Peris-Baquero Ó, Moreno-Pérez J D, Navarro-Haro M V, Díaz-García A, Osma J
Universidad de Zaragoza, Teruel, Spain; Instituto de Investigación Sanitaria de Aragón, Zaragoza, Spain.
Universidad Autónoma de Madrid, Madrid, Spain.
J Affect Disord. 2023 Jun 15;331:313-321. doi: 10.1016/j.jad.2023.03.079. Epub 2023 Mar 26.
The personality dimension neuroticism and difficulties in emotional regulation (ER) are two variables closely related to the onset, course, and maintenance of emotional disorders (EDs). The Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) is a treatment specifically designed to address neuroticism by training in adaptive ER skills and has been shown to be effective in reducing difficulties in ER. However, the specific impact of these variables on treatment outcomes is not entirely clear. The aim of the present study was to explore the moderating role of neuroticism and difficulties in ER regarding the evolution of depressive and anxiety symptoms and quality of life.
This secondary study included 140 participants diagnosed with EDs, who received the UP in group format as part of an RCT being conducted in different Spanish Public Mental Health Units.
The results of this study found that high scores in neuroticism and difficulties in ER were associated with greater severity of depression and anxiety symptomatology, and with poorer quality of life. In addition, difficulties in ER moderated the efficacy of UP regarding anxiety symptoms, and quality of life. No moderating effects were found for depression (p > 0.5).
We only evaluated two moderators that may influence UP effectivenes; other key moderators should be analyzed in future.
The identification of specific moderators affecting transdiagnostic interventions outcomes will allow the development of personalized interventions and provide useful information to improve the psychopathology and well-being of people with EDs.
人格维度神经质和情绪调节困难是与情绪障碍的发作、病程和维持密切相关的两个变量。情绪障碍跨诊断治疗统一方案（UP）是一种专门通过适应性情绪调节技能训练来解决神经质问题的治疗方法，已被证明在减少情绪调节困难方面有效。然而，这些变量对治疗结果的具体影响尚不完全清楚。本研究的目的是探讨神经质和情绪调节困难在抑郁和焦虑症状演变及生活质量方面的调节作用。
这项二次研究纳入了140名被诊断为情绪障碍的参与者，他们以小组形式接受UP治疗，这是在西班牙不同公共心理健康单位进行的一项随机对照试验的一部分。
本研究结果发现，神经质得分高和情绪调节困难与抑郁和焦虑症状的更严重程度以及较差的生活质量相关。此外，情绪调节困难调节了UP对焦虑症状和生活质量的疗效。未发现对抑郁有调节作用（p>0.5）。
我们仅评估了两个可能影响UP有效性的调节因素；未来应分析其他关键调节因素。
确定影响跨诊断干预结果的特定调节因素将有助于制定个性化干预措施，并为改善情绪障碍患者的精神病理学和幸福感提供有用信息。
