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葡萄牙跨诊断情绪障碍统一治疗方案(UP-C):可行性研究结果。

The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) in Portugal: Feasibility Study Results.

机构信息

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.

出版信息

Int J Environ Res Public Health. 2022 Feb 4;19(3):1782. doi: 10.3390/ijerph19031782.

Abstract

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).

摘要

《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)。

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