000099737 001__ 99737
000099737 005__ 20230519145508.0
000099737 0247_ $$2doi$$a10.2196/21335
000099737 0248_ $$2sideral$$a123197
000099737 037__ $$aART-2021-123197
000099737 041__ $$aeng
000099737 100__ $$0(orcid)0000-0003-4398-4014$$aDíaz-García, A.$$uUniversidad de Zaragoza
000099737 245__ $$aNegative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial
000099737 260__ $$c2021
000099737 5060_ $$aAccess copy available to the general public$$fUnrestricted
000099737 5203_ $$aBackground: Emotional disorders (EDs) are among the most prevalent mental disorders. Existing evidence-based psychological treatments are not sufficient to reduce the disease burden of mental disorders. It is therefore essential to implement innovative solutions to achieve a successful dissemination of psychological treatment protocols, and in this regard, the use of information and communication technologies such as the internet can be very useful. Furthermore, the literature suggests that not everyone with an ED receives the appropriate treatment. This situation has led to the development of new intervention proposals based on the transdiagnostic perspective, which attempts to address the underlying processes common to EDs. Most of these transdiagnostic interventions focus primarily on downregulating negative affectivity (NA), and less attention has been paid to strengths and the upregulation of positive affectivity, despite its importance for well-being and mental health.
Objective: This study aims to evaluate the efficacy of a transdiagnostic internet-based treatment for EDs in a community sample.
Methods: A 3-armed randomized controlled trial was conducted. A total of 216 participants were randomly assigned to a transdiagnostic internet-based protocol (TIBP), a TIBP+ positive affect (PA) component, or a waiting list (WL) control group. The treatment protocol contained core components mainly addressed to downregulate NA (ie, present-focused emotional awareness and acceptance, cognitive flexibility, behavioral and emotional avoidance patterns, and interoceptive and situational exposure) as well as a PA regulation component to promote psychological strengths and enhance well-being. Data on depression, anxiety, quality of life, neuroticism and extraversion, and PA/NA before and after treatment were analyzed. Expectations and opinions of treatment were also analyzed.
Results: Within-group comparisons indicated significant pre-post reductions in the two experimental conditions. In the TIBP+PA condition, the effect sizes were large for all primary outcomes (d=1.42, Beck Depression Inventory [BDI-II]; d=0.91, Beck Anxiety Inventory [BAI]; d=1.27, Positive and Negative Affect Schedule-Positive [PANAS-P]; d=1.26, Positive and Negative Affect Schedule-Negative [PANAS-N]), whereas the TIBP condition yielded large effect sizes for BDI-II (d=1.19) and PANAS-N (d=1.28) and medium effect sizes for BAI (d=0.63) and PANAS-P (d=0.69). Between-group comparisons revealed that participants who received one of the two active treatments scored better at posttreatment than WL participants. Although there were no statistically significant differences between the two intervention groups on the PA measure, effect sizes were consistently larger in the TIBP+PA condition than in the standard transdiagnostic protocol.
Conclusions: Overall, the findings indicate that EDs can be effectively treated with a transdiagnostic intervention via the internet, as significant improvements in depression, anxiety, and quality of life measures were observed. Regarding PA measures, promising effects were found, but more research is needed to study the role of PA as a therapeutic component.
000099737 536__ $$9info:eu-repo/grantAgreement/ES/FPI-MINECO/BES-2015-072360$$9info:eu-repo/grantAgreement/ES/ISCIII/CB06-03-0052$$9info:eu-repo/grantAgreement/ES/MINECO/PSI2014-54172-R
000099737 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000099737 590__ $$a7.077$$b2021
000099737 592__ $$a1.736$$b2021
000099737 594__ $$a8.2$$b2021
000099737 591__ $$aMEDICAL INFORMATICS$$b5 / 31 = 0.161$$c2021$$dQ1$$eT1
000099737 593__ $$aHealth Informatics$$c2021$$dQ1
000099737 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b10 / 109 = 0.092$$c2021$$dQ1$$eT1
000099737 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000099737 700__ $$0(orcid)0000-0002-3749-3756$$aGonzález-Robles, A.$$uUniversidad de Zaragoza
000099737 700__ $$aGarcía-Palacios, A.
000099737 700__ $$aFernández-Álvarez, J.
000099737 700__ $$aCastilla, D.
000099737 700__ $$aBretón, J.M.
000099737 700__ $$aBaños, R.M.
000099737 700__ $$aQuero, S.
000099737 700__ $$aBotella, C.
000099737 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000099737 773__ $$g23, 2 (2021), e21335 [23 pp]$$pJMIR, J. med. internet res.$$tJournal of Medical Internet Research$$x1438-8871
000099737 8564_ $$s394845$$uhttps://zaguan.unizar.es/record/99737/files/texto_completo.pdf$$yVersión publicada
000099737 8564_ $$s2632059$$uhttps://zaguan.unizar.es/record/99737/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
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000099737 951__ $$a2023-05-18-15:07:24
000099737 980__ $$aARTICLE