Resultados de una aplicación grupal breve en línea del protocolo unificado para la prevención de trastornos emocionales en estudiantes universitarios: un estudio piloto con diseño experimental de línea base múltiple

Autores/as

  • Jordi Socías-Soler Universidad de Zaragoza
  • Laura Martínez-García Universidad de Zaragoza
  • Óscar Peris-Baquero Universidad de Zaragoza
  • Jorge Osma Universidad de Zaragoza
DOI: https://doi.org/10.6018/analesps.554261
Palabras clave: Prevención, Trastornos emocionales, Estudiantado universitario, Protocolo unificado, Online, Grupo

Resumen

Los trastornos emocionales (TEs) son los trastornos más comunes entre la población joven. El desarrollo de programas preventivos de los TEs es fundamental para evitar su posible aparición. Los programas de prevención transdiagnósticos podrían presentar una ventaja sobre los existentes para mejorar las estrategias de regulación emocional. Así, el objetivo de este estudio ha sido determinar la viabilidad y eficacia preliminar de un programa breve basado en el Protocolo Unificado (PU). El proyecto consistió en un estudio piloto utilizando un diseño experimental de línea base múltiple. Nueve estudiantes universitarios recibieron un programa de 5 sesiones basado en el PU en formato grupal online. Se encontraron diferencias significativas después de la intervención en la regulación de las emociones, el apoyo social percibido y la evitación, con tamaños del efecto moderados-grandes (r de Cohen = .49 - .59). Estas mejoras mostraron aumentos en los seguimientos al mes y a los 3 meses. Esos resultados están en línea con los que muestran que los programas preventivos transdiagnósticos breves podrían ser útiles para la prevención de los TEs en población universitaria.

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Andreu, Y., Galdón, M. J., Dura, E., Ferrando, M., Murgui, S., García, A., Ibáñez, E., & Valencia, U. De. (2008). Psicothema, 20(4), 844-850.

Arrigoni, F., Marchena-Consejero, E., & Navarro-Guzmán, J. (2021). Aplicación y evaluación de la eficacia del Protocolo Unificado transdiagnóstico con estudiantes universitarios españoles [Application and evaluation of the effectiveness of the Unified Transdiagnostic Protocol with Spanish university students]. Revista Costarricense de Psicología, 40(2), 149-169. https://doi.org/10.22544/rcps.v40i02.05

Auerbach, R. P., Alonso, J., Axinn, W. G., Cuijpers, P., Ebert, D. D., Green, J. G., Hwang, I., Kessler, R. C., Liu, H., y Mortier, P. (2016). Mental disorders among college students in the World Health Organization world mental health surveys. Psychological Medicine, 46(14), 2955-2970. https://doi.org/10.1017/S0033291716001665.

Auerbach, R., Mortier, P., Bruffaerts, R., Alonso, J., Benjet, C., Cuijpers, P., Demyttenaere, K., Ebert, D., Green, J., Murray, E., Nock, M., Pinder-amaker, S., Sampson, N., Stein, D., Vilagut, G., Zaslavsky, A., & Kessler, R. (2019). Student Project : Prevalence and Distribution of Mental Disorders. Journal of Abnormal Psychology, 127(7), 623-638. https://doi.org/10.1037/abn0000362.

Badia Llach, X., Monserrat, S., Roset, M., & Herdman, M. (1999). Feasibility, validity and test-retest reliability of scaling methods for health states: The visual analogue scale and the time trade-off. Quality of Life Research, 8(4), 303-310. https://doi.org/10.1023/A:1008952423122

Barlow, D. H., Ellard, K. K., Sauer-Zavala, S., Bullis, J. R., & Carl, J. R. (2014). The Origins of Neuroticism. Perspectives on Psychological Science, 9(5), 481-496. https://doi.org/10.1177/1745691614544528

Barlow, D.H., Farchione, T. J., Sauer-Zavala, S., Murray-Latin, H., Ellard, K. K., Bullis, J. R., ... Cassiello-Robbins, C. (2018). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide (2nd ed.). Oxford University Press.

Bayram, N., & Bilgel, N. (2008). The prevalence and socio-demographic correlations of depression, anxiety and stress among a group of university students. Social Psychiatry and Psychiatric Epidemiology, 43(8), 667-672. https://doi.org/10.1007/s00127-008-0345-x

Bentley, K. H., Boettcher, H., Bullis, J. R., Carl, J. R., Conklin, L. R., Sauer-Zavala, S., Pierre-Louis, C., Farchione, T. J., & Barlow, D. H. (2018). Development of a Single-Session, Transdiagnostic Preventive Intervention for Young Adults at Risk for Emotional Disorders. Behavior Modification, 42(5), 781-805. https://doi.org/10.1177/0145445517734354

Bentley, K. H., Gallagher, M. W., Carl, J. R., & Barlow, D. H. (2014). Development and validation of the Overall Depression Severity and Impairment Scale. Psychological Assessment, 26(3), 815-830. https://doi.org/10.1037/a0036216

Brent, D. A., Brunwasser, S. M., Hollon, S. D., Weersing, V. R., Clarke, G. N., Dickerson, J. F., Garber, J. (2015). Effects of cognitive-behavioral prevention program on depression 6 years after implementation among at-risk adolescents: A randomized clinical trial. JAMA Psychiatry, 72(11), 1110-1118. https://doi.org/10.1001/jamapsychiatry. 2015.1559

Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585-599. https://doi. org/10.1037//0021-843X.110.4.585.

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), 1-19. https://doi.org/10.1111/cpsp.12278

Bienvenu, O. J., & Ginsburg, G. S. (2007). Prevention of anxiety disorders. International Review of Psychiatry, 19(6), 647-654. https://doi.org/10.1080/09540260701797837

Brooks, R. (1996). EuroQol: the current state of play. Health Policy, 37(1), 53-72. https://doi.org/10.1016/0168-8510(96)00822-6

Cabello, R., Salguero, J. M., Fernández-Berrocal, P., & Gross, J. J. (2013). A Spanish adaptation of the emotion regulation questionnaire. European Journal of Psychological Assessment, 29(4), 234. https://doi.org/10.1027/1015-5759/a000150

Castro-Camacho, L., Díaz, M.M., & Barbosa, S. (2021). Effect of a group prevention program based on the unified protocol for college students in Colombia: A quasi-experimental study. Journal of Behavioral and Cognitive Therapy, 32(2), 111-123. https://doi.org/10.1016/j.jbct.2021.04.001

Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Lawrence Erlbaum Associates, Publishers.

Craske, M. G., & Zucker, B. G. (2002). Prevention of anxiety disorders: A model for intervention. Applied and Preventive Psychology, 10(3), 155-175. https://doi.org/10.1016/S0962-1849(01)80012-3

Derogatis, L.R. (2001). Brief Symptom Inventory (BSI)-18. Administration, scoring and procedures manual. NCS Pearson, Inc.

De Sousa, C. R., & da Costa Padovani, R. (2021). Assertive skills: A comparison of two group interventions with brazilian university students. Psicologia: Reflexao e Critica, 34, 27. https://doi.org/10.1186/s41155-021-00188-7

Ferreres-Galán,, V., Quilez-Orden, A., & Osma, J. (2022). Application of the unified protocol for transdiagnostic treatment of emotional disorders in post-bariatric surgery patients: an effectiveness and feasibility study in group format. Annals of Psychology/Anales de Psicología, 38(2), 219- 231. https://doi.org/10.6018/analesps.482301

Gál, Z., Kasik, L., Jámbori, S., Fejes, J. B., & Nagy, K. (2022). Social problem-solving, life satisfaction and well-being among high school and university students. International Journal of School and Educational Psychology, 10(1), 170-180. https://doi.org/10.1080/21683603.2020.1856249

Gratz, K. L., & Roemer, L. (2008). 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, 30(4), 315. https://doi.org/10.1007/s10862-008-9102-4

Gross, J. J., & John, O. P. (2003). Individual differences in two emotion regulation processes: implications for affect, relationships, and well-being. Journal of Personality and Social Psychology, 85(2), 348-362. https://doi.org/10.1037/0022-3514.85.2.348

Hervás, G., & Jódar, R. (2008). Adaptación al castellano de la Escala de Dificultades en la Regulación Emocional [Spanish adaptation of the Difficulties in Emotional Regulation Scale]. Clínica y Salud, 19(2), 139-156.

IBM Corp. Released (2012). IBM SPSS Statistics for Windows (Version 21.0) [software computer]. Armonk, NY: IBM Corp.

Labrador, F.J., Bernaldo-de-Quirós, M., García-Fernández, G., Estupiñá, F., Fernández-Arias, I., Labrador-Méndez, M. (2016). Characteristics of demand and psychological treatments in a university clinic. Clínica y Salud, 27(1), 7-14. https://doi.org/ 10.1016/j.clysa.2016.01.002

Landeta, O., & Zumalde, E. C. (2002). Adaptación y validación de la escala multidimensional de apoyo social percibido [Adaptation and validation of the multidimensional scale of perceived social support]. Ansiedad y estrés, 8(2), 173-182. https://doi.org/10.4321/S0211-57352017000200006

Larsen, D. L., Atkinson, C. C., Hargreaves, W. A., y Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197-207. https://doi.org/10.1016/0149-7189(79)90094-6

Martínez-Borba, V., Osma, J., Crespo-Delgado, E., Andreu-Pejo, L., & Monferrer-Serrano, A. (2022). Prevention of Emotional Disorders and Symptoms Under Health Conditions: a Pilot Study using the Unified Protocol in a Fertility Unit. Annals of Psychology/Anales de Psicología, 38(1), 25-35. https://doi.org/10.6018/analesps.462331

Miranda-Mendizabal, A., Castellví, P., Parés-Badell, O., Alayo, I., Almenara, J., Alonso, I., Blasco, M. J., Cebrià, A., Gabilondo, A., Gili, M., Lagares, C., Piqueras, J. A., Rodríguez-Jiménez, T., Rodríguez-Marín, J., Roca, M., Soto-Sanz, V., Vilagut, G., & Alonso, J. (2019). Gender differences in suicidal behavior in adolescents and young adults: systematic review and meta-analysis of longitudinal studies. International Journal of Public Health, 64(2), 265-283. https://doi.org/10.1007/s00038-018-1196-1

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. B., Bentley, K. H., & 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., Martínez-Loredo, V., Quilez-Orden, A., Peris-Baquero, Ó., & Suso-Ribera, C. (2021). Validity evidence of the multidimensional emotional disorders inventory among non-clinical spanish university students. International Journal of Environmental Research and Public Health, 18(16). https://doi.org/10.3390/ijerph18168251

Ribeiro, I., Pereira, R., Freire, I., de Oliveira, B., Casotti, C., Boery, E. (2018). Stress and Quality of Life Among University Students: A Systematic Literature Review. Health Professions Education, 4(2), 70-77. https://doi.org/10.1016/j.hpe.2017.03.002.

Rosellini, A. J., & Brown, T. A. (2019). The Multidimensional Emotional Disorder Inventory (MEDI): Assessing transdiagnostic dimensions to validate a profile approach to emotional disorder classification. Psychological Assessment, 31(1), 59-72. https://doi.org/10.1037/pas0000649

Saha, S., Lim, C. C. W., Cannon, D. L., Burton, L., Bremner, M., Cosgrove, P., Huo, Y., & J. McGrath, J. (2021). Co-morbidity between mood and anxiety disorders: A systematic review and meta-analysis. Depression and Anxiety, 38(3), 286-306. https://doi.org/10.1002/da.23113

Sauer-Zavala, S., Cassiello-Robbins, C., Conklin, L. R., Bullis, J. R., Thompson-Hollands, J., & Kennedy, K. A. (2017a). Isolating the Unique Effects of the Unified Protocol Treatment Modules Using Single Case Experimental Design. Behavior Modification, 41(2), 286-307. https://doi.org/10.1177/0145445516673827

Sauer-Zavala, S., Gutner, C. A., Farchione, T. J., Boettcher, H. T., Bullis, J. R., & Barlow, D. H. (2017b). Current Definitions of “Transdiagnostic” in Treatment Development: A Search for Consensus. Behavior Therapy, 48(1), 128-138. https://doi.org/10.1016/j.beth.2016.09.004

Sauer-Zavala, S., Tirpak, J. W., Eustis, E. H., Woods, B. K., & Russell, K. (2021). Unified Protocol for the Transdiagnostic Prevention of Emotional Disorders: Evaluation of a Brief, Online Course for College Freshmen. Behavior Therapy, 52(1), 64-76. https://doi.org/10.1016/j.beth.2020.01.010

Sauer-Zavala, S., Fournier, J. C., Jarvi Steele, S., Woods, B. K., Wang, M., Farchione, T. J., & Barlow, D. H. (2020). Does the unified protocol really change neuroticism? Results from a randomized trial. Psychological Medicine, 51(14), 2378-2387. https://doi.org/10.1017/S0033291720000975

Suso-Ribera, C., Castilla, D., Zaragozá, I., Ribera-Canudas, M. V., Botella, C., & García-Palacios, A. (2018). Validity, reliability, feasibility, and usefulness of pain monitor. The Clinical Journal of Pain, 34(10), 900-908. https://doi.org/ 10.1097/AJP.0000000000000618

Stockings, E. A., Degenhardt, L., Dobbins, T., Lee, Y. Y., Erskine, H. E., Whiteford, H. A., y Patton, G. (2016). Preventing depression and anxiety in young people: a review of the joint efficacy of universal, selective and indicated prevention. Psychological Medicine, 46(1), 11-26. https://doi.org/10.1017/S0033291715001725.

Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52(1), 30-41. https://doi.org/10.1207/s15327752jpa5201_2

Publicado
03-04-2024
Cómo citar
Socías-Soler, J., Martínez-García, L., Peris-Baquero, Óscar, & Osma, J. (2024). Resultados de una aplicación grupal breve en línea del protocolo unificado para la prevención de trastornos emocionales en estudiantes universitarios: un estudio piloto con diseño experimental de línea base múltiple. Anales de Psicología / Annals of Psychology, 40(2), 179–188. https://doi.org/10.6018/analesps.554261
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Psicología clínica y de la salud

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