moriana, J. A., Buiza Aguado, C., Jiménez Cabré, G., & González-blanch, C. (2017). Impacto económico y carga de los trastornos mentales comunes en España: Una revisión sistemática y crítica. Ansiedad y Estres, 23(2–3), 118–123. https://doi.org/10.1016/j.anyes.2017.10.003
  • Sakiris, N., & Berle, D. (2019). A systematic review and meta-analysis of the Unified Protocol as a transdiagnostic emotion regulation based intervention. Clinical Psychology Review, 72, 101751. https://doi.org/10.1016/j.cpr.2019.101751
  • Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema, 11(1), 37–51.
  • Sanz, J., García-Vera, M. P., & Fortún, M. (2012). The Beck Anxiety Inventory (BAI): Psychometric properties of the Spanish version in patients with psychological disorders. Behavioral Psychology/Psicologia Conductual, 20(3), 563–583.
  • Sanz, J., Navarro, M. E., & Vázquez, C. (2003). Adaptación española del Inventario para la Depresión de Beck-II (BDI-II). Propiedades psicométricas en estudiantes universitarios. Análisis y Modificación de Conducta, 29(124), 239–288.
  • Saxena, S., Thornicroft, G., Knapp, M., & Whiteford, H. (2007). Resources for mental health: Scarcity, inequity, and inefficiency. The Lancet, 370(9590), 878–889. https://doi.org/10.1016/S0140-6736(07)61239-2
  • Sheehan, D., Janavs, J., Baker, R., Sheehan, K. H., Knapp, E., & Sheehan, M. (2015). Mini international neuropsychiatric interview–version 7.0. 0 DSM-5. Medical Outcomes Systems.
  • Thompson-Brenner, H., Boswell, J. F., Espel-Huynh, H., Brooks, G., & Lowe, M. R. (2019). Implementation of transdiagnostic treatment for emotional disorders in residential eating disorder programs: A preliminary pre-post evaluation. Psychotherapy Research, 29(8), 1045–1061. https://doi.org/10.1080/10503307.2018.1446563
  • Varkovitzky, R. L., Sherrill, A. M., & Reger, G. M. (2018). Effectiveness of the Unified Protocol for transdiagnostic treatment of emotional disorders among veterans with posttraumatic stress disorder: A pilot study. Behavior Modification, 42(2), 210–230. https://doi.org/10.1177/0145445517724539
  • Wampold, B. E., Budge, S. L., Laska, K. M., Del Re, A. C., Baardseth, T. P., Flűckiger, C., Minami, T., Kivlighan II, D. M., & Gunn, W. (2011). Evidence-based treatments for depression and anxiety versus treatment-as-usual: A meta-analysis of direct comparisons. Clinical Psychology Review, 31(8), 1304–1312. https://doi.org/10.1016/j.cpr.2011.07.012
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
  • World Health Organization. (2017). Depression and other common mental disorders: Global health estimates.
  • Zemestani, M., Imani, M., & Ottaviani, C. (2017). A preliminary investigation on the effectiveness of unified and transdiagnostic cognitive behavior therapy for patients with comorbid depression and anxiety. International Journal of Cognitive Therapy, 10(2), 175–185. https://doi.org/10.1521/ijct.2017.10.2.175

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