Universidad de Zaragoza, Instituto de Investigación Sanitaria de Aragón.
Psicothema. 2022 Feb;34(1):25-34. doi: 10.7334/psicothema2021.246.
The Unified Protocol (UP) for the transdiagnostic treatment of emotional disorders (EDs) has demonstrated its efficacy in improving dimensions shared by EDs, but there is insufficient evidence regarding the specific symptoms of each ED. The main objective of the study was to evaluate the efficacy of the UP applied in a group format compared with individual Treatment as Usual (TAU), in improving specific ED symptoms.
The study sample (n=243) was a subset of participants of a randomized controlled trial conducted in the Spanish public health system. Specific symptoms assessed from pre-treatment to the six-month follow-up were: depressive, agoraphobic, generalized anxiety, panic, and obsessive-compulsive symptoms. Personality dimensions and quality of life were also measured.
There were statistically significant changes after the UP in all the study variables (0.44 = d = 1.35). Changes in depressive symptoms, obsessive-compulsive disorder, and perceived quality of life were superior in the UP.
The results support the efficacy of group UP for improving both transdiagnostic dimensions and specific ED symptoms, as well as quality of life, through the public health-care system.
针对情绪障碍（ED）的跨诊断治疗的统一方案（UP）已证明其在改善 ED 共有的维度方面的有效性，但针对每种 ED 的具体症状，证据不足。该研究的主要目的是评估与个体常规治疗（TAU）相比，小组形式应用 UP 治疗在改善特定 ED 症状方面的疗效。
该研究的样本（n=243）是在西班牙公共卫生系统中进行的一项随机对照试验的参与者的一个子集。从治疗前到六个月随访期间评估的特定症状包括：抑郁、广场恐怖、广泛性焦虑、惊恐和强迫症状。还测量了人格维度和生活质量。
在 UP 治疗后，所有研究变量都发生了统计学上的显著变化（0.44=d=1.35）。在 UP 组中，抑郁症状、强迫症和感知到的生活质量的改善更为明显。
这些结果支持了通过公共卫生保健系统，小组形式的 UP 治疗在改善跨诊断维度和特定 ED 症状以及生活质量方面的有效性。
