Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), 28040, Madrid, Spain.
Facultad de Psicología, Universidad Nacional de Educación a Distancia (UNED), 28040, Madrid, Spain.
Behav Res Ther. 2024 Aug;179:104560. doi: 10.1016/j.brat.2024.104560. Epub 2024 May 7.
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) is a well-established transdiagnostic cognitive-behavioral therapy (T-CBT) intervention. The aim of the present study was to examine the efficacy of the program Learn to Manage your Emotions [Aprende a Manejar tus Emociones] (AMtE), a self-applied transdiagnostic internet-delivered program based on the Spanish version of the UP-A. This is the first transdiagnostic internet-based program designed for the treatment of emotional disorders in adolescents.
A sample of Spanish adolescents with a primary diagnosis of an anxiety and/or depressive disorder (n = 58; age range = 12-18 years; 78.3% girls; 90% Caucasian) were randomly allocated to receive AMtE (n = 28) or the UP-A via videocall (n = 30). Pre-treatment, post-treatment and 3-month follow-up data were collected using self-reports and clinician-rated measures of anxiety, depression, positive and negative affect, anxiety sensitivity and emotional avoidance.
Based on generalized estimating equations (GEE) models, both intervention programs were effective in significantly reducing self-reported anxiety and depressive disorder symptoms and clinician-rated severity of anxiety and depression, as well as self-reported transdiagnostic outcome variables.
Data provide empirical support for the efficacy of AMtE as a transdiagnostic online CBT treatment for anxiety and depressive disorders in adolescents. No marked nor consistent differences were observed between the UP-A and AMtE, highlighting the potential usefulness of the online self-administered AMtE program.
统一情绪障碍跨诊断治疗方案在青少年中的应用（UP-A）是一种成熟的跨诊断认知行为疗法（T-CBT）干预措施。本研究旨在检验基于 UP-A 的西班牙语版本开发的自我应用的跨诊断互联网干预程序 Learn to Manage your Emotions [Aprende a Manejar tus Emociones]（AMtE）的疗效。这是第一个专为青少年情绪障碍设计的基于互联网的跨诊断程序。
纳入了西班牙的一组患有原发性焦虑和/或抑郁障碍的青少年（n=58；年龄范围为 12-18 岁；78.3%为女孩；90%为白种人），他们被随机分配接受 AMtE（n=28）或通过视频通话接受 UP-A（n=30）。使用自我报告和临床医生评定的焦虑、抑郁、正性和负性情绪、焦虑敏感性和情绪回避量表，在治疗前、治疗后和 3 个月随访时收集数据。
基于广义估计方程（GEE）模型，两种干预方案均能显著降低自我报告的焦虑和抑郁障碍症状以及临床医生评定的焦虑和抑郁严重程度，以及自我报告的跨诊断结果变量。
数据为 AMtE 作为一种跨诊断在线认知行为疗法治疗青少年焦虑和抑郁障碍的疗效提供了实证支持。UP-A 和 AMtE 之间没有观察到明显或一致的差异，突出了在线自我管理的 AMtE 程序的潜在有用性。
