scholarly journals Initial Effectiveness Evaluation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders for Homeless Women

2020 ◽  
pp. 014544552098256
Author(s):  
Sara Rodriguez-Moreno ◽  
Todd J. Farchione ◽  
Pablo Roca ◽  
Carolina Marín ◽  
Ana I. Guillén ◽  
...  
Keyword(s):  
Negative Affect ◽  
Emotional Disorders ◽  
Group Treatment ◽  
Linear Trend ◽  
Control Period ◽  
Well Being ◽  
Homeless Women ◽  
Depression And Anxiety ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The purpose of this study is to evaluate the effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders adapted for homeless women (UPHW). Eighty-one homeless women participated in this single-blinded quasi-experimental clinical trial, involving up to 12 sessions of group treatment, and 3-and 6-month follow-ups. The participants received either immediate treatment with the UPHW ( n = 46) or delayed treatment, following a 12-week wait-list control period (WLC; n = 35). Primary outcomes included depression and anxiety. Secondary measures comprised positive and negative affect, psychological well-being, health perception, and social support. The UPHW resulted in significant improvement on measures of anxiety, depression and negative affect. Improvements in anxiety and depression were maintained over a 3-month follow-up period, but not at 6-month. The reliability of the clinical changes showed significant differences between UPHW and WLC for depression. Moreover, the inter-session assessment in the UPHW group showed a linear trend reduction for depression and anxiety scores along the 12 sessions. The clinical implications on the UPHW in social settings are also discussed.

Introduction

2021 ◽  
pp. 3-36
Author(s):  
Heather Thompson-Brenner ◽  
Melanie Smith ◽  
Gayle Brooks ◽  
Rebecca Berman ◽  
Angela Kaloudis ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Negative Affect ◽  
Emotional Disorders ◽  
Emotional Functioning ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The Renfrew Unified Treatment for Eating Disorders and Co-occurring Emotional Disorders (UT) is an integrative, transdiagnostic, principle-based approach to address patterns of emotion avoidance, emotion sensitivity, and negative affect that produce and maintain the symptoms of eating disorders and co-occurring emotional disorders. The UT model was developed through an extensive process of adapting the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) for use with patients with severe and diverse eating disorders. The modules of the UT are distinct from other approaches due to their cohesive (internal and collective) focus on how each module addresses these shared maintaining mechanisms. There is extensive evidence that eating disorders typically co-occur with other emotional disorders. There is also extensive evidence that eating disorders and other emotional disorders share common maintaining mechanisms, reflecting aspects of emotional functioning.

Transdiagnostic Treatments for Enhancing Positive Affect and Well-Being

2019 ◽  
pp. 523-538
Author(s):  
Hannah Boettcher ◽  
Steven Sandage ◽  
Heather M. Latin ◽  
David H. Barlow
Keyword(s):  
Positive Affect ◽  
Emotional Disorders ◽  
Emotion Dysregulation ◽  
Behavioral Treatment ◽  
Well Being ◽  
Cognitive Behavioral Treatment ◽  
Positive Functioning ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Perspective Drawing

Recent years have seen increased interest in transdiagnostic interventions, which seek to alleviate psychopathology by targeting mechanisms responsible for its etiology and maintenance across diagnostic categories. These interventions are promising due to being cost and time efficient and applicable to diverse clinical presentations. There is a growing parallel appreciation for the dimensional nature of emotional disorders, including anxiety, depressive, and related disorders in which emotion dysregulation is central. Positive affect and well-being are important, yet often overlooked, in the development and maintenance of psychopathology. This chapter explores transdiagnostic treatments to enhance positive affect and well-being in emotional disorders. One intervention is profiled, the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP), a transdiagnostic cognitive behavioral treatment targeting neuroticism with a mounting body of evidence for anxiety and related disorders. This chapter highlights ways the UP and other transdiagnostic interventions may enhance positive functioning in emotional disorders. Also explored are the ways in which positive functioning can be enhanced from a multidisciplinary perspective, drawing on research in the areas of spirituality, religion, and positive psychology. The central thesis proposed in this chapter is that a transdiagnostic approach targeting not only intense negative affect but also positive affect may be particularly helpful in improving quality of life for individuals with deficits across dimensions of well-being. Future directions in this line of research are proposed.

Module 5: Countering Emotional Behaviors

2017 ◽  
pp. 113-130
Author(s):  
David H. Barlow ◽  
Todd J. Farchione ◽  
Shannon Sauer-Zavala ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Negative Affect ◽  
Emotional Disorders ◽  
Emotional Response ◽  
Behavioral Patterns ◽  
Behavioral Component ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Emotional Responding ◽  
Over Time

Chapter 10 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide focuses on the behavioral component of the emotional response and begins by reviewing the role of emotional behaviors (i.e., behaviors that are used to control strong emotions) in the development and maintenance of maladaptive emotional responding. In this module, therapists help patients to identify relevant emotional behaviors and then work with them to develop and engage in Alternative Actions. Over time, it is expected that these Alternative Actions will help remediate cognitive and behavioral patterns contributing to the frequent occurrence of strong negative affect and maintaining patient distress in response to experience of strong emotions.

Group Treatment Applications of the Unified Protocol

2017 ◽  
pp. 252-267
Author(s):  
Jacqueline R. Bullis ◽  
Kate H. Bentley ◽  
Katherine A. Kennedy
Keyword(s):  
Cost Effectiveness ◽  
Emotional Disorders ◽  
Group Treatment ◽  
Depressive Disorders ◽  
Research Priorities ◽  
Future Research ◽  
Recent Application ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Group Format

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) has demonstrated promising results among patients with heterogeneous anxiety and comorbid depressive disorders when delivered on an individual basis, but greater efficiencies may be achieved with group-based applications. This chapter will provide a rationale for utilizing a transdiagnostic approach in a group format, including cost-effectiveness and efficiency for patients and practitioners alike. It will illustrate a recent application of the UP with patients who completed 12 sessions in a group, offer guidelines on how to successfully implement the UP in a group of patients with a range of anxiety, depressive, and related disorders, and discuss the challenges that arose during treatment. We will then present data on the treatment response for each patient, as well as patients’ perceptions of the acceptability and feasibility of the UP in a group format, and conclude with our thoughts on future research priorities.

The Unified Protocol for Chronic Pain

2017 ◽  
pp. 215-230
Author(s):  
Laura A. Payne
Keyword(s):  
Chronic Pain ◽  
Negative Affect ◽  
Mood Disorders ◽  
Emotional Disorders ◽  
Common Factors ◽  
Complex Interaction ◽  
Health Concerns ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Mental And Physical Health

Chronic pain represents a complex interaction of biological, psychological, and social factors and is associated with high rates of anxiety and mood disorders. Evidence now highlights the importance of potential common factors underlying both pain and emotions. One of these factors—neuroticism—has been linked with both mental and physical health concerns, including chronic pain. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) specifically targets neuroticism/negative affect and may be an ideal treatment to address both emotions and pain. This chapter describes the case of “Lisa,” a patient suffering with chronic pain and anxiety, and how specific components of the UP were applied to help her with her symptoms.

scholarly journals Application of the unified protocol for transdiagnostic treatment of emotional disorders among homeless women: A feasibility study.

Psychotherapy ◽  
2021 ◽  
Author(s):  
Carolina Marín ◽  
Ana I. Guillén ◽  
Sara Rodriguez-Moreno ◽  
Sonia Diéguez ◽  
Sonia Panadero ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Feasibility Study ◽  
Homeless Women ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

The Unified Protocol for Insomnia Disorder

2017 ◽  
pp. 164-178 ◽  
Author(s):  
Jacqueline R. Bullis ◽  
Shannon Sauer-Zavala
Keyword(s):  
Sleep Disturbance ◽  
Emotional Disorders ◽  
Emotional Experience ◽  
Relevant Literature ◽  
Depression And Anxiety ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Appropriate Treatment ◽  
Insomnia Disorder ◽  
Sleep Difficulties

Sleep disturbance is a frequent complaint, both in isolation and in the context of other conditions, such as depression and anxiety. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) was designed to be applicable to any disorder characterized by nonacceptance of negative emotions and subsequent attempts to suppress or avoid the emotional experience. This chapter provides a rationale for why the UP may be an appropriate treatment for sleep difficulties like insomnia. We will provide an introduction to insomnia, including the defining characteristics and a review of the relevant literature. Next, we discuss how to conceptualize the maintaining processes in insomnia from a transdiagnostic perspective, and then utilize a case example of a patient who was successfully treated for insomnia with the UP. Finally, we review in detail how core treatment skills were implemented to address sleep disturbance in the context of comorbid anxiety and mood difficulties.

Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Among Veterans With Posttraumatic Stress Disorder: A Pilot Study

2017 ◽  
Vol 42 (2) ◽  
pp. 210-230 ◽  
Author(s):  
Ruth L. Varkovitzky ◽  
Andrew M. Sherrill ◽  
Greg M. Reger
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Emotion Regulation ◽  
Depressive Symptoms ◽  
Pilot Study ◽  
Posttraumatic Stress ◽  
Emotional Disorders ◽  
Symptom Severity ◽  
Stress Disorder ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Effective treatment options are needed for veterans who do not participate in trauma-focused psychotherapy. Research has yet to examine the effectiveness of transdiagnostic psychotherapy in veterans with posttraumatic stress disorder (PTSD) and co-occurring psychological disorders. This pilot study examined the effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) delivered in a 16-week group format. We examined treatment outcomes in male and female veterans ( n = 52) in an outpatient specialty PTSD clinic at a large Veterans Affairs (VA) medical center. We hypothesized significant decreases in emotion regulation difficulty (Difficulties in Emotion Regulation Scale), PTSD symptom severity (PTSD Checklist for DSM-5), and depressive symptom severity (Patient Health Questionnaire–9). In addition, we hypothesized that reductions in emotion regulation difficulty across treatment would negatively predict PTSD and depressive symptoms at posttreatment. PTSD symptoms, depressive symptoms, and emotion regulation difficulty all evidenced significant improvements at the end of treatment relative to baseline ( ps < .001). In addition, reductions in emotion regulation across treatment were associated with lower PTSD and depressive symptoms at posttreatment ( ps < .001). This pilot study provides preliminary evidence supporting use of UP among veterans with PTSD and co-occurring disorders. Well-designed clinical trials evaluating efficacy of UP among veterans are needed.

Culturally and Linguistically Sensitive Applications in Other Countries

2021 ◽  
pp. 180-194
Author(s):  
Hiroko Fujisato ◽  
Noriko Kato ◽  
Dominique Phillips ◽  
Estefany Sáez-Clarke
Keyword(s):  
Children And Adolescents ◽  
Emotional Disorders ◽  
Cultural Context ◽  
Japanese Culture ◽  
Cultural Groups ◽  
Cultural Adaptations ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
Intervention Protocol

Cultural adaptation can help maintain a balance between scientifically rigorous interventions and culturally sensitive, effective practice. When introducing the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/A) into a new cultural context, translating the treatment may be sufficient in some countries and regions, while others may require more systematic modification. This chapter discusses specific steps that were taken for adapting the UP-C/A in the context of Japanese culture and presents a case study in Japan. When introducing the UP-C/A into the Japanese context, modifications were made to increase the treatment’s acceptability and comprehension, but there were no significant modifications in the content of the intervention protocol. In the future, as the UP-C/A is introduced into other cultures, its effectiveness will be further evaluated and the cultural adaptations needed to accommodate new cultural groups will become increasingly apparent.

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