Exploring the Effectiveness of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders With Latinxs: A Record-Review Study at a Culturally Specific Clinic for Latinxs

IF 2.9 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Cognitive and Behavioral Practice Pub Date : 2023-07-28 DOI:10.1016/j.cbpra.2023.06.001

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引用次数: 0

Abstract

The Unified Protocol (UP) is a transdiagnostic cognitive behavioral therapy that targets the core affective processes underlying anxiety, depression, and other emotional disorders. Given the high rates of anxiety and depression and comorbidity among Latinxs, transdiagnostic treatments are a potentially effective intervention for this group. This record review study examined treatment outcomes for 20 Spanish-speaking Latinxs with an anxiety disorder receiving the UP at a community clinic. Six participants dropped out of treatment (30%) and 14 (70%) completed and responded to treatment. An intent-to treat analysis revealed a statistically significant improvement between pre- and posttreatment scores on the PHQ-9 (95% CI, 5.26, 11.04, t [19] = 5.894, p < .001) and the GAD-7 (95% CI, 4.49, 9.11, t [19] = 6.17, p < .001). We also included an in-depth case study, illustrating how the UP can be used with Spanish-speaking Latinxs. Our results provide preliminary support for the UP for use with a subset of Latinx adults with anxiety (with or without comorbid depression).

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探索拉丁裔情绪障碍跨诊断治疗统一方案的有效性:一项针对拉丁裔文化特异性诊所的记录回顾研究

统一方案（UP）是一种跨诊断认知行为疗法，针对焦虑、抑郁和其他情绪障碍的核心情感过程。鉴于拉美裔焦虑症、抑郁症和合并症的高发率，跨诊断治疗对这一群体来说是一种潜在的有效干预措施。这项记录回顾研究考察了 20 名患有焦虑症的讲西班牙语的拉美人在社区诊所接受 UP 治疗的结果。6名参与者退出了治疗（30%），14名参与者（70%）完成了治疗并对治疗做出了反应。治疗意向分析显示，PHQ-9（95% CI，5.26，11.04，t [19] = 5.894，p <.001）和GAD-7（95% CI，4.49，9.11，t [19] = 6.17，p <.001）的治疗前和治疗后评分之间有显著的统计学改善。我们还进行了一项深入的案例研究，说明如何将 UP 应用于讲西班牙语的拉美人。我们的研究结果初步证明，UP 可用于患有焦虑症（合并或不合并抑郁症）的拉丁裔成年人。

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来源期刊

Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-

CiteScore

4.80

自引率

3.40%

发文量

118

审稿时长

84 days

期刊介绍： Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.