Prevention of Emotional Disorders and Symptoms Under Health Conditions: A Pilot Study using the Unified Protocol in a Fertility Unit

Adamson, G. D., de Mouzon, J., Chambers, G. M., Zegers-Hochschild, F., Mansour, R., Ishihara, O., Banker, M., & Dyer, S. (2018). International Committee for Monitoring Assisted Reproductive Technology: world report on assisted reproductive technology, 2011. Fertility and Sterility, 110(6), 1067–1080. https://doi.org/10.1016/j.fertnstert.2018.06.039

Ávila, A., & Moreno-Rosset, C. (2008). La intervención psicológica en infertilidad: Orientaciones para un protocolo de actuación clínica. Papeles Del Psicologo, 29(2), 186–196.

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(9), 875–884. https://doi.org/10.1001/jamapsychiatry.2017.2164

Bennett, G. G., & Glasgow, R. E. (2009). The Delivery of Public Health Interventions via the Internet: Actualizing Their Potential. Annual Review of Public Health, 30, 273–292. https://doi.org/10.1146/annurev.publhealth.031308.100235

Boivin, J. (2003). A review of psychosocial interventions in infertility. Social Science & Medicine, 57(12), 2325–2341. https://doi.org/10.1016/S0277-9536(03)00138-2

Boivin, Jacky, Takefman, J., & Braverman, A. (2011). The Fertility Quality of Life (FertiQoL) tool: development and general psychometric properties. Fertility and Sterility, 96(2), 409-415.e3. https://doi.org/10.1016/j.fertnstert.2011.02.046

Bullis, J. R., Boettcher, H., Sauer-Zavala, S., Farchione, T. J., & Barlow, D. H. (2019). What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention. Clinical Psychology: Science and Practice, 26(2). https://doi.org/10.1111/cpsp.12278

Burger, F., Neerincx, M. A., & Brinkman, W.-P. (2020). Technological State of the Art of Electronic Mental Health Interventions for Major Depressive Disorder: Systematic Literature Review. Journal of Medical Internet Research, 22(1), e12599. https://doi.org/10.2196/12599

Calhaz-Jorge, C., De Geyter, C. h, Kupka, M. S., Wyns, C., Mocanu, E., Motrenko, T., Scaravelli, G., Smeenk, J., Vidakovic, S., & Goossens, V. (2020). Survey on ART and IUI: legislation, regulation, funding and registries in European countries. Human Reproduction Open, 2020(1). https://doi.org/10.1093/hropen/hoz044

Coughlan, C., Walters, S., Ledger, W., & Li, T. C. (2014). A comparison of psychological stress among women with and without reproductive failure. International Journal of Gynecology and Obstetrics, 124(2), 143–147. https://doi.org/10.1016/j.ijgo.2013.08.006

Cox, S. J., Glazebrook, C., Sheard, C., Ndukwe, G., & Oates, M. (2006). Maternal self-esteem after successful treatment for infertility. Fertility and Sterility, 85(1), 84–89. https://doi.org/10.1016/j.fertnstert.2005.07.1287

European IVF-Monitoring Consortium, European Society of Human Reproduction and Embryology, Kupka, M., D’Hooghe, T., Ferraretti, A., de Mouzon, J., Erb, K., Castilla, J., Calhaz-Jorge, C., De Geyter, C., & Goossens, V. (2016). Assisted reproductive technology in Europe, 2011: results generated from European registers by ESHRE. Human Reproduction, 31(2), 233–248. https://doi.org/10.1093/humrep/dev319

Ferrando, L., Bobes, J., Gibert, M., Soto, M., & Soto, O. (1998). M.I.N.I Mini International Neuropsychiatric Interview. Versión en español 5.0.0. DSM-IV. Instituto IAP.

Galhardo, A., Cunha, M., Pinto-Gouveia, J., & Matos, M. (2013). The Mediator Role of Emotion Regulation Processes on Infertility-Related Stress. Journal of Clinical Psychology in Medical Settings, 20(4), 497–507. https://doi.org/10.1007/s10880-013-9370-3

Gallagher, M., Sauer-Zavala, S., Boswell, J., Carls, J., Bullis, J., Farchione, T., & Barlow, D. (2013). The impact of the Unified Protocol for Emotional Disorders on Quality of Life. Inernational Journal of Cognitive Therapy, 6(1), 57–72. https://doi.org/10.1521/ijct.2013.6.1.57

Gratz, K. L., & Roemer, L. (2004). Multidimensional Assessment of Emotion Regulation and Dysregulation: Development, Factor Structure, and Initial Validation of the Difficulties in Emotion Regulation Scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41–54. https://doi.org/10.1023/B:JOBA.0000007455.08539.94

Greil, A., McQuillan, J., Lowry, M., & Shreffler, K. (2011). Infertility Treatment and Fertility-Specific Distress: A Longitudinal Analysis of a Population-Based Sample of U.S. Women. Social Science & Medicine, 73(1), 87. https://doi.org/10.1016/J.SOCSCIMED.2011.04.023

Grunberg, P. H., Dennis, C.-L., Da Costa, D., & Zelkowitz, P. (2018). Infertility patients’ need and preferences for online peer support. Reproductive Biomedicine & Society Online, 6, 80–89. https://doi.org/10.1016/j.rbms.2018.10.016

Hämmerli, K., Znoj, H., & Barth, J. (2009). The efficacy of psychological interventions for infertile patients: a meta-analysis examining mental health and pregnancy rate. Human Reproduction Update, 15(3), 279–295. https://doi.org/10.1093/humupd/dmp002

Hantsoo, L., Podcasy, J., Sammel, M., Epperson, C. N., & Kim, D. R. (2017). Pregnancy and the Acceptability of Computer-Based Versus Traditional Mental Health Treatments. Journal of Women’s Health (2002), 26(10), 1106–1113. https://doi.org/10.1089/jwh.2016.6255

Heredia, A., Padilla, F., Castilla, J. A., & Garcia-Retamero, R. (2020). Effectiveness of a psychological intervention focused on stress management for women prior to IVF. Journal of Reproductive and Infant Psychology, 38(2), 113–126. https://doi.org/10.1080/02646838.2019.1601170

Heredia, M., Tenías, J. M., Rocio, R., Amparo, F., Calleja, M. A., & Valenzuela, J. C. (2013). Quality of life and predictive factors in patients undergoing assisted reproduction techniques. European Journal of Obstetrics and Gynecology and Reproductive Biology, 167(2), 176–180. https://doi.org/10.1016/j.ejogrb.2012.12.011

Hervás, G., & Jódar, R. (2008). The Spanish version of the Difficulties in Emotion Regulation Scale. Clinica y Salud, 19(2), 139–156.

IBM Corp. (2013). IBM SPSS Statistics for Windows, Version 22.0. IBM Corp.

Kiesswetter, M., Marsoner, H., Luehwink, A., Fistarol, M., Mahlknecht, A., & Duschek, S. (2020). Impairments in life satisfaction in infertility: Associations with perceived stress, affectivity, partnership quality, social support and the desire to have a child. Behavioral Medicine, 46(2), 130–141. https://doi.org/10.1080/08964289.2018.1564897

Kraaij, V., Garnefski, N., & Schroevers, M. J. (2009). Coping, goal adjustment, and positive and negative affect in definitive infertility. Journal of Health Psychology, 14(1), 18–26. https://doi.org/10.1177/1359105308097939

Lakatos, E., Szigeti, J., Ujma, P., Sexty, R., & Balog, P. (2017). Anxiety and depression among infertile women: a cross-sectional survey from Hungary. BMC Women’s Health, 17(1), 48. https://doi.org/10.1186/s12905-017-0410-2

Lancaster, G. A., Dodd, S., & Williamson, P. R. (2004). Design and analysis of pilot studies: Recommendations for good practice. Journal of Evaluation in Clinical Practice, 10(2), 307–312. https://doi.org/10.1111/j..2002.384.doc.x

Li, J., Luo, H., & Long, L. (2019). Mindfulness and fertility quality of life in Chinese women with infertility: assessing the mediating roles of acceptance, autonomy and self-regulation. Journal of Reproductive and Infant Psychology, 37(5), 455–467. https://doi.org/10.1080/02646838.2019.1577958

López-Gómez, I., Hervás, G., & Vázquez, C. (2015). Adaptación de las “escalas de afecto positivo y negativo” (PANAS) en una muestra general Española. Behavioral Psychology/ Psicologia Conductual, 23(3), 529–548.

Martínez-Borba, V., Suso-ribera, C., & Osma, J. (2019). Usability, Acceptability, and Feasibility of Two Technology-Based Devices for Mental Health Screening in Perinatal Care: A Comparison of Web Versus App. In P. Cipresso, S. Serino, & D. Villani (Eds.), Pervasive Computing Paradigms for Mental Health (pp. 176–189). Springer. https://doi.org/10.1007/978-3-319-74935-8

Mascarenhas, M. N., Flaxman, S. R., Boerma, T., Vanderpoel, S., & Stevens, G. A. (2012). National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys. PLoS Medicine, 9(12), e1001356. https://doi.org/10.1371/journal.pmed.1001356

Norman, S. B., Hami Cissell, S., Means-Christensen, A. J., & Stein, M. B. (2006). Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS). Depression and Anxiety, 23(4), 245–249. https://doi.org/10.1002/da.20182

Osma, J., Quilez-Orden, A., Suso-Ribera, C., Peris-Baquero, O., Norman, S., Bentley, K., & Sauer-Zavala, S. (2019). Psychometric properties and validation of the Spanish versions 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

Osma, J., Suso-Ribera, C., Martínez-Borba, V., & Barrera, A. Z. (2020). Content and format preferences of a depression prevention program: A study in perinatal women. Anales de Psicologia, 36(1), 56–63. https://doi.org/10.6018/analesps.356051

Pasch, L. A., Holley, S. R., Bleil, M. E., Shehab, D., Katz, P. P., & Adler, N. E. (2016). Addressing the needs of fertility treatment patients and their partners: are they informed of and do they receive mental health services? Fertility and Sterility, 106(1), 209-215.e2. https://doi.org/10.1016/j.fertnstert.2016.03.006

Payne, L. (2018). Applications of the unified protocol for transdiagnostic treatment of emotional disorders. In D. Barlow & T. Farchione (Eds.), The unified protocol for chronic pain (pp. 215–231). Oxford University Press.

Pedro, J., Sobral, M. P., Mesquita-Guimarães, J., Leal, C., Costa, M. E., & Martins, M. V. (2017). Couples’ discontinuation of fertility treatments: a longitudinal study on demographic, biomedical, and psychosocial risk factors. Journal of Assisted Reproduction and Genetics, 34(2), 217–224. https://doi.org/10.1007/s10815-016-0844-8

Reinholt, N., Aharoni, R., Winding, C., Rosenberg, N., Rosenbaum, B., & Arnfred, S. (2017). Transdiagnostic group CBT for anxiety disorders: the unified protocol in mental health services. Cognitive Behaviour Therapy, 46(1), 29–43. https://doi.org/10.1080/16506073.2016.1227360

Sakiris, N., & Berle, D. (2019). A 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

Sandín, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Escalas PANAS de afecto positivo y negativo: Validacion factorial y convergencia transcultural. Psicothema, 11(1), 37–51. https://doi.org/ISSN 0214-9915

Sauer-Zavala, S., Tirpak, J. W., Eustis, E. H., Woods, B. K., & Russell, K. (2020). Unified Protocol for the Transdiagnostic Prevention of Emotional Disorders: Evaluation of a Brief, Online Course for College Freshmen. Behavior Therapy, in press. https://doi.org/10.1016/j.beth.2020.01.010

Sheehan, D., Lecrubier, Y., Sheehan, K., Amorim, P., Janavs, J., Weiller, E., Hergueta, T., Baker, R., & Dunbar, G. (1998). The Mini-International Neuropsychiatric Interview (M.I.N.I.): The Development and Validation of a Structured Diagnostic Psychiatric Interview for DSM-IV and ICD-10. The Journal of Clinical Psychiatry, 59(20), 22–33.

Smith, J. F., Eisenberg, M. L., Millstein, S. G., Nachtigall, R. D., Sadetsky, N., Cedars, M. I., & Katz, P. P. (2011). Fertility treatments and outcomes among couples seeking fertility care: data from a prospective fertility cohort in the United States. Fertility and Sterility, 95(1), 79–84. https://doi.org/10.1016/j.fertnstert.2010.06.043

van Dongen, A., Nelen, W., IntHout, J., Kremer, J., & Verhaak, C. (2016). e-Therapy to reduce emotional distress in women undergoing assisted reproductive technology (ART): a feasibility randomized controlled trial. Human Reproduction, 31(5), 1046–1057. https://doi.org/10.1093/humrep/dew040

Vaughan, D. A., Shah, J. S., Penzias, A. S., Domar, A. D., & Toth, T. L. (2020). Infertility remains a top stressor despite the COVID-19 pandemic. Reproductive BioMedicine Online, 41(3), 425–427. https://doi.org/10.1016/j.rbmo.2020.05.015

Vázquez, F. L., Blanco, V., Torres, Á., Otero, P., & Hermida, E. (2014). La eficacia de la prevención indicada de la depresión: Una revisión. Anales de Psicologia, 30(1), 9–24. https://doi.org/10.6018/analesps.30.1.138931

Watson, D., Clark, L., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070.

Weihs, K. L., Mairead, |, Mcconnell, H., Wiley, J. F., Crespi, C. M., Sauer-Zavala, S., & Stanton, A. L. (2019). A preventive intervention to modify depression risk targets after breast cancer diagnosis: Design and single-arm pilot study. Psycho-Oncology, 28, 880–887. https://doi.org/10.1002/pon.5037

Wischmann, T. (2008). Implications of psychosocial support in infertility – a critical appraisal. Journal of Psychosomatic Obstetrics & Gynecology, 29(2), 83–90. https://doi.org/10.1080/01674820701817870

Yalom, I., & Leszcz, M. (2005). The theory and practice of group therapy 5th ed. IUP.

Ying, L., Wu, L. H., & Loke, A. Y. (2016). The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. Journal of Assisted Reproduction and Genetics, 33(6), 689–701. https://doi.org/10.1007/s10815-016-0690-8

Zegers-Hochschild, F., Adamson, G., de Mouzon, J., Ishihara, O., Mansour, R., Nygren, K., Sullivan, E., Van der Poel, S., & WHO. (2010). Glosario de terminología en Técnicas de Reproducción Asistida (TRA). In Red Latioamericana de Reproducción Asistida.