Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders

Signifcant evidence does exist on the efectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no rand‑ omized controlled trials (RCT) studying selective transdiagnostic prevent...

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Autores: Vivas Fernandez, Manuel, Garcia‑Lopez, Luis‑Joaquin, Piqueras, Jose A, Muela-Martinez, Jose-Antonio, Canals, Josefa, Espinosa Fernández, Lourdes, Jimenez-Vazquez, David, Diaz‑Castela, Maria del Mar, Morales Hidalgo, Paula, Rivera, Maria, Ehrenreich-May, Jill
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad Miguel Hernández de Elche
Repositorio:REDIUMH. Depósito Digital de la UMH
OAI Identifier:oai:dspace.umh.es:11000/36180
Acceso en línea:https://hdl.handle.net/11000/36180
Access Level:acceso abierto
Palabra clave:Adolescence
Anxiety
Depression
Randomized control trial
Selective prevention
Transdiagnostic
CDU::1 - Filosofía y psicología::159.9 - Psicología
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spelling Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disordersVivas Fernandez, ManuelGarcia‑Lopez, Luis‑JoaquinPiqueras, Jose AMuela-Martinez, Jose-AntonioCanals, JosefaEspinosa Fernández, LourdesJimenez-Vazquez, DavidDiaz‑Castela, Maria del MarMorales Hidalgo, PaulaRivera, MariaEhrenreich-May, JillAdolescenceAnxietyDepressionRandomized control trialSelective preventionTransdiagnosticCDU::1 - Filosofía y psicología::159.9 - PsicologíaSignifcant evidence does exist on the efectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no rand‑ omized controlled trials (RCT) studying selective transdiagnostic prevention intervention have been published. This is the frst known RCT to evaluate the efcacy/efectiveness of an evidence-based selective prevention transdiagnostic program for emotional problems in adolescents. The impact of three diferent interventions was evaluated: (1) PRO‑ CARE (Preventive transdiagnostic intervention for Adolescents at Risk for Emotional disorders), which is a group-based, abbreviated version of the Unifed Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), along with adding a booster session to reduce risk of onset of anxiety and depression, (2) PROCARE+, which includes the PROCARE protocol along with personalized add-on modules tailored to match adolescents’ risk factors, and (3) an active control condition (ACC) based on emotional psychoeducation. In total, 208 adolescents (48.5% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE+or ACC. Data from 153 adolescents who completed all assessments in the diferent phases of the study were analyzed. Self- and parent-reported measures were taken at baseline, as well as after the intervention, a 6 month follow-up was carried out, together with a 1 month follow-up after the booster session. Diferences between conditions were signifcant on most of the outcome measures, with superior efect sizes for PROCARE+in the short and long term. Interventions were acceptable in terms of acceptability, with good satisfaction rates. Tailored targeted selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising.BioMed CentralDepartamentos de la UMH::Psicología de la Salud202520252023info:eu-repo/semantics/articleapplication/pdf18application/pdfhttps://hdl.handle.net/11000/36180reponame:REDIUMH. Depósito Digital de la UMHinstname:Universidad Miguel Hernández de ElcheIngléshttps://doi.org/10.1186/s13034-023-00616-9info:eu-repo/semantics/openAccessAttribution-NonCommercial-NoDerivatives 4.0 Internacionalhttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:dspace.umh.es:11000/361802026-05-27T13:36:21Z
dc.title.none.fl_str_mv Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
title Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
spellingShingle Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
Vivas Fernandez, Manuel
Adolescence
Anxiety
Depression
Randomized control trial
Selective prevention
Transdiagnostic
CDU::1 - Filosofía y psicología::159.9 - Psicología
title_short Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
title_full Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
title_fullStr Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
title_full_unstemmed Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
title_sort Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders
dc.creator.none.fl_str_mv Vivas Fernandez, Manuel
Garcia‑Lopez, Luis‑Joaquin
Piqueras, Jose A
Muela-Martinez, Jose-Antonio
Canals, Josefa
Espinosa Fernández, Lourdes
Jimenez-Vazquez, David
Diaz‑Castela, Maria del Mar
Morales Hidalgo, Paula
Rivera, Maria
Ehrenreich-May, Jill
author Vivas Fernandez, Manuel
author_facet Vivas Fernandez, Manuel
Garcia‑Lopez, Luis‑Joaquin
Piqueras, Jose A
Muela-Martinez, Jose-Antonio
Canals, Josefa
Espinosa Fernández, Lourdes
Jimenez-Vazquez, David
Diaz‑Castela, Maria del Mar
Morales Hidalgo, Paula
Rivera, Maria
Ehrenreich-May, Jill
author_role author
author2 Garcia‑Lopez, Luis‑Joaquin
Piqueras, Jose A
Muela-Martinez, Jose-Antonio
Canals, Josefa
Espinosa Fernández, Lourdes
Jimenez-Vazquez, David
Diaz‑Castela, Maria del Mar
Morales Hidalgo, Paula
Rivera, Maria
Ehrenreich-May, Jill
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Departamentos de la UMH::Psicología de la Salud
dc.subject.none.fl_str_mv Adolescence
Anxiety
Depression
Randomized control trial
Selective prevention
Transdiagnostic
CDU::1 - Filosofía y psicología::159.9 - Psicología
topic Adolescence
Anxiety
Depression
Randomized control trial
Selective prevention
Transdiagnostic
CDU::1 - Filosofía y psicología::159.9 - Psicología
description Signifcant evidence does exist on the efectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no rand‑ omized controlled trials (RCT) studying selective transdiagnostic prevention intervention have been published. This is the frst known RCT to evaluate the efcacy/efectiveness of an evidence-based selective prevention transdiagnostic program for emotional problems in adolescents. The impact of three diferent interventions was evaluated: (1) PRO‑ CARE (Preventive transdiagnostic intervention for Adolescents at Risk for Emotional disorders), which is a group-based, abbreviated version of the Unifed Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), along with adding a booster session to reduce risk of onset of anxiety and depression, (2) PROCARE+, which includes the PROCARE protocol along with personalized add-on modules tailored to match adolescents’ risk factors, and (3) an active control condition (ACC) based on emotional psychoeducation. In total, 208 adolescents (48.5% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE+or ACC. Data from 153 adolescents who completed all assessments in the diferent phases of the study were analyzed. Self- and parent-reported measures were taken at baseline, as well as after the intervention, a 6 month follow-up was carried out, together with a 1 month follow-up after the booster session. Diferences between conditions were signifcant on most of the outcome measures, with superior efect sizes for PROCARE+in the short and long term. Interventions were acceptable in terms of acceptability, with good satisfaction rates. Tailored targeted selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/11000/36180
url https://hdl.handle.net/11000/36180
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1186/s13034-023-00616-9
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 Internacional
http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
18
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:REDIUMH. Depósito Digital de la UMH
instname:Universidad Miguel Hernández de Elche
instname_str Universidad Miguel Hernández de Elche
reponame_str REDIUMH. Depósito Digital de la UMH
collection REDIUMH. Depósito Digital de la UMH
repository.name.fl_str_mv
repository.mail.fl_str_mv
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