Unified protocol in online group versus blended format for treating emotional disorders in university students: Preliminary results on feasibility at 6-month follow-up.

IF 2.7 3区 医学 Q2 PSYCHIATRY
J Socias-Soler, O Peris-Baquero, L Martínez-García, I Prieto-Rollán, J Osma
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Abstract

Introduction: Emotional Disorders (EDs) are highly prevalent among university students, with only a small percentage (16.4%) receiving treatment. This study examines the feasibility and acceptability of delivering the Unified Protocol (UP) in two scalable formats and explores preliminary clinical outcomes in a university student population.

Methods: Thirty-five university students (80% women, mean age = 21.29 years, SD = 1.87) with primary diagnoses of EDs were randomly assigned to either the blended-UP condition (n = 18) or the synchronous online UP condition (n = 17). The intervention involved 8 UP modules, delivered as either 9 weekly 2-h synchronous online group sessions or a blended format (4 synchronous online group sessions for modules 1, 4, 6 and 7+ autonomous work via the UP-APP). Depression, anxiety, transdiagnostic variables, difficulties in emotion regulation, maladjustment and quality of life were assessed at baseline, post-treatment and at 3- and 6-month followups. Satisfaction with the intervention received was also measured.

Results: Statistically significant changes were observed over time (main effect of time) for all evaluated variables (except in quality of life and positive temperament), with no 'Time × Condition' interaction, meaning that the scores evolved similarly in both conditions. Participants reported high satisfaction scores (8.91/10 in the blended condition and 9.38/10 in the synchronous online UP condition) and rated highly how the intervention had helped them to properly regulate their emotions (8.83/10 in the blended condition and 9.00/10 in the synchronous online UP condition).

Conclusions: This study demonstrates that both the blended and synchronous online group formats of the UP are feasible and well accepted by university students, with associated improvements in emotional symptoms, and that the UP in these formats could be an efficient alternative to address the high demand for mental health support among university students.

在线组统一方案与混合格式治疗大学生情绪障碍:6个月随访可行性的初步结果
引言:情绪障碍(EDs)在大学生中非常普遍,但接受治疗的比例很小(16.4%)。本研究考察了以两种可扩展格式提供统一协议(UP)的可行性和可接受性,并探讨了大学生群体的初步临床结果。方法:35名初诊为EDs的大学生(80%为女性,平均年龄21.29岁,SD = 1.87)随机分为混合组(n = 18)和同步在线UP组(n = 17)。干预涉及8个UP模块,以9个每周2小时的同步在线小组会议或混合形式提供(模块1、4、6和7的4个同步在线小组会议+通过UP- app的自主工作)。在基线、治疗后、3个月和6个月随访时评估抑郁、焦虑、跨诊断变量、情绪调节困难、适应不良和生活质量。对接受干预的满意度也进行了测量。结果:随着时间的推移,所有评估变量(生活质量和积极气质除外)都观察到统计学上显著的变化(时间的主要影响),没有“时间×条件”的相互作用,这意味着两种条件下的得分演变相似。参与者报告了高满意度得分(混合条件下为8.91/10,同步在线UP条件下为9.38/10),并高度评价了干预如何帮助他们正确调节情绪(混合条件下为8.83/10,同步在线UP条件下为9.00/10)。结论:本研究表明,混合和同步在线群体形式的UP都是可行的,并为大学生所接受,并与情绪症状的改善相关,并且这些形式的UP可以有效地解决大学生对心理健康支持的高需求。
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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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