Aplicación individual del protocolo unificado en estudiantes universitarios de las Islas Baleares: un estudio piloto
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https://doi.org/10.5944/ap.19.2.37010Palabras clave:
protocolo unificado, transdiagnóstico, trastornos emocionales, estudiantes universitariosResumen
Pese a la demostrada efectividad del Protocolo Unificado (PU) para el tratamiento transdiagnóstico de los trastornos emocionales (TE), no existe ningún estudio que haya aplicado el PU para tratar TE en una muestra clínica de universitarios. El objetivo de este estudio ha sido determinar la utilidad clínica del PU en esta población. Se trata de un estudio piloto de resultado de tratamiento abierto sin grupo control, realizado en el servicio de atención psicológica de la Universidad de las Islas Baleares. El PU se aplicó cara a cara e individualmente a 17 participantes con diagnósticos de TE. Tras la intervención, únicamente dos participantes mantuvieron algún el diagnóstico. Menos un participante, en todos se produjo una reducción estadísticamente significativa de la sintomatología depresiva y ansiosa, con tamaños del efecto moderados-grandes (r de Cohen= 0.48 – 0.62). Estos resultados son esperanzadores y concuerdan con la evidencia previa. El PU podría ser una alternativa útil clínicamente para los servicios psicológicos universitarios.
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Arrigoni, F., Marchena-Consejero, E., & Navarro-Guzmán, J. (2021). Aplicación y evaluación de la eficacia del Protocolo Unificado transdiagnóstico con estudiantes universitarios españoles [Application and Evaluation of the Efficacy of the Unified Transdiagnostic Protocol with Spanish College Students]. Revista Costarricense de Psicología, 40(2), 149–169. https://doi.org/10.22544/rcps.v40i02.05
Auerbach, R., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D., Green, J., Murray, E., Nock, M., Pinder-amaker, S., Sampson, N., Stein, D., Vilagut, G., Zaslavsky, A., & Kessler, R. (2019). Student Project : Prevalence and Distribution of Mental Disorders. Journal of Abnormal Psychology, 127(7), 623–638. https://doi.org/10.1037/abn0000362
Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Murray Latin, H., Ellard, K., Bullis, J., Bentley, K., Boettcher, H. y Cassiello-Robbins, C. (2018). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (2ª ed.). Oxford University Press.
Barnett, P., Arundell, L. L., Saunders, R., Matthews, H., & Pilling, S. (2021). The Efficacy of Psychological Interventions for the Prevention and Treatment of Mental Health Disorders in University Students: A Systematic Review and Meta-analysis. Journal of Affective Disorders, 280, 381–406. https://doi.org/10.1016/j.jad.2020.10.060
Bayram, N., & Bilgel, N. (2008). The Prevalence and Socio-Demographic Correlations of Depression, Anxiety and Stress among a Group of University Students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667–672. https://doi.org/10.1007/s00127-008-0345-x
Bentley, K. H., Boettcher, H., Bullis, J. R., Carl, J. R., Conklin, L. R., Sauer-Zavala, S., Pierre-Louis, C., Farchione, T. J., & Barlow, D. H. (2018). Development of a Single-Session, Transdiagnostic Preventive Intervention for Young Adults at Risk for Emotional Disorders. Behavior Modification, 42(5), 781–805. https://doi.org/10.1177/0145445517734354
Brown, T. A. & Barlow, D. H. (2014). Anxiety and Related Disorders Interview Schedule for DSM-5 (ADIS-5), Adult & Lifetime Version, Client Interview Schedule. Oxford University Press.
Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and Lifetime Comorbidity of the DSM-IV Anxiety and Mood Disorders in a Large Clinical Sample. Journal of Abnormal Psychology, 110(4), 585–599. https://doi.org/10.1037//0021-843x.110.4.585
Bullis, J. R., Boettcher, H., Sauer-Zavala, S., Farchione, T. J., & Barlow, D. H. (2019). What is an Emotional Disorder? A Transdiagnostic Mechanistic Definition with Implications for Assessment, Treatment, and Prevention. Clinical Psychology: Science and Practice, 26(2), 1–19. https://doi.org/10.1111/cpsp.12278
Carlucci, L., Saggino, A., & Balsamo, M. (2021). On the Efficacy of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Systematic Review and Meta-analysis. Clinical Psychology Review, 87, Article 101999. https://doi.org/10.1016/j.cpr.2021.101999
Cassiello-Robbins, C., Southward, M. W., Tirpak, J. W., & Sauer-Zavala, S. (2020). A Systematic Review of Unified Protocol applications with Adult Populations: Facilitating Widespread Dissemination via Adaptability. Clinical Psychology Review, 78, Article 101852. https://doi.org/10.1016/j.cpr.2020.101852
Castro-Camacho, L., Díaz, M. M., & Barbosa, S. (2021). Effect of a Group Prevention Program Based on the Unified Protocol for College Students in Colombia: A Quasi-experimental Study. Journal of Behavioral and Cognitive Therapy, 32, 111–123. https://doi.org/10.1016/j.jbct.2021.04.001
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence.
Diez-Quevedo, C., Rangil, T., Sanchez-Planell, L., Kroenke, K., & Spitzer, R. L. (2001). Validation and Utility of the Patient Health Questionnaire in Diagnosing Mental Disorders in 1003 General Hospital Spanish Inpatients. Psychosomatic Medicine, 63(4), 679–686. https://doi.org/10.1097/00006842-200107000-00021
Echezarraga, A., Calvete, E., & Las Hayas, C. (2019). Validation of the Spanish version of the Work and Social Adjustment Scale in a Sample of Individuals With Bipolar Disorder. Journal of Psychosocial Nursing and Mental Health Services, 57(5), 44–51. https://doi.org/10.3928/02793695-20181128-02
García-Campayo, J., Zamorano, E., Ruiz, M. A., Pardo, A., Pérez-Páramo, M., López-Gómez, V., Freire, O., & Rejas, J. (2010). Cultural Adaptation into Spanish of the Generalized Anxiety Disorder-7 (GAD-7) Scale as a Screening Tool. Health and Quality of Life Outcomes, 8(8), 1–11. https://doi.org/10.1186/1477-7525-8-8
IBM Corp. Released. (2012). IBM SPSS Statistics for Windows (Version 21.0) [software computer]. IBM.
Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2001). The PHQ-9.pdf. Journal of General Internal Medicine, 16(9), 606–613. https://doi.org/10.1046/j.1525-1497.2001.016009606.x
Levis, B., Benedetti, A., & Thombs, B. D. (2019). Accuracy of Patient Health Questionnaire-9 (PHQ-9) for Screening to Detect Major Depression: Individual Participant data Meta-analysis. The BMJ, 365, Article l1476. https://doi.org/10.1136/bmj.l1476
Li, W., Zhao, Z., Chen, D., Peng, Y., & Lu, Z. (2022). Prevalence and Associated Factors of Depression and Anxiety Symptoms Among College Students: A Systematic Review and Meta-Analysis. The Journal of Child Psychology and Psychiatry, 63, 1222–1230. https://doi.org/10.1111/jcpp.13606
Martínez-Borba, V., Osma, J., Crespo-Delgado, E., Andreu-Pejo, L., & Monferrer-Serrano, A. (2022). Prevention of Emotional Disorders and Symptoms Under Health Conditions: A Pilot Study using the Unified Protocol in a Fertility Unit. Annals of Psychology/Anales de Psicología, 38, 25–35. https://doi.org/10.6018/analesps.462331
McGraw, K. O., & Wong, S. P. (1992). A Common Language Effect Size Statistic. Psychological Bulletin, 111(2), 361–365. https://doi.org/10.1037/0033-2909.111.2.361
Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender Differences in Suicidal Behavior in Adolescents and Young Adults: Systematic Review and Meta-analysis of Longitudinal Studies. International Journal of Public Health, 64(2), 265–283. https://doi.org/10.1007/s00038-018-1196-1
Mundt, J. C., Marks, I. M., Shear, M. K., & Greist, J. H. (2002). The Work and Social Adjustment Scale: A Simple Measure of Impairment in Functioning. British Journal of Psychiatry, 180, 461–464. https://doi.org/10.1192/bjp.180.5.461
Osma, J., Quilez-Orden, A., Ferreres-Galán, V., Meseguer, M. C., & Ariza, S. (2022). Feasibility and clinical usefulness of the Unified Protocol in women survivors of violence. Journal of Child and Family Studies. https://doi.org/10.1007/s10826-022-02226-z
Osma, J., Peris-Baquero, O., Suso-Ribera, C., Farchione, T.J., & Barlow, D. H. (2021). Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Group Format in Spain: Results from a Randomized Controlled Trial with 6-Months Follow-up. Psychotherapy Research, 16, 1–14. https://doi.org/10.1080/10503307.2021.1939190
Peris-Baquero, Ó., Moreno, J. D., & Osma, J. (2022). Long-term Cost-effectiveness of Group Unified Protocol in the Spanish Public Mental Health system. Current Psychology. https://doi.org/10.1007/s12144-022-03365-8
Sakiris, N., & Berle, D. (2019). A Systematic Review and Meta-analysis of the Unified Protocol as a Transdiagnostic Emotion Regulation based Intervention. Clinical Psychology Review, 72, Article 101751. https://doi.org/10.1016/j.cpr.2019.101751
Sauer-Zavala, S., Gutner, C. A., Farchione, T. J., Boettcher, H. T., Bullis, J. R., & Barlow, D. H. (2017). Current Definitions of “Transdiagnostic” in Treatment Development: A Search for Consensus. Behavior Therapy, 48(1), 128–138. https://doi.org/10.1016/j.beth.2016.09.004
Sauer-Zavala, S., Tirpak, J. W., Eustis, E. H., Woods, B. K., & Russell, K. (2021). Unified Protocol for the Transdiagnostic Prevention of Emotional Disorders: Evaluation of a Brief, Online Course for College Freshmen. Behavior Therapy, 52(1), 64–76. https://doi.org/10.1016/j.beth.2020.01.010
Spitzer, R.L., Kroenke, K, Williams, J.W., & Löwe, B. (2006). A Brief Measure for Assessing Generalized Anxiety Disorder: The GAD-7. Archives of Internal Medicine, 166(10), 1092–1097. https://doi.org/10.1001/archinte.166.10.1092
Tortella-Feliu, M., Baños, R. M., Barrantes, N., Botella, C., Fernáncez-Aranda, F., García-Campayo, J., García-Palacios, A., Hervás, G., Jiménez-Murcia, S., Montorio, I., Soler, J., Quero, S., Valiente, C., & Vázquez, C. (2016). Retos en la investigación psicolñogica en salud mental [The Challenge of Psychological Research on Mental Health]. Clínica y Salud, 27, 37–43. https://doi.org/10.1016/j.clysa.2016.02.001
Tortella-Feliu, M., Vázquez, C., Valiente, C., Quero, S., Soler, J., Montorio, I., Jiménez-Murcia, S., Hervás, G., García-Palacios, A., García-Campayo, J., Fernáncez-Aranda, F., Botella, C., Barrantes, N., & Baños, R. M. (2016). Retos en el desarrollo de intervenciones psicológicas y la práctica asistencial en salud [Challenges in the Development of Psychological Interventions and Care Practice in Mental Health]. Clínica y Salud, 27, 65–71. https://doi.org/10.1016/j.clysa.2016.03.002
World Health Organization. (2017). Depression and Other Common Mental disorders: Global health Estimates. Author.
Worsley, J., Pennington, A., & Corcoran, R. (2020). What Interventions Improve College and University Students’ Mental Health and Wellbeing? A Review of Review-Level Evidence. https://whatworkswellbeing.org/wp-content/uploads/2020/03/Student-mental-health-full-review.pdf
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