Department of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Republicii St., No. 37, 400015, Cluj-Napoca, Romania.
The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Republicii St., No. 37, 400015, Cluj-Napoca, Romania.
BMC Psychiatry. 2018 Apr 13;18(1):101. doi: 10.1186/s12888-018-1684-0.
Internalizing problems are the most prevalent mental health problems in adolescents. Transdiagnostic programs are promising manners to treat multiple problems within the same protocol, however, there is limited research regarding the efficacy of such programs delivered as universal prevention programs in school settings. Therefore, the present study aims to investigate the efficacy of a video-based transdiagnostic rational emotive behavioral therapy (REBT) universal prevention program, for internalizing problems. The second objective of the present paper will be to investigate the subsequent mechanisms of change, namely maladaptive cognitions.
A two-arm parallel randomized controlled trial will be conducted, with two groups: a video-based transdiagnostic REBT universal prevention program and a wait list control. Power analysis indicated that the study will involve 338 participants. Adolescents with ages between 12 and 17 years old, from several middle schools and high schools, will be invited to participate. Assessments will be conducted at four time points: baseline (T), post-intervention (T), 3 months follow-up (T) and 12 months follow-up (T). Intent-to-treat analysis will be used in order to investigate significant differences between the two groups in both primary and secondary outcomes.
This is the first randomized controlled trial that aims to investigate the efficacy and mechanisms of change of a video-based transdiagnostic REBT universal prevention program, delivered in a school context. The present study has important implications for developing efficient prevention programs, interactive, that will aim to target within the same protocol both anxiety and depressive symptoms.
ClinicalTrials.gov: NCT02756507 . Registered on 25 April 2016.
内化问题是青少年最常见的心理健康问题。跨诊断方案是治疗同一方案中多种问题的一种很有前途的方法，然而，在学校环境中作为普遍预防方案实施此类方案的效果的研究有限。因此，本研究旨在调查基于视频的跨诊断理性情绪行为疗法（REBT）普遍预防方案对内化问题的疗效。本文的第二个目的是研究随后的变化机制，即适应不良认知。
将进行一项基于视频的跨诊断 REBT 普遍预防方案与等待名单对照的双臂平行随机对照试验。功效分析表明，该研究将涉及 338 名参与者。将邀请年龄在 12 至 17 岁之间的青少年来自几所中学和高中参加。评估将在四个时间点进行：基线（T）、干预后（T）、3 个月随访（T）和 12 个月随访（T）。意向治疗分析将用于调查两组在主要和次要结局方面的显著差异。
这是第一项旨在调查基于视频的跨诊断 REBT 普遍预防方案在学校环境中的疗效和变化机制的随机对照试验。本研究对开发有效的预防方案具有重要意义，这些方案将以交互的方式针对同一方案中的焦虑和抑郁症状。
ClinicalTrials.gov：NCT02756507。于 2016 年 4 月 25 日注册。
