Effectiveness of a Transdiagnostic Guided Internet-Delivered Protocol for Emotional Disorders Versus Treatment as Usual in Specialized Care: Randomized Controlled Trial

González-Robles, Alberto (Universidad de Zaragoza) ; Díaz-García, Amanda ; García-Palacios, Azucena ; Roca, Pablo ; Ramos-Quiroga, Josep Antoni ; Botella, Cristina

Resumen: Background: Anxiety disorders and depression (emotional disorders) are highly prevalent mental disorders. Extensive empirical evidence supports the efficacy of cognitive behavioral therapy (CBT) for the treatment of these disorders. However, there are still some barriers related to their dissemination and implementation, which make it difficult for patients to receive these treatments,especially in public health care settings where resources are limited. Recent advances in improving CBT dissemination encompass different perspectives. One is the transdiagnostic approach, which offers treatment protocols that can be used for a range of emotional disorders. Another approach is the use of the internet to reach a larger number of people who could benefit from CBT.
Objective: This study aimed to analyze the effectiveness and acceptability of a transdiagnostic internet-delivered protocol(EmotionRegulation) with human and automated guidance in patients from public specialized mental health care settings.
Methods: A 2-armed randomized controlled trial (RCT) was conducted to compare the effectiveness of EmotionRegulation with treatment as usual (TAU) in specialized mental health care. In all, 214 participants were randomly assigned to receive either EmotionRegulation (n=106) or TAU (n=108). Measurement assessments were conducted at pre- and postintervention and at a3-month follow-up.
Results: The results revealed the superiority of EmotionRegulation over TAU on measures of depression (d=0.41), anxiety(d=0.35), and health-related quality of life (d=−0.45) at posttreatment, and these gains were maintained at the 3-month follow-up.Furthermore, the results for expectations and opinions showed that EmotionRegulation was well accepted by participants.
Conclusions: EmotionRegulation was more effective than TAU for the treatment of emotional disorders in the Spanish publicmental health system. The implications of this RCT, limitations, and suggestions for future research are discussed.

Idioma: Inglés

DOI: 10.2196/18220

Año: 2020

Publicado en: Journal of Medical Internet Research 22, 7 (2020), e18220 [23 pp.]
ISSN: 1438-8871

Factor impacto JCR: 5.428 (2020)

Categ. JCR: MEDICAL INFORMATICS rank: 5 / 30 = 0.167 (2020) - Q1 - T1
Categ. JCR: HEALTH CARE SCIENCES & SERVICES rank: 10 / 108 = 0.093 (2020) - Q1 - T1

Factor impacto SCIMAGO: 1.446 - Health Informatics (Q1)

Financiación: info:eu-repo/grantAgreement/ES/ISCIII/CB06-03-0052
Financiación: info:eu-repo/grantAgreement/ES/MEC/FPU13-00576

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Área Person.Eval.Trat.Psicoló. (Dpto. Psicología y Sociología)