000162835 001__ 162835
000162835 005__ 20251017144654.0
000162835 0247_ $$2doi$$a10.1002/cpp.70154
000162835 0248_ $$2sideral$$a145265
000162835 037__ $$aART-2025-145265
000162835 041__ $$aeng
000162835 100__ $$0(orcid)0000-0002-2437-1207$$aPeris-Baquero, Óscar$$uUniversidad de Zaragoza
000162835 245__ $$aDefining the profile of people with emotional disorders that drop out or do not respond to treatment after receiving the Unified Protocol in group format
000162835 260__ $$c2025
000162835 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162835 5203_ $$aDropout, defined as the unilateral discontinuation of treatment before achieving goals or completing a set number of sessions, affects a large number of individuals. Additionally, many individuals do not experience an improvement of symptoms after treatment. This study has explored the profile of individuals who drop out or do not respond favourably to the Unified Protocol (UP) applied in group format. This is a secondary analysis of a RCT that involved 277 participants (78.3% women) diagnosed with emotional disorders who received 12-weekly group sessions at specialized mental health units. Socio-demographic variables, personality, anxiety and depression symptoms and emotional regulation were analysed at baseline, post-treatment and 12-month follow-up. Fewer emotional regulation difficulties at baseline predict higher dropout rates at post-treatment, with 28.9% of participants (n = 80) receiving fewer than six sessions. Additionally, 46.0% of participants showed no change in the severity of depressive symptoms, and 56.8% showed no change in anxiety symptoms post-treatment. At the 12-month follow-up, 31.1% of participants maintained the same severity level for depressive symptoms and 49.5% for anxiety symptoms. Higher baseline anxiety and emotional dysregulation and lower extraversion predicted higher depressive symptoms at post-treatment, and higher baseline anxiety predicted higher depressive symptomatology at the 12-month follow-up. Higher baseline depression and emotional dysregulation predicted higher post-treatment anxiety, and depression also predicted higher anxiety at the 12-month follow-up. Additionally, high baseline depression predicted higher neuroticism and emotional dysregulation and lower extraversion after treatment and at the 12-month follow-up (for neuroticism and extraversion). Finally, high baseline emotional dysregulation predicted higher neuroticism post-treatment, whereas high baseline maladjustment predicted lower emotional dysregulation at post-treatment. Emotional dysregulation, neuroticism, extraversion and especially baseline depression and anxiety symptoms are key factors associated with dropouts and treatment response when applying the UP in group format. Considering these variables may improve attendance and treatment outcomes.
000162835 536__ $$9info:eu-repo/grantAgreement/ES/DGA/S31-23R$$9info:eu-repo/grantAgreement/ES/ISCIII/PI17/00320
000162835 540__ $$9info:eu-repo/semantics/embargoedAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000162835 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000162835 700__ $$aMoreno-Peresa, José David
000162835 700__ $$aMartínez-García, Laura$$uUniversidad de Zaragoza
000162835 700__ $$aPérez-González, Javier
000162835 700__ $$0(orcid)0000-0002-7293-318X$$aOsma López, Jorge Javier$$uUniversidad de Zaragoza
000162835 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000162835 773__ $$g32, 5 (2025), e70154 [14 pp.]$$pClin. psychol. psychother.$$tClinical psychology and psychotherapy$$x1063-3995
000162835 8564_ $$s907436$$uhttps://zaguan.unizar.es/record/162835/files/texto_completo.pdf$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-09-16
000162835 8564_ $$s669269$$uhttps://zaguan.unizar.es/record/162835/files/texto_completo.jpg?subformat=icon$$xicon$$yPostprint$$zinfo:eu-repo/date/embargoEnd/2026-09-16
000162835 909CO $$ooai:zaguan.unizar.es:162835$$particulos$$pdriver
000162835 951__ $$a2025-10-17-14:37:44
000162835 980__ $$aARTICLE