Zemestani Mehdi, Davoudi Fatemeh, Farhadi Ali, Gallagher Matthew W
Department of Psychology, University of Kurdistan, Sanandaj, Iran.
Department of Social Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran.
Anxiety Stress Coping. 2022 Nov;35(6):701-718. doi: 10.1080/10615806.2021.1990269. Epub 2021 Oct 10.
The majority of patients suffering from anxiety disorders in low- and middle-income countries do not receive evidence-based treatments. The Unified Protocol (UP) for the Transdiagnostic Treatment of Emotional Disorders is an evidence-based cognitive-behavioral intervention designed to treat the range of emotional disorders.
Using a single-case experimental design five patients with panic disorder were assigned to a 3-week baselines assessment phase followed by eight sessions of UP treatment and 4-week follow-up phases. Multiple outcome measures of panic severity, anxiety sensitivity, affectivity, and overall anxiety severity and impairment were administered weekly during the baseline, intervention, and follow-up phases.
At post treatment, all participants showed significant reductions in outcome measures, with changes functionally related to treatment and most improvements maintained at 4-week follow-up.
Findings provide preliminary cross-cultural support for UP and add to the growing body of literature showing UP can be useful for patients with anxiety disorders in low- and middle-income countries with non-Western cultures.
在低收入和中等收入国家，大多数焦虑症患者未接受循证治疗。情绪障碍跨诊断治疗的统一方案（UP）是一种循证认知行为干预措施，旨在治疗各种情绪障碍。
采用单病例实验设计，五名惊恐障碍患者被分配到为期3周的基线评估阶段，随后进行八次UP治疗和4周的随访阶段。在基线、干预和随访阶段，每周对惊恐严重程度、焦虑敏感性、情感性以及总体焦虑严重程度和损害进行多项结果测量。
治疗后，所有参与者的结果测量指标均显著降低，变化与治疗功能相关，且大多数改善在4周随访时得以维持。
研究结果为UP提供了初步的跨文化支持，并进一步丰富了越来越多的文献，表明UP对非西方文化的低收入和中等收入国家的焦虑症患者可能有用。
