Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115 Coimbra, Portugal.
Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115 Coimbra, Portugal.
Int J Environ Res Public Health. 2022 Feb 4;19(3):1782. doi: 10.3390/ijerph19031782.
The Unified Protocol for Children (UP-C) is a transdiagnostic Cognitive-Behavioral Therapy group intervention for children and caregivers targeting the treatment of children's emotional disorders (EDs). The present study aims to assess the feasibility and acceptability of the UP-C in the Portuguese population using a single-armed design. The participants were 32 children (6-12 years of age) with an ED (anxiety and/or depressive disorder) as a main diagnosis and their parents. All participants received the UP-C intervention and were assessed at pretreatment, midtreatment, posttreatment, and 3 months posttreatment. Children, parents, the clinicians, and an external observer completed questionnaires to assess the feasibility and acceptability of the UP-C (e.g., satisfaction, motivation, and adherence). Children and parents also completed self-report measures assessing the children's anxiety and depression and its interference and severity. The results of the present study support the feasibility and acceptability of the UP-C in Portugal; low dropout rates, high adherence rates, and high levels of child and parent satisfaction and motivation were observed. Moreover, significant reductions over time in children's levels of anxiety and/or depression and of its interference and severity were found and were maintained after 3 months of follow-up. These results are promising and warrant a subsequent randomized controlled trial (RCT).
《儿童统一治疗方案》（UP-C）是一种针对儿童情绪障碍（ED）的跨诊断认知行为疗法小组干预措施，适用于儿童和照顾者。本研究旨在采用单臂设计，评估 UP-C 在葡萄牙人群中的可行性和可接受性。参与者为 32 名患有 ED（焦虑症和/或抑郁症）的儿童（6-12 岁）及其父母。所有参与者均接受 UP-C 干预，并在治疗前、治疗中期、治疗后和治疗后 3 个月进行评估。儿童、父母、临床医生和外部观察员完成了问卷，以评估 UP-C 的可行性和可接受性（例如，满意度、动机和依从性）。儿童和父母还完成了自我报告量表，评估儿童的焦虑和抑郁及其干扰和严重程度。本研究结果支持 UP-C 在葡萄牙的可行性和可接受性；观察到低辍学率、高依从率以及儿童和父母的高满意度和高动机。此外，还发现儿童的焦虑和/或抑郁水平及其干扰和严重程度随时间显著降低，且在 3 个月的随访后仍保持。这些结果令人鼓舞，值得进行后续的随机对照试验（RCT）。
