Effectiveness 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 first randomized controlled trial to assess the effectiveness of a brief, 8...

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Autores: Garcia-Lopez, Luis Joaquin, Jimenez-Vazquez, David, Muela-Martinez, José Antonio, Piqueras, José A., Espinosa-Fernández, Lourdes, Canals-Sans, Josefa, Vivas-Fernandez, Manuel, Morales-Hidalgo, Paula, Diaz-Castela, María-Mar, Rivera, María
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Universidad de Jaén
Repositorio:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
OAI Identifier:oai:ruja.ujaen.es:10953/4587
Acceso en línea:https://link.springer.com/article/10.1007/s12144-023-05421-3
https://hdl.handle.net/10953/4587
Access Level:acceso abierto
Palabra clave:Adolescence
Anxiety
Depression
Indicated Prevention
Ramdomized Control Trial
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spelling Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disordersGarcia-Lopez, Luis JoaquinJimenez-Vazquez, DavidMuela-Martinez, José AntonioPiqueras, José A.Espinosa-Fernández, LourdesCanals-Sans, JosefaVivas-Fernandez, ManuelMorales-Hidalgo, PaulaDiaz-Castela, María-MarRivera, MaríaAdolescenceAnxietyDepressionIndicated PreventionRamdomized Control TrialDespite 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 first randomized controlled trial to assess the effectiveness of a brief, 8-session group version of the Unified 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 follow-up, 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 flexibility, and emotional regulation. In contrast, those in the control group showed improvements in only 2 of the 13 outcome measures. After the booster session, significant differences 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.This work was partially supported by the State Research Agency [PID2019-111138RB-I00/AEI/10.13039/501100011033] and the RED2022-134247-T Network for the PROmotion of EMOtional Health and Wellbeing of Adolescents (PROEMO) and the Research Network on Chronicity, Primary Care and Prevention and Health Promotion (RICAPPS).Springer Nature202520252023info:eu-repo/semantics/articleinfo:eu-repo/semantics/acceptedVersionapplication/pdfhttps://link.springer.com/article/10.1007/s12144-023-05421-3https://hdl.handle.net/10953/4587reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaéninstname:Universidad de JaénInglésCurrent PsychologyAtribución-NoComercial-SinDerivadas 3.0 Españahttp://creativecommons.org/licenses/by-nc-nd/3.0/es/info:eu-repo/semantics/openAccessoai:ruja.ujaen.es:10953/45872026-06-24T12:41:07Z
dc.title.none.fl_str_mv Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
spellingShingle Effectiveness 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
Ramdomized Control Trial
title_short Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_full Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_fullStr Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_full_unstemmed Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders
title_sort Effectiveness 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, José Antonio
Piqueras, José A.
Espinosa-Fernández, Lourdes
Canals-Sans, Josefa
Vivas-Fernandez, Manuel
Morales-Hidalgo, Paula
Diaz-Castela, María-Mar
Rivera, María
author Garcia-Lopez, Luis Joaquin
author_facet Garcia-Lopez, Luis Joaquin
Jimenez-Vazquez, David
Muela-Martinez, José Antonio
Piqueras, José A.
Espinosa-Fernández, Lourdes
Canals-Sans, Josefa
Vivas-Fernandez, Manuel
Morales-Hidalgo, Paula
Diaz-Castela, María-Mar
Rivera, María
author_role author
author2 Jimenez-Vazquez, David
Muela-Martinez, José Antonio
Piqueras, José A.
Espinosa-Fernández, Lourdes
Canals-Sans, Josefa
Vivas-Fernandez, Manuel
Morales-Hidalgo, Paula
Diaz-Castela, María-Mar
Rivera, María
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adolescence
Anxiety
Depression
Indicated Prevention
Ramdomized Control Trial
topic Adolescence
Anxiety
Depression
Indicated Prevention
Ramdomized Control Trial
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 first randomized controlled trial to assess the effectiveness of a brief, 8-session group version of the Unified 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 follow-up, 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 flexibility, and emotional regulation. In contrast, those in the control group showed improvements in only 2 of the 13 outcome measures. After the booster session, significant differences 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
info:eu-repo/semantics/acceptedVersion
format article
status_str acceptedVersion
dc.identifier.none.fl_str_mv https://link.springer.com/article/10.1007/s12144-023-05421-3
https://hdl.handle.net/10953/4587
url https://link.springer.com/article/10.1007/s12144-023-05421-3
https://hdl.handle.net/10953/4587
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Current Psychology
dc.rights.none.fl_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Atribución-NoComercial-SinDerivadas 3.0 España
http://creativecommons.org/licenses/by-nc-nd/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
instname:Universidad de Jaén
instname_str Universidad de Jaén
reponame_str RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
collection RUJA. Repositorio Institucional de la Producción Científica de la Universidad de Jaén
repository.name.fl_str_mv
repository.mail.fl_str_mv
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