Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders

Despite ample evidence for transdiagnostic interventions in clinical populations and in universal prevention approaches, there are only a few controlled trials examining their role for indicated prevention. This study is the frst randomized controlled trial to assess the efectiveness of a brief, 8-s...

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Autores: Garcia‑Lopez, Luis‑Joaquin, Jimenez-Vazquez, David, Muela-Martinez, Jose-Antonio, Piqueras, Jose A, et al.
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:11000/36133
Acceso en línea:https://hdl.handle.net/11000/36133
Access Level:acceso abierto
Palabra clave:Adolescence
Anxiety
Depression
Indicated Prevention
Randomized Control Trial
CDU::1 - Filosofía y psicología::159.9 - Psicología
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spelling Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disordersGarcia‑Lopez, Luis‑JoaquinJimenez-Vazquez, DavidMuela-Martinez, Jose-AntonioPiqueras, Jose Aet al.AdolescenceAnxietyDepressionIndicated PreventionRandomized Control TrialCDU::1 - Filosofía y psicología::159.9 - PsicologíaDespite ample evidence for transdiagnostic interventions in clinical populations and in universal prevention approaches, there are only a few controlled trials examining their role for indicated prevention. This study is the frst randomized controlled trial to assess the efectiveness of a brief, 8-session group version of the Unifed Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), called PROCARE-I (Preventive Transdiagnostic Intervention for Adolescents at Risk for Emotional Disorders-Indicated), delivered online, and including a booster session, in reducing symptoms of anxiety and depression in adolescents compared to an active control condition. Sixty-four adolescents (53% identifying as female) with elevated levels of anxiety and/or depression were randomly assigned to either the 8-week PROCARE-I or the active control condition. Self-report, parent, and clinician measures were collected before and after the interventions, at the 6-month followup, and 1 month after the booster session. After the intervention, participants in the PROCARE-I group showed improved scores on 9 of the 13 primary and secondary outcome measures, including reduction of anxiety and mood symptomatology, level of risk of developing emotional disorders, resilience, as well as increase of psychological fexibility, and emotional regulation. In contrast, those in the control group showed improvements in only 2 of the 13 outcome measures. After the booster session, signifcant diferences were found between the PROCARE-I and control condition on measures of overall anxiety and depression symptoms, emotional risk, resilience, and quality of life. Low dropout rates and limited incidence of emotional disorders were observed at follow-ups. The interventions were well-accepted, with high satisfaction rates.SpringerDepartamentos de la UMH::Psicología de la Salud202520252023info:eu-repo/semantics/articleapplication/pdf15application/pdfhttps://hdl.handle.net/11000/36133reponame:REDIUMH. Depósito Digital de la UMHinstname:Universidad Miguel Hernández de ElcheIngléshttps://doi.org/10.1007/s12144-023-05421-3info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/oai:dspace.umh.es:11000/361332026-05-27T13:36:21Z
dc.title.none.fl_str_mv Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
spellingShingle Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
Garcia‑Lopez, Luis‑Joaquin
Adolescence
Anxiety
Depression
Indicated Prevention
Randomized Control Trial
CDU::1 - Filosofía y psicología::159.9 - Psicología
title_short Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_full Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_fullStr Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_full_unstemmed Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_sort Efectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
dc.creator.none.fl_str_mv Garcia‑Lopez, Luis‑Joaquin
Jimenez-Vazquez, David
Muela-Martinez, Jose-Antonio
Piqueras, Jose A
et al.
author Garcia‑Lopez, Luis‑Joaquin
author_facet Garcia‑Lopez, Luis‑Joaquin
Jimenez-Vazquez, David
Muela-Martinez, Jose-Antonio
Piqueras, Jose A
et al.
author_role author
author2 Jimenez-Vazquez, David
Muela-Martinez, Jose-Antonio
Piqueras, Jose A
et al.
author2_role 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
Indicated Prevention
Randomized Control Trial
CDU::1 - Filosofía y psicología::159.9 - Psicología
topic Adolescence
Anxiety
Depression
Indicated Prevention
Randomized Control Trial
CDU::1 - Filosofía y psicología::159.9 - Psicología
description Despite ample evidence for transdiagnostic interventions in clinical populations and in universal prevention approaches, there are only a few controlled trials examining their role for indicated prevention. This study is the frst randomized controlled trial to assess the efectiveness of a brief, 8-session group version of the Unifed Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), called PROCARE-I (Preventive Transdiagnostic Intervention for Adolescents at Risk for Emotional Disorders-Indicated), delivered online, and including a booster session, in reducing symptoms of anxiety and depression in adolescents compared to an active control condition. Sixty-four adolescents (53% identifying as female) with elevated levels of anxiety and/or depression were randomly assigned to either the 8-week PROCARE-I or the active control condition. Self-report, parent, and clinician measures were collected before and after the interventions, at the 6-month followup, and 1 month after the booster session. After the intervention, participants in the PROCARE-I group showed improved scores on 9 of the 13 primary and secondary outcome measures, including reduction of anxiety and mood symptomatology, level of risk of developing emotional disorders, resilience, as well as increase of psychological fexibility, and emotional regulation. In contrast, those in the control group showed improvements in only 2 of the 13 outcome measures. After the booster session, signifcant diferences were found between the PROCARE-I and control condition on measures of overall anxiety and depression symptoms, emotional risk, resilience, and quality of life. Low dropout rates and limited incidence of emotional disorders were observed at follow-ups. The interventions were well-accepted, with high satisfaction rates.
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/11000/36133
url https://hdl.handle.net/11000/36133
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://doi.org/10.1007/s12144-023-05421-3
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
15
application/pdf
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
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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