المؤلفون: Barrio Martínez, Sara, Cano Vindel, Antonio Rafael, Priede, Amador, Medrano, Leonardo Adrián, Muñoz-Navarro, Roger, Moriana, Juan Antonio, Carpallo-González, María, Prieto Vila, Maider, Ruiz-Rodríguez, Paloma, González-Blanch, César

مصطلحات موضوعية: Moderator, Cognitive processes, Emotional symptoms, Performance, Psicología cognitiva, Psicología experimental, 61 Psicología

الوصف: 2023 Acuerdos transformativos CRUE ; Background: Despite the relevance of cognitive processes such as rumination, worry, negative metacognitive beliefs in emotional disorders, the existing literature about how these cognitive processes moderate the effect of treatment in treatment outcomes is limited. The aim of the present study was to explore the potential moderator effect of baseline cognitive processes—worry, rumination and negative metacognitive beliefs—on the relationship between treatment allocation (transdiagnostic cognitive-behavioural therapy —TD-CBT plus treatment as usual—TAU vs. TAU alone) and treatment outcomes (anxiety and depressive symptoms, quality of life [QoL], and functioning) in primary care patients with emotional disorders. Methods: A total of 631 participants completed scales to evaluate worry, rumination, negative metacognitive beliefs, QoL, functioning, and anxiety and depressive symptoms. Results: Worry and rumination acted as moderators on the effect of treatment for anxiety (b = 1.25, p =.003; b = 0.98, p =.048 respectively) and depressive symptoms (b = 1.21, p =.017; b = 1.34, p =.024 respectively). Individuals with higher baseline levels of worry and rumination obtained a greater reduction in emotional symptoms from the addition TD-CBT to TAU. Negative metacognitive beliefs were not a significant moderator of any treatment outcome. Limitations: The study assesses cognitive processes over a relatively short period of time and uses self-reported instruments. In addition, it only includes individuals with mild or moderate anxiety or depressive disorders, which limits generalization to other populations. Conclusions: These results underscore the generalization of the TD-CBT to individuals with emotional disorders in primary care with different cognitive profiles, especially those with high levels of worry and rumination. ; Instituto de Investigación Valdecilla ; Agencia Estatal de Investigación (España) ; Depto. de Psicología Experimental, Procesos Cognitivos y Logopedia ; Fac. de ...

وصف الملف: application/pdf

العلاقة: info:eu-repo/grantAgreement/AEI/Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/PID2019-107243RB-C21/ES/EVALUACION DE COSTE-EFECTIVIDAD DEL TRATAMIENTO PSICOLOGICO TRANSDIAGNOSTICO GRUPAL PARA LOS DESORDENES EMOCIONALES EN ATENCION PRIMARIA/; https://hdl.handle.net/20.500.14352/104165Test; Barrio-Martínez, S., Cano-Vindel, A., Priede, A., Medrano, L. A., Muñoz-Navarro, R., Moriana, J. A., Carpallo-González, M., Prieto-Vila, M., Ruiz-Rodríguez, P., & González-Blanch, C. (2023). Worry, rumination and negative metacognitive beliefs as moderators of outcomes of Transdiagnostic group cognitive-behavioural therapy in emotional disorders. Journal of Affective Disorders, 338, 349-357. https://doi.org/10.1016/j.jad.2023.06.032Test; https://doi.org/10.1016/j.jad.2023.06.032Test

الإتاحة: https://doi.org/20.500.14352/10416510.1016/j.jad.2023.06.032Test
https://hdl.handle.net/20.500.14352/104165Test

المؤلفون: Aquilera Martín, Ángel, Gálvez Lara, Mario, Cuadrado Hidalgo, Fátima, Moreno Osella, Eliana María, García Torres, Francisco, Venceslá Martínez, José Fernando, Corpas, Jorge, Jurado González, Francisco J., Muñoz Navarro, Roger, González Blanch, César, Ruiz Rodríguez, Paloma, Barrio Martínez, Sara, Prieto Vila, Maider, Carpallo González, María, Cano Vindel, Antonio, Moriana Elvira, Juan Antonio

مصطلحات موضوعية: Emocions, Ansietat, Atenció primària

الوصف: Background: Emotional disorders are common, and they have become more prevalent since the COVID‐19 pan‐ demic. Due to a high attendance burden at the specialized level, most emotional disorders in Spain are treated in primary care, where they are usually misdiagnosed and treated using psychotropic drugs. This contributes to perpetu‐ ate their illness and increase health care costs. Following the IAPT programme and the transdiagnostic approach, the PsicAP project developed a brief group transdiagnostic cognitive‐behavioural therapy (tCBT) as a cost‐effective alternative. However, it is not suitable for everyone; in some cases, one‐on‐one sessions may be more effective. The objective of the present study is to compare, in cost‐benefit terms, group and individual tCBT with the treatment usu‐ ally administered in Spanish primary care (TAU). Methods: A randomized, controlled, multicentre, and single‐blinded trial will be performed. Adults with mild to moderate emotional disorders will be recruited and placed in one of three arms: group tCBT, individual tCBT, or TAU. Medical data and outcomes regarding emotional symptoms, disability, quality of life, and emotion regulation biases will be collected at baseline, immediately after treatment, and 6 and 12 months later. The data will be used to calcu‐ late incremental cost‐effectiveness and cost‐utility ratios. Discussion: This trial aims to contribute to clinical practice research. The involvement of psychologists in primary care and the implementation of a stepped‐care model for mental disorders are recommended. Group therapy and a transdiagnostic approach may help optimize health system resources and unblock waiting lists so that people can spend less time experiencing mental health problems. Trial registration: ClinicalTrials.gov: NCT04847310; Protocols.io: bx2npqde. (April 19, 2021)

وصف الملف: application/pdf

العلاقة: Bmc Psychiatry, 2022, vol. 22, num. 99; Aquilera Martín, Ángel Gálvez Lara, Mario Cuadrado Hidalgo, Fátima Moreno Osella, Eliana María García Torres, Francisco Venceslá Martínez, José Fernando Corpas, Jorge Jurado González, Francisco J. Muñoz Navarro, Roger González Blanch, César Ruiz Rodríguez, Paloma Barrio Martínez, Sara Prieto Vila, Maider Carpallo González, María Cano Vindel, Antonio Moriana Elvira, Juan Antonio 2022 Cost‐effectiveness and cost‐utility evaluation of individual vs. group transdiagnostic psychological treatment for emotional disorders in primary care (PsicAP‐Costs): a multicentre randomized controlled trial protocol Bmc Psychiatry 22 99; https://hdl.handle.net/10550/88533Test; 160732

الإتاحة: https://doi.org/10.1186/s12888-022-03726-4Test
https://hdl.handle.net/10550/88533Test

المؤلفون: Barrio Martínez, Sara, González Blanch,César, Priede, Amador, Muñoz Navarro, Roger, Medrano, Leonardo A., Moriana Elvira, Juan Antonio, Carpallo González, María, Ventura, Ludovica, Ruiz Rodríguez, Paloma, Cano Vindel, Antonio

مصطلحات موضوعية: Emocions, Atenció primària, Ansietat, Teràpia de la conducta

الوصف: The aim of this study was to examine the potential moderating effect of baseline emotion regulation skills¿cognitive reappraisal and expressive suppression¿on the relation- ship between treatment allocation and treatment outcomes in primary care patients with emotional symptoms. A total of 631 participants completed scales to evaluate emotion regulation, anxiety, depression, functioning, and quality of life (QOL). The moderation analysis was carried out using the SPSS PROCESS macro, version 3.5. Expressive suppression was a significant moderator in the relationship between treatment allocation and treatment outcomes in terms of symptoms of anxiety (b = 0.530, p = .026), depression (b = 0.812, p = .004), and QOL (b = 0.156, p = .048). Cognitive reappraisal acted as a moderator only in terms of QOL (b = 0.217, p = .028). The findings of this study show that participants with higher scores of expres- sive suppression benefited more from the addition of trans- diagnostic cognitive-behavioral therapy to treatment as usual (TAU) in terms of anxiety and depressive symptoms, and QOL. Individuals with higher levels of cognitive reappraisal obtained a greater benefit in terms of QOL from the addition of psychological treatment to TAU. These results underscore the relevant role that emotion regulation skills play in the outcomes of psychological therapy for emotional symptoms.

وصف الملف: application/pdf

العلاقة: Behavior Therapy, 2022, vol. 53, num. 4, p. 628-641; Barrio Martínez, Sara González Blanch,César Priede, Amador Muñoz Navarro, Roger Medrano, Leonardo A. Moriana Elvira, Juan Antonio Carpallo González, María Ventura, Ludovica Ruiz Rodríguez, Paloma Cano Vindel, Antonio 2022 Emotion Regulation as a Moderator of Outcomes of Transdiagnostic Group Cognitive-Behavioral Therapy for Emotional Disorders Behavior Therapy 53 4 628 641; https://hdl.handle.net/10550/88543Test; 160731

الإتاحة: https://doi.org/10.1016/j.beth.2022.01.007Test
https://hdl.handle.net/10550/88543Test

المؤلفون: Fonseca Pedrero, Eduardo, Pérez Álvarez, Marino, Al-Halabí, Susana, Inchausti, Félix, Muñiz Fernández, José, Lopez Navarro, Emilio, Pérez de Albéniz Iturriaga, Alicia, Lucas Molina, Beatriz, Debbané, Martin, Bobes Bascarán, María Teresa, Gimeno Peón, Alberto, Prado Abril, Javier, Fernández Álvarez, Javier, Rodríguez Testal, Juan Francisco, González Pando, David, Díez Gómez del Casal, Adriana, García Montes, José Manuel, García Cerdán, Leticia, Osma López, Jorge Javier, Peris Baquero, Óscar, Quilez Orden, Alba, Suso Ribera, Carlos, Crespo Delgado, Elena, Salla Martínez, Marta, Montesano del Campo, Adrian, Paino Piñeiro, María de las Mercedes, Perona Garcelán, Salvador, Vallina Fernández, Óscar, Barraca Mairal, Jorge, González Blanch, César, Cano Vindel, Antonio, Ruiz Rodríguez, Paloma, Barrio Martínez, Sara, Priede, Amador, Vallejo Pareja, Miguel Ángel, Vallejo Slocker, Laura, Cruzado Rodríguez, Juan Antonio, Pastor Morales, Joaquín Manuel, García Dantas, Ana, Bellido Zanin, Gloria

المصدر: Fonseca Pedrero, Eduardo Pérez Álvarez, Marino Al-Halabí, Susana Inchausti, Félix Muñiz Fernández, José Lopez Navarro, Emilio Pérez de Albéniz Iturriaga, Alicia Lucas Molina, Beatriz Debbané, Martin Bobes Bascarán, María Teresa Gimeno Peón, Alberto Prado Abril, Javier Fernández Álvarez, Javier Rodríguez Testal, Juan Francisco González Pando, David Díez Gómez del Casal, Adriana García Montes, José Manuel García Cerdán, Leticia Osma López, Jorge Javier Peris Baquero, Óscar Quilez Orden, Alba Suso Ribera, Carlos Crespo Delgado, Elena Salla Martínez, Marta Montesano del Campo, Adrian Paino Piñeiro, María de las Mercedes Perona Garcelán, Salvador Vallina Fernández, Óscar Barraca Mairal, Jorge González Blanch, César ....

مصطلحات موضوعية: ansietat, salut mental

الوصف: Antecedentes: los tratamientos psicológicos han mostrado su efi cacia, efectividad y efi ciencia para el abordaje de los trastornos mentales; no obstante, considerando el conocimiento científi co generado en los últimos años, no se dispone de trabajos de actualización en español sobre cuáles son los tratamientos psicológicos con respaldo empírico. El objetivo fue realizar una revisión selectiva de los principales tratamientos psicológicos empíricamente apoyados para el abordaje de trastornos mentales en personas adultas. Método: se recogen niveles de evidencia y grados de recomendación en función de los criterios propuestos por el Sistema Nacional de Salud de España (en las Guías de Práctica Clínica) para diferentes trastornos psicológicos. Resultados: los resultados sugieren que los tratamientos psicológicos disponen de apoyo empírico para el abordaje de un amplio elenco de trastornos psicológicos. El grado de apoyo empírico oscila de bajo a alto en función del trastorno psicológico analizado. La revisión sugiere que ciertos campos de intervención necesitan una mayor investigación. Conclusiones: a partir de esta revisión selectiva, los profesionales de la psicología podrán disponer de información rigurosa y actualizada que les permita tomar decisiones informadas a la hora de implementar aquellos procedimientos psicoterapéuticos empíricamente fundamentado

وصف الملف: application/pdf

العلاقة: Psicothema, 2021, vol. 33, num. 2, p. 188-197; Psicothema 2021, Vol. 33, No. 2, 188-197 doi:10.7334/psicothema2020.426; https://hdl.handle.net/10550/91639Test; 145592

الإتاحة: https://doi.org/10.7334/psicothema2020.426Test
https://hdl.handle.net/10550/91639Test

المؤلفون: Soler Andrés, Marina, Díaz Pons, Alexandre, Ortíz-García de la Foz, Víctor, Murillo-García, Nancy, Barrio Martínez, Sara, Miguel-Corredera, Margarita, Yorca Ruiz, Angel, Magdaleno Herrero, Rebeca, Moya Higueras, Jorge, Setién-Suero, Esther, Ayesa, Rosa

مصطلحات موضوعية: Schizophrenia spectrum disorders, First episode psychosis, Family support, Family involvement, Sex differences

الوصف: Schizophrenia spectrum disorders (SSD) often show cognitive deficits (CD) impacting daily life. Family support has been shown to be protective against CD, yet the relationship between these in psychotic patients remains complex and not fully understood. This study investigated the association between a subdomain of family support, namely, family involvement (estimated through a proxy measure), cognitive functioning, and sex in first-episode psychosis (FEP) patients. The sample included 308 patients enrolled in the Program for Early Phases of Psychosis (PAFIP), divided into 4 groups based on their estimated family involvement (eFI) level and sex, and compared on various variables. Women presented lower rates of eFI than men (37.1% and 48.8%). Higher eFI was associated with better cognitive functioning, particularly in verbal memory. This association was stronger in women. The findings suggest that eFI may be an important factor in FEP patients' cognitive functioning. This highlights the importance of including families in treatment plans for psychotic patients to prevent CD. Further research is needed to better understand the complex interplay between family support, sex, and cognitive functioning in psychotic patients and develop effective interventions that target these factors. ; The PAFIP-FAMILIAS project received funding from the Carlos III Health Institute (FIS PI17/00221). Additionally, this work was supported by a Miguel Servet contract from the Carlos III Health Institute (R.A.-A.) (CP18/00003), Carlos III Health Institute predoctoral contract (A.Y.-R.) (FI21/00162), and Valdecilla Biomedical Research Institute and University of Cantabria predoctoral contracts (N.M.-G.) (PREVAL20/05) and (R.M.H.) (PREVAL22/23).

وصف الملف: application/pdf

العلاقة: Reproducció del document publicat a https://doi.org/10.3390/healthcare11131902Test; Healthcare, 2023, vol. 11, núm. 13, p. 1902; https://doi.org/10.3390/healthcare11131902Test; https://repositori.udl.cat/handle/10459.1/463697Test

الإتاحة: https://doi.org/10.3390/healthcare11131902Test
https://repositori.udl.cat/handle/10459.1/463697Test

المؤلفون: Cano-Vindel, Antonio, Ruiz-Rodríguez, Paloma, Muñoz-Navarro, Roger, Medrano, Leonardo A., Moriana, Juan Antonio, Moreno, Eliana M., Gálvez-Lara, Mario, Jurado-González , Francisco J., Aguilera-Martín, Ángel, Barrio-Martínez, Sara, Prieto-Vila , Maider, Carpallo-González, María, Moretti, Luciana S., García-Batista, Zoido E., Priede , Amador, González-Blanch, César

المصدر: Acción Psicológica; Vol. 19 No. 2 (2022): Unified Protocol: Monographic issue of the Journal Acción Psicológica; 81–96 ; Acción Psicológica; Vol. 19 Núm. 2 (2022): Monográfico: Protocolo Unificado; 81–96 ; 2255-1271 ; 1578-908X ; 10.5944/ap.19.2

مصطلحات موضوعية: Ansiedad, Depresión, Tratamiento transdiagnóstico, Técnicas cognitivo-conductuales, PsicAP, Anxiety, Depression, Transdiagnostic treatment, Cognitive-behavioral techniques

الوصف: Anxiety disorders and depression are highly prevalent today. The PsicAP clinical trial showed that adding 7 sessions of group cognitive-behavioural training with a transdiagnostic approach to the usual treatment of emotional disorders in adult primary care patients increased efficacy and cost-effectiveness in reducing symptom levels, reduced disability and improved quality of life. In this work, these 7 sessions of the PsicAP protocol of transdiagnostic treatment are described, aimed at intervening on the factors common to the different disorders: cognitive distortions and emotional regulation strategies. It is an intervention based on learning through psychoeducation, cognitive restructuring, relaxation, behavioural techniques and relapse prevention. It concludes by arguing about the usefulness of this protocol to reduce the gap between research and clinical practice, something necessary in today's society ; Los trastornos de ansiedad y la depresión son altamente prevalentes en la sociedad actual. El ensayo clínico PsicAP demostró que añadir 7 sesiones de entrenamiento cognitivo-conductual en grupo con enfoque transdiagnóstico al tratamiento habitual de trastornos emocionales en pacientes adultos de atención primaria aumentó la eficacia y coste-efectividad para reducir los niveles de síntomas, redujo la discapacidad y mejoró la calidad de vida. En este trabajo se describen esas 7 sesiones del protocolo PsicAP de tratamiento transdiagnóstico, dirigido a la intervención sobre los factores comunes a los distintos trastornos: las distorsiones cognitivas y las estrategias de regulación emocional. Se trata de una intervención basada en el aprendizaje mediante psicoeducación, reestructuración cognitiva, relajación, técnicas conductuales y prevención de recaídas. Se concluye argumentando sobre la utilidad de este protocolo para reducir la brecha entre investigación y práctica clínica, algo necesario en la sociedad actual

وصف الملف: application/pdf

العلاقة: https://revistas.uned.es/index.php/accionpsicologica/article/view/37005/27424Test; https://revistas.uned.es/index.php/accionpsicologica/article/view/37005Test

الإتاحة: https://doi.org/10.5944/ap.19.2.37005Test
https://doi.org/10.5944/ap.19.2Test
https://revistas.uned.es/index.php/accionpsicologica/article/view/37005Test

المؤلفون: Winter, David A., Barrio Martínez, Sara

المصدر: Revista de Psicoterapia; Vol. 34 No. 124 (2023): Suicides: A look from the sense; 151-164 ; Revista de Psicoterapia; Vol. 34 Núm. 124 (2023): Suicidios: Miradas desde el sentido; 151-164 ; 2339-7950 ; 1130-5142 ; 10.5944/rdp.v34i124

مصطلحات موضوعية: suicidio, autolexión, teoría de los constructos personales, psicoterapia, suicide, self-harm, personal construc theory, psychotherapy

الوصف: This paper considers the paradox of behaviour which is apparently self-destructive by drawing upon personal construct theory. A personal construct taxonomy of self-harm and suicide is presented, illustrated with quotes by people who have self-harmed. This theoretical perspective, and associated research findings, led to the development of a personal construct psychotherapeutic approach for people who self-harm, and the findings of a study evaluating this approach are reported. ; Este artículo analiza la paradoja del comportamiento aparentemente autodestructivo basándose en la teoría de los constructos personales. Se presenta una taxonomía de constructos personales sobre las autolesiones y el suicidio, ilustrada con citas de personas que se han autolesionado. Esta perspectiva teórica, junto con los resultados asociados de investigaciones previas, condujeron al desarrollo de un enfoque psicoterapéutico de los constructos personales para las personas que se autolesionan. Se presentan los resultados de un estudio que evalúa este enfoque.

وصف الملف: application/pdf

العلاقة: https://revistas.uned.es/index.php/rdp/article/view/37054/27325Test; https://revistas.uned.es/index.php/rdp/article/view/37054Test

الإتاحة: https://doi.org/10.5944/rdp.v34i124.37054Test
https://doi.org/10.5944/rdp.v34i124Test
https://revistas.uned.es/index.php/rdp/article/view/37054Test

المؤلفون: García-Haro, Juan, García-Pascual, Henar, Aranguren Rico, Paloma, Martínez Sallent, Mónica, Blanco de Tena-Dávila, Elena, Barrio-Martínez, Sara, Sánchez Pérez, Mónica T.

المصدر: Revista de Psicoterapia; Vol. 34 No. 124 (2023): Suicides: A look from the sense; 117-135 ; Revista de Psicoterapia; Vol. 34 Núm. 124 (2023): Suicidios: Miradas desde el sentido; 117-135 ; 2339-7950 ; 1130-5142 ; 10.5944/rdp.v34i124

مصطلحات موضوعية: suicidio, contextual, existencia, implicaciones, suicide, existence, implications

الوصف: There is a myriad of approaches to suicide. The biomedical model is the hegemonic approach in the scientific literature and the health field. This paper presents an alternative, an existential-contextual model of suicide. The paper is divided into two parts. The first part is dedicated to the existential dimension of suicide, i.e. the relationship of suicide with basic concerns, limit situations, and psychological worlds. The second part — dedicated to the contextual dimension of suicide — examines the contextual philosophy and problematic life contexts associated with suicide. The main conclusion reflects the need to meditate on the phenomenon of suicide (its nature and meaning) before designing an empirical research, initiating an aid plan or disseminating prevention strategies. ; Existe una pluralidad de enfoques sobre el suicidio. En la literatura científica y en el ámbito sanitario es hegemónico el modelo biomédico. En este trabajo se presenta un modelo alternativo, existencial-contextual, del suicidio. El artículo se divide en dos partes. En la primera parte, dedicada a la dimensión existencial del suicidio, se realiza una reflexión sobre la relación del suicidio con las preocupaciones básicas, las situaciones límite y los mundos psicológicos. En la segunda parte, dedicada a la dimensión contextual del suicidio, se expone la filosofía contextual y los contextos de vida problemáticos asociados al suicidio. Se concluye en la necesidad de meditar sobre el fenómeno del suicidio (su naturaleza y sentido) antes de diseñar una investigación empírica, iniciar un plan de ayuda o diseminar estrategias de prevención.

وصف الملف: application/pdf

العلاقة: https://revistas.uned.es/index.php/rdp/article/view/37052/27323Test; https://revistas.uned.es/index.php/rdp/article/view/37052Test

الإتاحة: https://doi.org/10.5944/rdp.v34i124.37052Test
https://doi.org/10.5944/rdp.v34i124Test
https://revistas.uned.es/index.php/rdp/article/view/37052Test

المؤلفون: González-Blanch, César, Barrio-Martínez, Sara, Priede, Amador, Martínez-Gómez, Sandra, Pérez-García-Abad, Saioa, Miras-Aguilar, María, Ruiz-Gutiérrez, José, Muñoz-Navarro, Roger, Ruiz-Rodríguez, Paloma, Medrano, Leonardo A., Prieto-Vila, Maider, Carpallo-González, María, Aguilera-Martín, Ángel, Gálvez-Lara, Mario, Cuadrado, Fátima, Moreno, Eliana, García-Torres, Francisco, Venceslá, José F., Corpas, Jorge, Jurado-González, Francisco J., Moriana, Juan A., Cano-Vindel, Antonio

المساهمون: Moreno-Peral, Patricia, Agencia Estatal de Investigación

المصدر: PLOS ONE ; volume 18, issue 3, page e0283104 ; ISSN 1932-6203

الوصف: Several randomised controlled trials (RCT) have demonstrated the superiority of transdiagnostic group cognitive-behavioural therapy (TD-CBT) to treatment as usual (TAU) for emotional disorders in primary care. To date, however, no RCTs have been conducted to compare TD-CBT to another active intervention in this setting. Our aim is to conduct a single-blind RCT to compare group TD-CBT plus TAU to progressive muscle relaxation (PMR) plus TAU in adults (age 18 to 65 years) with a suspected emotional disorder. We expect that TD-CBT + TAU will be more cost-effective than TAU + PMR, and that these gains will be maintained at the 12-month follow-up. Seven therapy sessions (1.5 hours each) will be offered over a 24-week period. The study will be carried out at four primary care centres in Cantabria, Spain. The study will take a societal perspective. Psychological assessments will be made at three time points: baseline, post-treatment, and at 12-months. The following variables will be evaluated: clinical symptoms (anxiety, depression, and/or somatic); functioning; quality of life (QoL); cognitive-emotional factors (rumination, worry, attentional and interpretative biases, emotion regulation and meta-cognitive beliefs); and satisfaction with treatment. Data on health service use, medications, and sick days will be obtained from electronic medical records. Primary outcome measures will include: incremental cost-effectiveness ratios (ICER) and incremental cost-utility ratios (ICURs). Secondary outcome measures will include: clinical symptoms, QoL, functioning, and treatment satisfaction. Bootstrap sampling will be used to assess uncertainty of the results. Secondary moderation and mediation analyses will be conducted. Two questionnaires will be administered at sessions 1, 4, and 7 to assess therapeutic alliance and group satisfaction. If this trial is successful, widespread application of this cost-effective treatment could greatly improve access to psychological treatment for emotional disorders in the context of ...

الإتاحة: https://doi.org/10.1371/journal.pone.0283104Test

المؤلفون: Barrio-Martínez, Sara^1,2 (AUTHOR) sbarrio@idival.org, Rodriguez-Perez, Noelia² (AUTHOR), Priede, Amador^2,3 (AUTHOR), Medrano, Leonardo Adrián⁴ (AUTHOR), Muñoz-Navarro, Roger⁵ (AUTHOR), Moriana, Juan Antonio^6,7 (AUTHOR), Carpallo-González, María⁵ (AUTHOR), Prieto-Vila, Maider¹ (AUTHOR), Ruiz-Rodríguez, Paloma⁸ (AUTHOR), Cano-Vindel, Antonio¹ (AUTHOR), González-Blanch, César^9,10 (AUTHOR)

المصدر: PLoS ONE. 5/7/2024, Vol. 19 Issue 5, p1-13. 13p.

مصطلحات موضوعية: *CLUSTER analysis (Statistics), *LOGISTIC regression analysis, *MENTAL depression, *QUALITY of life, *TREATMENT effectiveness

مستخلص: Introduction: The aim of this study was to use cluster analysis based on the trajectory of five cognitive-emotional processes (worry, rumination, metacognition, cognitive reappraisal and expressive suppression) over time to explore differences in clinical and performance variables in primary care patients with emotional symptoms. Methods: We compared the effect of adding transdiagnostic cognitive-behavioural therapy (TD-CBT) to treatment as usual (TAU) according to cluster membership and sought to determine the variables that predicted cluster membership. 732 participants completed scales about cognitive-emotional processes, anxiety and depressive symptoms, functioning, and quality of life (QoL) at baseline, posttreatment, and at 12 months. Longitudinal cluster analysis and logistic regression analyses were carried out. Results: A two-cluster solution was chosen as the best fit, named as "less" or "more" improvement in cognitive-emotional processes. Individuals who achieved more improvement in cognitive-emotional processes showed lower emotional symptoms and better QoL and functioning at all three time points. TAU+TD-CBT, income level, QoL and anxiety symptoms were significant predictors of cluster membership. Conclusions: These results underscore the value of adding TD-CBT to reduce maladaptive cognitive-emotional regulation strategies. These findings highlight the importance of the processes of change in therapy and demonstrate the relevance of the patient's cognitive-emotional profile in improving treatment outcomes. [ABSTRACT FROM AUTHOR]