Author, as appears in the article.: Vivas-Fernandez, M; Garcia-Lopez, LJ; Piqueras, JA; Muela-Martinez, JA; Canals-Sans, J; Espinosa-Fernandez, L; Jimenez-Vazquez, D; Diaz-Castela, MD; Morales-Hidalgo, P; Rivera, M; Ehrenreich-May, J
Department: Psicologia
URV's Author/s: Canals Sans, Josefa / Morales Hidalgo, Paula
Keywords: Transdiagnostic Selective prevention Randomized control trial Difficulties questionnaire sdq Depression Anxiety Adolescence young-people unified protocol transdiagnostic substance use disorders selective prevention randomized control trial psychiatric-disorders mental-disorders global burden depression connor-davidson resilience anxiety disorders anxiety
Abstract: Significant evidence does exist on the effectiveness of transdiagnostic interventions to improve emotional problems in clinical populations, and their application as universal and indicated prevention programs. However, no randomized controlled trials (RCT) studying selective transdiagnostic prevention intervention have been published. This is the first known RCT to evaluate the efficacy/effectiveness of an evidence-based selective prevention transdiagnostic program for emotional problems in adolescents. The impact of three different interventions was evaluated: (1) PROCARE (Preventive transdiagnostic intervention for Adolescents at Risk for Emotional disorders), which is a group-based, online-delivered, abbreviated version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), along with adding a booster session, to reduce risk of onset of anxiety and depression, (2) PROCARE + , which includes the PROCARE protocol along with personalized add-on modules tailored to match adolescents' risk factors, and (3) an active control condition (ACC) based on emotional psychoeducation. In total, 286 adolescents (53.3% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE + or ACC. Self- and parent-reported measures were taken at baseline, as well as after the intervention, a 6-month follow-up was carried out, together with a 1-month follow-up after the booster session. Differences between conditions were significant on most of the outcome measures, with superior effect sizes for PROCARE +. Interventions were excellent in terms of acceptability, with good satisfaction rates. Tailored selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising.© 2023. The Author(s).
Thematic Areas: Saúde coletiva Psychiatry and mental health Psychiatry Pediatrics, perinatology and child health Pediatrics Medicina ii Ciencias sociales
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: paula.morales@urv.cat josefa.canals@urv.cat
Author identifier: 0000-0002-6209-9558
Record's date: 2024-08-03
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Child And Adolescent Psychiatry And Mental Health. 17 (1): 7-7
APA: Vivas-Fernandez, M; Garcia-Lopez, LJ; Piqueras, JA; Muela-Martinez, JA; Canals-Sans, J; Espinosa-Fernandez, L; Jimenez-Vazquez, D; Diaz-Castela, MD; M (2023). Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders. Child And Adolescent Psychiatry And Mental Health, 17(1), 7-7. DOI: 10.1186/s13034-022-00550-2
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV