El Protocolo Unificado para el Tratamiento Transdiagnóstico de los Trastornos Emocionales en Niños (UP-C): Estudio de Caso
DOI:
https://doi.org/10.5944/ap.19.2.37011Palabras clave:
protocolo unificado, tratamiento transdiagnóstico, niños, trastornos emocionales, caso de estudioResumen
El objetivo de este estudio fue proporcionar evidencia preliminar, de tipo cualitativo y cuantitativo, sobre la utilidad clínica del UP-A aplicado de forma telemática (tUP-A). Tres adolescentes diagnosticados de trastornos emocionales recibieron el tUP-A a través de sesiones semanales individuales por videollamada. Se examinaron los cambios en diversas variables cuantitativas y cualitativas actuando como informantes los adolescentes, los padres y los propios terapeutas. Los resultados basados en los momentos pre-/post-tratamiento y seguimiento (a los tres y seis meses) muestran una importante reducción de la sintomatología ansioso-depresiva en los tres adolescentes de acuerdo con las diferentes fuentes de información. Se discuten las implicaciones de administrar telemáticamente el UP-A para mejorar el acceso a la terapia de los trastornos emocionales basada en la evidencia en población adolescente
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Achenbach, T. M., Howell, C. T., McConaughy, S. H., & Stanger, C. (1995). Six- year Predictors of Problems in a National Sample of Children and Youth: I. Cross-informant Syndromes. Journal of the American Academy of Child & Adolescent Psychiatry, 34(3), 336–347. https://doi.org/10.1097/00004583-199503000-00020
Addis, M. E., Wade, W. A., & Hatgis, C. (1999). Barriers to Dissemination of Evidence-based practices: Addressing Practitioners' Concerns about manual-based Psychotherapies. Clinical Psychology Science and Practice, 6, 430–441. https://doi.org/10.1093/clipsy.6.4.430
Barlow, D. H. (Ed.). (2008). Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual (4th ed.). Guilford Press.
Barlow, D., Allen, L., & Choate, M. (2004). Toward a Unified Treatment for Emotional Disorders. Behavior Therapy, 35, 205–230. https://doi.org/10.1016/j.beth.2016.11.005
Barlow, D. H., Boisseau, C. L., Ellard, K. K., Fairholme, C. P., & Farchione, T. J. (2008). Unified Protocol for the Treatment of Emotional Disorders. Oxford University Press.
Barlow, D. H. & Craske, M. G. (1989). Behavioral Treatment of Panic Disorder. Behavior Therapy, 20, 261–282. https://doi.org/10.1016/S0005-7894(89)80073-5
Barlow, D. H., Farchione, T.J., Bullis, J.R., Gallagher, M. W., Murray-Latin, H., Sauer-Zavala, S.; Bentley, K. H., Thompson-Hollands, J., Conklin, L. R., Boswell, J. F, Ametaj, A., Carl, J. R., Boettcher, H. T., & Cassiello-Robbins, C. (2017). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Compared with Diagnosis-Specific Protocols for Anxiety Disorders: A Randomized Clinical Trial. JAMA Psychiatry, 74, 875–884. https://doi.org/10.1001/jamapsychiatry.2017.2164
Bittner, A., Egger, H. L., Erkanli, A., Jane Costello, E., Foley, D. L., & Angold, A. (2007). What do Childhood Anxiety Disorders Predict? Journal of Child Psychology and Psychiatry, 48(12), 1174–1183. https://doi.org/10.1111/j.1469-7610.2007.01812.x
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, 585–599. https://doi.org/10.1037//0021-843x.110.4.585
Caiado B., Gois, A. Pereira, B., Canavarro, M. C., & Moreira H. (2022). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) in Portugal: Feasibility Study Results. International Journal of Environmental Research and Public Health, 19(3), Article 1782. https://doi.org/10.3390/ijerph19031782
Chorpita, B. F., Yim, L., Moffitt, C., Umemoto, L. A., & Francis, S. E. (2000). Assessment of Symptoms of DSM-IV Anxiety and Depression in Children: A revised Child Anxiety and Depression Scale. Behaviour Research and Therapy, 38(8), 835-855. https://doi.org/10.1016/S0005-7967(99)00130-8
Copeland, W., Angold, A., Shanahan, L., & Costello, E. J. (2014). Longitudinal Patterns of Anxiety from Childhood to Adulthood: The Great Smoky Mountains Study. Journal of the American Academy of Child & Adolescent Psychiatry, 53(1), 21–33. https://doi.org/10.1016/j.jaac.2013.09.017
Craske, M. G., Farchione, T. J., Allen, L. B., Barrios, V., Stoyanova, M., & Rose, R. (2007). Cognitive Behavioral Therapy for Panic Disorder and Comorbidity: More of the Same or Less of More? Behaviour Research and Therapy, 45, 1095–1109. https://doi.org/10.1016/j.brat.2006.09.006
Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., & Barlow, D. H. (2018). Unified Protocols for the Transdiagnostic Treatment of Emotional Disorders in Children: Workbook. University Press.
Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S. M., & Barlow, D. H. (2018). Unified Protocols for the Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents: Therapist guide. Oxford University Press.
Ehrenreich-May, J., Rosenfield, D., Queen, A. H., Kennedy, S. M., Remmes, C. S., & Barlow, D. H. (2017). An Initial Waitlist-Controlled Trial of the Unified Protocol for the Treatment of Emotional Disorders in Adolescents. Journal of Anxiety Disorders, 46, 46–55. https://doi.org/10.1016/j.janxdis.2016.10.006
Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T., & Barlow, D. H. (2010). Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data. Cognitive and Behavioral Practice, 17(1), 88–101. https://doi.org/10.1016/j.cbpra.2009.06.002
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson- Hollands, J., Carl, J. R., Gallagher, M. W., & Barlow, D. H. (2012). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A randomized Controlled Trial. Behavior Therapy, 43(3), 666–678. https://doi.org/10.1016/j.beth.2012.01.001
Guy, W. C. G. (1976). Clinical Global Impression, ECDEU Assessment Manual for Psychopharmacology (pp. 217–222). National Institute of Mental Health.
Kennedy, S. M., Bilek, E. L., & Ehrenreich-May, J. (2019). A Randomized Controlled Pilot Trial of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children. Behavior modification, 43, 330–360. https://doi.org/10.1177/0145445517753940
Kennedy, S. M., Tonarely, N. A., Sherman, J. A., & Ehrenreich-May, J. (2018). Predictors of Treatment Outcome for the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C). Journal of Anxiety Disorders, 57, 66-75. https://doi.org/10.1016/j.janxdis.2018.05.004
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age- of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 593–602. https://doi.org/10.1001/archpsyc.62.6.593
Lundkvist-Houndoumadi, I. & Thastum, M. (2017). Anxious Children and Adolescents Non-Responding to CBT: Clinical Predictors and Families’ Experiences of Therapy. Journal of Clinical Psychology and Psychotherapy, 24, 82–93. https://doi.org/10.1002/cpp.1982
Lyneham, H. J., Sburlati, E. S., Abbott, M. J., Rapee, R. M., Hudson, J. L., Tolin, D. F., & Carlson, S. E. (2013). Psychometric properties of the Child Anxiety Life Interference Scale (CALIS). Journal of Anxiety Disorders, 27(7), 711–719. https://doi.org/10.1016/j.janxdis.2013.09.008
Marques, T., Pereira, A. I., Pedro, M., Russo, V., Goes, A. R., & Barros, L. (2015). Preliminary Analysis of the Portuguese version of the Child Anxiety Life Interference Scale. Psicologia: Reflexão e Crítica, 28(3), 454–462. https://doi.org/10.1590/1678-7153.201528304
Pine, D. S., Cohen, P., Gurley, D., Brook, J., & Ma, Y. (1998). The Risk for Early- Adulthood Anxiety and Depressive Disorders in Adolescents with Anxiety and Depressive Disorders. Archives of General Psychiatry, 55(1), 56–64. https://doi.org/10.1001/archpsyc.55.1.56
Rijo, D., Brazão, N., Barroso, R., Ribeiro da Silva, D., Vagos, P., Vieira, A., Lavado, A., & Macedo, A. (2016). Mental Health Problems in Male Young Offenders in Custodial versus Community Based-Programs: Implications for juvenile justice interventions. Child and Adolescent Psychiatry and Mental Health, 10, Article 40. https://doi.org/10.1186/s13034-016-0131-6
Sheehan, D. V., Sheehan, K. H., Shytle, R. D., Janavs, J., Bannon, Y., Rogers, J. E., Milo, K. M., Stock, S. L., & Wilkinson, B. (2010). Reliability and validity of the Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID). The Journal of Clinical Psychiatry, 71(3), 313–326. https://doi.org/10.4088/JCP.09m05305whi
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