Variables relacionadas con el abandono terapéutico en una adaptación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionalesun estudio preliminar

  1. ANTONIO AYUSO BARTOL 1
  2. ALEJANDRA REBECA MELERO VENTOLA 1
  3. AITOR VICENTE ARRUEBARRENA 1
  4. MARINA WÖBBEKING SÁNCHEZ 1
  5. LAURA JIMÉNEZ GÓMEZ 1
  6. Mª ÁNGELES GÓMEZ MARTÍNEZ 1
  1. 1 Universidad Pontificia de Salamana, España
Journal:
Acción psicológica

ISSN: 1578-908X

Year of publication: 2022

Issue Title: Protocolo Unificado

Volume: 19

Issue: 2

Pages: 33-44

Type: Article

DOI: 10.5944/AP.19.2.37000 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Acción psicológica

Abstract

Due to the high number of people requesting psychologi-cal help and the scarcity of professional resources availa-ble to many psychological assistance services, it is neces-sary to promote the implementation of therapeutic modal-ities that optimize these resources; a promising alternative is the group adaptation of Barlow's unified protocol (Bar-low et al., 2018). However, it is necessary to identify the patients who can most likely benefit from this group pro-tocol,and which are the variables that characterize those with a higher risk of abandoning this type of intervention. This study was carried out on a total sample of 54 people who initiated a group adaptation of Barlow's Unified Pro-tocol, in the Psychological Assistance Service of the Pon-tifical University of Salamanca. A group of patients who completed the treatment (n=37) was compared with a group who abandoned it at some point (n=17). Measures of anxiety, depression, personality variables, quality of life, interference and self-compassion were taken. The re-sults indicate the presence of statistically significant dif-ferences in anxiety symptoms and the level of interferenceof the problem in daily life, these being more severe in the group that abandoned treatment; patients who complete the treatment, score significantly higher in the shared hu-manity variable, involved in the processes of empathy and belonging to the group;likewise, differences are observed, at the limit of statistical significance, in the depression and quality of life variables, with the patients in the group that abandoned treatment obtaining the highest scores in de-pression and the lowest in quality oflife. These prelimi-nary results show some characteristics that can be used to identify, in an initial assessment, the possible beneficiaries of this format and optimize the therapeutic alternatives of-fered

Bibliographic References

  • Antúnez, Z. y Vinet, E. V. (2012). Escalas de Depresión, Ansiedad y Estrés (DASS- 21): Validación de la versión abreviada en estudiantes universitarios Chilenos [Depression Anxiety Stress Scales (DASS-21): Validation of the abbreviated version in Chilean university students]. Terapia Psicológica, 30(3), 49–55. https://doi.org/10.4067/S0718-48082012000300005
  • Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B. y Ehrenreich-May, J. (2011). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (1ª ed.). Oxford University Press. https://doi.org/10.1093/med:psych/9780199772667.001.0001
  • Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Murray Latin, H., Ellard, K.K., Bullis, J.R., Bentley, K. H., Boettcher, H. T. y Cassiello-Robbins, C. (2018). Unified Protocolo for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (2ª ed.). Oxford University Press. https://doi.org/10.1093/med-psych/9780190685973.001.0001
  • Bentley, K. H., Cohen, Z. D., Kim, T., Bullis, J.R., Nauphal, M., Cassiello-Robbins, C., Sauer-Zavala, S., Sbi, S., Gallagher, M. W., Farchione, T. J. y Barlow, D. H. (2021). The Nature, Timing, and Symptom Trajectories of Dropout from Transdiagnostic and Single-Diagnosis Cognitive-Behavioral Therapy for Anxiety Disorders. Behavior Therapy, 52(6), 1364–1376. https://doi.org/10.1016/j.beth.2021.03.007
  • Barnett, P., Arundell, L.L., Saunders, R., Matthews, H. y 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
  • Carlucci, L., Saggino, A. y 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, Artículo 101999. https://doi.org/10.1016/j.cpr.2021.101999
  • Conklin, L. R., Curreri, A. J., Farchione, T. J., y Barlow, D. H. (2021). Homework Compliance and Quality in Cognitive Behavioral Therapies for Anxiety Disorders and Obsessive-Compulsive Disorder. Behavior Therapy, 52(4), 1008–1018. https://doi.org/10.1016/j.beth.2021.01.001
  • Costa, P. T. y MacCrae, R. R. (1992). Revised NEO personality inventory (NEO PI-R) and NEO five-factor inventory (NEO FFI): Professional manual. Psychological Assessment Resources.
  • Delgadillo, J., McMillan, D., Lucock, M., Leach, C., Ali, S., y Gilbody, S. (2014). Early Changes, Attrition, and Dose-Response in Low Intensity Psychological Interventions. British Journal of Clinical Psychology, 53(1), 114–130. https://doi.org/10.1111/bjc.12031
  • Echeburúa, E., Salaberría, K. y Cruz-Sáez, M. (2014). Aportaciones y limitaciones del DSM-5 desde la Psicología Clínica [Contributions and Limitations of DSM-5 from Clinical Psychology]. Terapia Psicologica, 32(1), 65–74. https://doi.org/10.4067/S0718-48082014000100007
  • Fernández-Rodríguez, C., Soto-López, T. y Cuesta, M. (2019). Needs and Demands for Psychological Care in University Students. Psicothema, 31(4), 414–421. https://doi.org/10.7334/psicothema2019.78
  • García-Campayo, J., Navarro-Gil, M., Andrés, E., Montero-Marin, J., López-Artal, L. y Demarzo, M. M. (2014). Validation of the Spanish Versions of the long (26 items) and Short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of Life Outcomes, 12, Artículo 4. https://doi.org/10.1186/1477-7525-12-4
  • Germer, C. K. y Neff, K. D. (2013). Self-Compassion in Clinical Practice. Journal of Clinical Psychology, 69(8), 856–867. https://doi.org/10.1002/jclp.22021
  • González-Robles, A., García-Palacios, A., Baños, R., Quero, S. y Botella, C. (2019). Upregulating Positive Affectivity in the Transdiagnostic Treatment of Emotional Disorders: A Randomized Pilot Study. Behavior Modification, 43(1), 26–55. https://doi.org/10.1177/0145445517735631
  • Hall, S. B., Brown, N. W. y Humphries, J. R. (2018). Premature Termination from Outpatient Psychotherapy in a University-Based Counseling Center. Counseling Outcome Research and Evaluation, 9(1), 28–41. https://doi.org/10.1080/21501378.2017.1302786
  • Isbăşoiu, A. B., Tulbure, B. T., Rusu, A. y Sava, F. A. (2021). Can We Boost Treatment Adherence to an Online Transdiagnostic Intervention by Adding Self-Enhancement Strategies? Results From a Randomized Controlled Non-inferiority Trial. Frontiers in psychology, 12, 752249. https://doi.org/10.3389/fpsyg.2021.752249
  • Jiménez Gómez, L. (2020). Eficacia de programas de entrenamiento en mindfulness (MBSR) y autocompasión (MSC) en una muestra de psicólogos generales sanitarios en formación [Tesis de doctorado, Universidad Pontificia de Salamanca]. https://summa.upsa.es/viewer.vm?id=133032
  • Krishnamurthy, P., Khare, A., Klenck, S. C. y Norton, P. J. (2015). Survival Modeling of Discontinuation from Psychotherapy: A Consumer Decision-Making Perspective. Journal of Clinical Psychology, 71(3), 199–207. https://doi.org/10.1002/jclp.22122
  • Lovibond, S. H. y Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales. Psychology Foundation.
  • Marker, I., Salvaris, C. A., Thompson, E. M., Tolliday, T. y Norton, P. J. (2019). Client Motivation and Engagement in Transdiagnostic Group Cognitive Behavioral Therapy for Anxiety Disorders: Predictors and Outcomes. Cognitive Therapy and Research, 43(5), 819–833. https://doi.org/10.1007/s10608-019-10014-1
  • Mezzich, J. E., Ruiperez, M. A., Perez, C., Yoon, G., Liu, J. y Mahmud, S. (2000) The Spanish version of the Quality-of-Life Index: Presentation and Validation. The Journal of Nervous and Mental Disease, 188(5), 301–305. https://doi.org/10.1097/00005053-200005000-00008
  • Mezzich, J. E., Cohen, N. L., Ruiperez, M. A., Banzato, C. E. y Zapata-Vega, M. I. (2011). The Multicultural Quality of Life Index: Presentation and Validation. Journal of Evaluation in Clinical Practice, 17(2), 357–364. https://doi.org/10.1111/j.1365-2753.2010.01609.x
  • Neff, K. D. (2003). The Development and Validation of a Scale to Measure Self-Compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/15298860309027
  • Neff, K. D. y Germer, C. (2017). Self-compassion and Psychological Well-being. En E. M. Seppälä, E. Simon-Thomas, S. L. Brown, M. C. Worline, C. D. Cameron y J. R. Doty (Eds.), The Oxford Handbook of Compassion Science (pp. 371–385). Oxford University Press.
  • Neff, K. y Germer, C. (2018). The Mindful Self-Compassion Workbook. A Proven Way to Accept Yourself, Build Inner Strength, and Thrive. The Guilford Press.
  • Neff, K., Rude, S. y Kirkpatrick, K. y (2007). An Examination of Self-compassion in Relation to Positive Psychological Functioning and Personality Traits. Journal of Research in Personality, 41(4), 908–916. https://doi.org/10.1016/j.jrp.2006.08.002
  • Norton, P. J. (2012). A Randomized Clinical Trial of Transdiagnostic CBT for Anxiety Disorder by Comparison to Relaxation Training. Behavioral Therapy, 43(3),506–517. https://doi.org/10.1016/j.beth.2010.08.011
  • Oliveira, J. T., Sousa, I., Ribeiro, A. P. y Gonçalves, M. M. (2021). Premature Termination of the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: The role of Ambivalence towards Change. Clinical Psychology & Psychotherapy, 29(3), 1089–1100. https://doi.org/10.1002/cpp.2694
  • Osma, J., Castellano, C., Crespo, E. y García-Palacios, A. (2015). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Group Format in a Spanish Public Mental Health Setting. Behavioral Psychology, 23(3), 447–466.
  • Osma, J. O. Peris-Baquero, C. Suso-Ribera, T. J. Farchione y Barlow, D. H. (2022) 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, 32(3), 329–342, https://doi.org/10.1080/10503307.2021.1939190
  • Osma J. Quilez-Orden, A.; Suso-Ribera, C., Peris-Baquero, O., Norman, S., Bentley, K. y Sauer-Zavala, S. E. (2019). Psychometric Properties and Validation of the Spanish Version of the Overall Anxiety and Depression Severity and Impairment Scales. Journal of Affective Disorders, 252, 9–18. https://doi.org/10.1016/j.jad.2019.03.063
  • Sakiris, N. y Berle, D. (2019). Systematic Review and meta-analysis of the Unified Protocol as a Transdiagnostic Emotion Regulation-based Intervention. Clinical Psychology Review, 72, 101751. https://doi.org/10.1016/j.cpr.2019.101751
  • Sanz, J., Silva, F. y Avia, M. D. (1999). La evaluación de la personalidad desde el modelo de los “Cinco Grandes”: El inventario de Cinco-Factores NEO (NEO-FII) de Costa y MCCrae. En F. Silva. (Ed.), Avances en evaluación psicológica (pp. 172–234). Promolibro.
  • Yalom, I. D., y Leszcz, M. (Col.). (2005). The Theory and Practice of Group Psychotherapy (5ª ed.). Basic Books.
Data source: Dialnet