Randomized controlled trial for selective preventive transdiagnostic intervention for adolescents at risk for emotional disorders

Child and Adolescent Psychiatry and Mental Health

Research

Jose A. Piqueras¹  Maria Rivera¹  Josefa Canals-Sans²  Paula Morales-Hidalgo³  Maria del Mar Diaz-Castela⁴  Lourdes Espinosa-Fernandez⁴  Jose-Antonio Muela-Martinez⁴  Manuel Vivas-Fernandez⁴  David Jimenez-Vazquez⁴  Luis-Joaquin Garcia-Lopez⁵  Jill Ehrenreich-May⁶ 

[1] Miguel Hernandez University, Elche, Spain;Universitat Rovira I Virgili, Tortosa, Spain;Universitat Rovira I Virgili, Tortosa, Spain;Universitat Oberta de Catalunya, Barcelona, Spain;University of Jaen, Jaen, Spain;University of Jaen, Jaen, Spain;Division of Clinical Psychology, Department of Psychology, University of Jaen, Campus de las Lagunillas s/n, C-5., Jaen, Spain;University of Miami, Miami, USA;

关键词: Adolescence;    Anxiety;    Depression;    Randomized control trial;    Selective prevention;    Transdiagnostic;   

DOI  :  10.1186/s13034-023-00616-9

 received in 2023-03-13, accepted in 2023-05-15,  发布年份 2023

来源: Springer

【 摘 要 】

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, 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, 208 adolescents (48.5% girls) evidencing high risk and low protective factors were randomized and allocated to PROCARE, PROCARE + or ACC. Data from 153 adolescents who completed all assessments in the different phases of the study were analyzed. 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 + in the short and long term. Interventions were acceptable in terms of acceptability, with good satisfaction rates. Tailored targeted selective transdiagnostic interventions focused on mitigating risk factors and promoting protective factors in vulnerable adolescents are promising.

【 授权许可】

CC BY   
© The Author(s) 2023