scholarly journals Aplicación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionales en población argentina

2017 ◽  
Vol 22 (3) ◽  
pp. 171 ◽  
Author(s):  
Silvina S. Grill ◽  
Claudia Elena Castañeiras ◽  
M. Paola Fasciglione
Keyword(s):  
Anxiety Disorder ◽  
Emotional Disorders ◽  
Emotional Regulation ◽  
Positive Emotions ◽  
Functional Improvement ◽  
Control Group ◽  
Control Group Design ◽  
Abstract Group ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Abstract: Group application of the Unified Protocol for transdiagnostic treatment of emotional disorders in an Argentine population. The aim of this non-control trial was to analyze the effectiveness of Barlow's Unified Protocol (2011) group application in adult patients with emotional disorders of the anxious-depressive spectrum. This trial study was based on a no-control-group design that included pre- and post-treatment measures. The intervention was performed with 23 patients who met diagnostic criteria for panic attack, agoraphobia, social phobia, generalized anxiety disorder, unspecified anxiety disorder and major depression and attended an average of 14 sessions. The results showed a significant reduction in symptoms of anxiety and depression, and of the difficulties in the emotional regulation in the patients, also an increase of positive emotions, personal strength and functional improvement. These data provide evidence on the effectiveness of the transdiagnostic approach for emotional disorders in Argentina.Resumen: El objetivo de este ensayo no controlado fue analizar la efectividad de la aplicación en formato grupal del Protocolo Unificado de Barlow et al. (2011) a pacientes adultos con trastornos emocionales del espectro ansioso-depresivo. Este ensayo clínico se basó en un diseño sin grupo control que incluyó medidas pre y post-tratamiento. La intervención se realizó con 23 pacientes que cumplieron criterios diagnósticos de diversos trastornos incluyendo ataque de pánico, agorafobia, fobia social, trastorno de ansiedad generalizada, trastorno de ansiedad no especificado y depresión mayor y que asistieron a un promedio de 14 sesiones. Los resultados mostraron una reducción significativa de los síntomas de ansiedad y depresión y de las dificultades en la regulación emocional en los pacientes así como un aumento de las emociones positivas, la fortaleza personal y mejoría funcional. Estos datos aportan evidencia sobre la efectividad del abordaje transdiagnóstico para trastornos emocionales en Argentina.

The Unified Protocol for Bipolar and Comorbid Disorders

2017 ◽  
pp. 86-110
Author(s):  
Kristen K. Ellard ◽  
Emily E. Bernstein ◽  
Andrew A. Nierenberg ◽  
Thilo Deckersbach
Keyword(s):  
Bipolar Disorder ◽  
Anxiety Disorder ◽  
Emotional Disorders ◽  
Emotion Dysregulation ◽  
Transdiagnostic Treatment ◽  
Comorbid Anxiety ◽  
Unified Protocol ◽  
Target Emotion ◽  
Bipolar Patients ◽  
Affective Lability

Bipolar disorder is a chronic and severe mental disorder characterized by affective lability and emotion dysregulation. In addition, it is associated with high rates of comorbidity, particularly with anxiety disorders. Approximately 90% of bipolar patients have been diagnosed with at least one comorbid anxiety disorder across the lifespan, with as many as two-thirds of patients meeting criteria for comorbid anxiety disorder at any given time. As such, transdiagnostic treatments that directly target emotion dysregulation in bipolar disorder are needed. In this chapter, we discuss evidence supporting an emotion dysregulation model of bipolar disorder and its roots in neuroticism. We then present a recent case of a patient with bipolar disorder with comorbid anxiety who received 18 sessions of treatment with the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP).

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

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Nabi Nazari ◽  
Masood Sadeghi ◽  
Ezatolah Ghadampour ◽  
Davod Mirzaeefar
Keyword(s):  
Multiple Sclerosis ◽  
Emotional Disorders ◽  
Analysis Of Covariance ◽  
High Rate ◽  
Control Group ◽  
Depression Symptoms ◽  
Usual Condition ◽  
Transdiagnostic Treatment ◽  
Assessment Protocol ◽  
Unified Protocol

Abstract 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.

Understanding Your Emotions—What Is an Emotion?

2017 ◽  
pp. 41-52
Author(s):  
David H. Barlow ◽  
Shannon Sauer-Zavala ◽  
Todd J. Farchione ◽  
Heather Murray Latin ◽  
Kristen K. Ellard ◽  
...  
Keyword(s):  
Emotional Disorders ◽  
Positive Emotions ◽  
Negative Emotions ◽  
Emotional Experiences ◽  
Transdiagnostic Treatment ◽  
Unified Protocol ◽  
And Behaviors

Chapter 5 of Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Workbook teaches that emotions are necessary and helpful in our day-to-day lives and explains why we wouldn’t actually want to get rid of all “bad” feelings. Instead of getting rid of negative emotions, the goal of this treatment is to help people respond differently when these emotions come up. The chapter looks at how emotions (such as fear, sadness, anxiety, and anger, as well as positive emotions, like happiness, excitement, and pride) can go from providing useful input to feeling totally overwhelming. Emotional experiences are made less overwhelming by breaking them down into more manageable parts—thoughts, physical sensations, and behaviors.

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents

2017 ◽  
Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Shannon M. Bennett ◽  
David H. Barlow
Keyword(s):  
Anxiety Disorder ◽  
Depressive Disorder ◽  
Emotional Disorders ◽  
Depressive Disorders ◽  
Separation Anxiety Disorder ◽  
Tic Disorders ◽  
Evidence Based ◽  
Evidence Based Treatment ◽  
Transdiagnostic Treatment ◽  
Unified Protocol

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents: Workbook (UP-A) provides evidence-based treatment strategies to assist adolescent clients to function better in their lives. This treatment is designed for adolescents who are experiencing feelings of sadness, anxiety, worry, anger, or other emotions that get in the way of their ability to enjoy their lives and feel successful. The workbook is written for adolescents and guides them through each week of the program with education, activities, and examples that will help them to understand the role that emotions play in their behaviors every day. Adolescents are taught helpful strategies for dealing with uncomfortable emotions and will receive support in making choices that will move them closer to their long-term goals. The evidence-based treatment skills presented in the accompanying Therapist Guide may be applied by the therapist to adolescents with a wide variety of emotional disorders. The UP-A takes a transdiagnostic approach to the treatment of the emotional disorders. Some of the disorders that may be targeted include anxiety disorders (e.g., generalized anxiety disorder, social anxiety disorder, separation anxiety disorder, specific phobias, panic disorder, illness anxiety disorder, agoraphobia) and depressive disorders (e.g., persistent depressive disorder, major depressive disorder). This treatment is flexible enough for use with some trauma and stress-related disorders (including adjustment disorders), somatic symptom disorders, tic disorders, and obsessive-compulsive disorders. The transdiagnostic presentation of evidence-based intervention techniques within these treatments may be particularly useful for adolescents presenting with multiple emotional disorders or mixed/subclinical symptoms of several emotional disorders.

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.

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.

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.

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