Peris-Baquero Óscar, Fadrique-Jiménez Alba, Prieto-Rollan Iván, Camacho-Guerrero Laura, Martínez-Lluesma Selene, Osma Jorge
Department of Psychology and Sociology, Faculty of Social and Human Sciences, University of Zaragoza, Teruel, Spain.
Health Research Institute of Aragon (IIS Aragon), Biomedic Research Center of Aragon (CIBA), Zaragoza, Spain.
J Clin Psychol. 2025 Nov;81(11):1103-1117. doi: 10.1002/jclp.70016. Epub 2025 Jul 16.
In recent years, there has been a growing interest in integrating psychological treatments in primary care (PC) for individuals with emotional disorders (EDs), as an alternative to the pharmacological treatments typically offered. Transdiagnostic interventions, such as the Unified Protocol for the Treatment of EDs (UP), in brief group format, have emerged as a viable option for treating EDs in PC services. The aim of the present study was to compare the preliminary clinical utility and feasibility (adherence, quality, usefulness, satisfaction of the intervention, among others) of the UP applied in two group formats of 5 and 8 sessions in a PC setting.
The sample consisted of 43 individuals (72.1% women) with a mean age of 40.7 years (SD = 10.77) treated in PC of the Spanish public health system who had a diagnosis of EDss and who were randomized to two treatment conditions: the 8-session (n = 28) or the 5-session (n = 15) UP group. The variables assessed pre- and posttreatment and at 1-, 3- and 6-month follow-up were anxiety, depression, transdiagnostic emotional regulation dimensions, interference and quality of life.
Over time, statistically significant changes were observed in all variables assessed in both conditions (except for positive temperament and social anxiety). No statistically significant differences were found between the two study conditions (except for traumatic re-experiencing, with higher scores found in the 5-session group), neither in adherence, quality, usefulness, satisfaction, or other feasibility variables, showing high scores in all of them.
The UP in a brief and group format, whether via 5 or 8 group sessions, could be clinically useful and a feasible proposal for addressing EDs in Spanish PC settings.
NCT06547450.
近年来，将心理治疗整合到基层医疗（PC）中以治疗情绪障碍（EDs）患者的做法越来越受到关注，这是对通常提供的药物治疗的一种替代。以简短小组形式进行的跨诊断干预，如情绪障碍治疗统一方案（UP），已成为在基层医疗服务中治疗情绪障碍的一种可行选择。本研究的目的是比较在基层医疗环境中以5节和8节两种小组形式应用UP的初步临床效用和可行性（依从性、质量、有用性、干预满意度等）。
样本包括43名个体（72.1%为女性），平均年龄40.7岁（标准差=10.77），他们在西班牙公共卫生系统的基层医疗中接受治疗，被诊断为情绪障碍，并被随机分配到两种治疗条件下：8节小组治疗组（n=28）或5节小组治疗组（n=15）。在治疗前、治疗后以及1个月、3个月和6个月随访时评估的变量包括焦虑、抑郁、跨诊断情绪调节维度、干扰和生活质量。
随着时间的推移，在两种治疗条件下评估的所有变量（除了积极气质和社交焦虑）都观察到了具有统计学意义的变化。在两种研究条件之间未发现统计学上的显著差异（除了创伤性再体验，5节小组治疗组得分更高），在依从性、质量、有用性、满意度或其他可行性变量方面也未发现差异，所有这些方面的得分都很高。
简短的小组形式的UP，无论是通过5节还是8节小组治疗，在临床上可能是有用的，并且是在西班牙基层医疗环境中解决情绪障碍的可行方案。
NCT06547450
