Unified Protocol Transdiagnostic Treatment in Group Format

Laposa, Judith M.; Mancuso, Enza; Abraham, G; Loli-Dano, Laura

doi:10.1177/0145445516667664

Cited by 47 publications

(21 citation statements)

References 32 publications

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“…A large Cohen's d in the negative and positive affect was found with a higher significant effect on negative affect than positive affect. These results are the same that previous RCT, applying UP in emotional disorders samples that have found changes in neuroticism/negative affect after UP intervention [ 62 ]. Some studies have also found differences in extraversion/positive affect [ 63 ].…”

Section: Discussionsupporting

confidence: 89%

Transdiagnostic treatment of emotional disorders for women with multiple sclerosis: a randomized controlled trial

2020

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Background Multiple sclerosis (MS) is a chronic, unpredictable, neurodegenerative disease, significantly associated with psychological, behavioral, cognitive, and emotional consequences. MS is more common in females than males and frequently affects women during their reproductive years. Despite the frequent mental disorders, comorbidities, and emotional problems in People with MS (PwMS), these conditions are too often underdiagnosed and undertreated. Objective This study aimed to examine the efficacy of a group format of the Unified Protocol (UP) for the Transdiagnostic treatment of depression and anxiety disorders in females with MS. Methods In the present study, Sixty-four adult females diagnosed with MS were randomized to either the UP (n = 32) or treatment-as-usual conditions. The assessment protocol included semi-structured clinical interviews and self-reports evaluating diagnostic criteria, depression, anxiety and worry symptoms, emotional regulation, and affectivity. Results Repeated measure analysis of variance (ANOVA) revealed that the UP significantly improved depression scores [Cohen’s d = − 2.11, 95% CI (− 2.72, − 1.50)], anxiety scores [Cohen’s d = − 3.34, 95% CI (− 4.01, − 2.58)], positive and negative affect scale (PANAS)-positive affect scores [Cohen’s d = 1.46, 95% CI (1.46, 2.01)], PANAS-negative affect scores [Coen’s d = − 2.21, 95% CI (− 2.84, − 1.60)], difficulties emotion regulation scale scores [Cohen’s d = 1.40, 95% CI (− 0.87, − 0.03)], and Worry scale scores [Cohen’s d = − 0.45, 95% CI (− 0.95, − 0.04)] at the end of treatment relative to compared to the control condition. Also, treatment gains were maintained at the three-month follow-up (p < 0.001). Conclusion The findings provide the support that the UP could be an additional efficient psychological treatment for females with MS. ISRCTN Number: ISRCTN95459505.

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Section: Discussionsupporting

confidence: 89%

Transdiagnostic treatment of emotional disorders for women with multiple sclerosis: a randomized controlled trial

2020

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“…A large Cohen’s d in the negative and positive affect was found with a higher significant effect on negative affect than positive affect. These results are the same that previous RCT, applying unified protocol in emotional disorders samples that have found changes in neuroticism/negative affect after unified protocol intervention [ 55 ]. Some studies have also found differences in extraversion/positive affect [ 56 ].…”

Section: Discussionsupporting

confidence: 89%

Transdiagnostic treatment of emotional disorders in people with multiple sclerosis: randomized controlled trial

et al. 2020

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Background Multiple sclerosis (MS) is a neurodegenerative disease of the central nervous system. MS is significantly associated with a high rate of psychological, behavioral, and emotional consequences. Despite the frequent mental disorders, high rate of psychological comorbidities, and emotional problems in people with MS (PwMS), these conditions are often underdiagnosed and undertreated. This study aimed to examine the efficacy of a group format of the unified protocol for the transdiagnostic treatment of emotional disorders in adult PwMS associated with an emotional disorder. Methods Seventy adult PwMS were randomized using an internet-based computer system to either the unified protocol (n = 35) or treatment as usual condition. The assessment protocol included semi-structured clinical interviews and self-reports evaluating diagnostic criteria, depression, anxiety and worry symptoms, emotional dysregulation, and affectivity. Results The parametric test of analysis of covariance, followed the intent to treat analyses, revealed the unified protocol significantly changed depression symptoms (Cohen’s d = 1.9), anxiety symptoms (Cohen’s d = 2.16), worry symptoms (Cohen’s d = 1.27), emotion dysregulation (Cohen’s d = 0.44), positive affect (Cohen’s d = 1.51), and negative affect (Cohen’s d = 1.89) compared with the control group. The unified protocol also significantly improved outcome scores at the end of treatment relative to baseline (p < .001). Conclusion The findings support that the unified protocol could be an additional efficient psychological treatment for PwMS. Trial registration IRCT, number: IRCT20190711044173N1. Registered 31october 2019, https://en.irct.ir/user/trial/40779/view.

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“…This protocol was introduced in response to the limitations of specific cognitive-behavioral therapies for disorders, in which the principles and treatment protocols were identical for different emotional disorders (3). This protocol, which is designed for people with emotional disorders, especially mood and anxiety disorders (12), is focused on emotions and not dedicated to a special disorder and encompasses common factors, including negative emotions (13). A combination of depression with other psychiatric disorders and symptoms (14) can encourage the use of this protocol.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Unified Protocol for Transdiagnostic Treatment in Reducing Depression Associated with Marital Problems

Bameshgi

Kimiaei

Մաշհադի

2019

Int J Health Life Sci

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Background: Different methods have been used to treat depression caused by marital relationships. Objectives: The present study was conducted to determine the effectiveness of the unified protocol for transdiagnostic treatment in decreasing depression associated with marital problems. Methods: The present controlled clinical trial was conducted on a statistical population comprising all women with depression associated with marital problems presenting to psychological clinics in Mashhad, Iran. Thirty five of these patients were randomly selected and assigned to an intervention group and a control group. Twelve sessions of group therapy were held in the intervention group based on the unified protocol for transdiagnostic disorders, whereas members of the control group participated in a language course. The structured clinical interview for DSM-IV (SCID), the Beck Depression Inventory-II and the communication patterns questionnaire were used to collect the data. Results: The pre-treatment and post-treatment scores obtained from ANCOVA showed significant differences in depression (P < 0.05), the mutual avoidance of communication subscale (P < 0.05), the mutual constructive communication subscale (P < 0.05) and the demand/withdraw subscale (P < 0.05). Conclusions: According to the obtained findings, the unified protocol for transdiagnostic treatment can be considered effective in improving the symptoms of depression associated with marital relationships.

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Unified Protocol Transdiagnostic Treatment in Group Format

Cited by 47 publications

References 32 publications

Transdiagnostic treatment of emotional disorders for women with multiple sclerosis: a randomized controlled trial

Transdiagnostic treatment of emotional disorders for women with multiple sclerosis: a randomized controlled trial

Transdiagnostic treatment of emotional disorders in people with multiple sclerosis: randomized controlled trial

Effectiveness of the Unified Protocol for Transdiagnostic Treatment in Reducing Depression Associated with Marital Problems

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