Effectiveness of a Transdiagnostic Guided Internet-Delivered Protocol for Emotional Disorders Versus Treatment as Usual in Specialized Care : Randomized Controlled Trial
González-Robles, Alberto (Universitat Jaume I. Departament de Psicologia Bàsica, Clínica i Psicobiologia)
Díaz-García, Amanda (Universitat Jaume I. Departament de Psicologia Bàsica, Clínica i Psicobiologia)
García-Palacios, Azucena (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)
Roca, Pablo (Universidad Complutense de Madrid. Departamento de Personalidad, Evaluación y Psicología Clínica)
Ramos-Quiroga, Josep Antoni (Universitat Autònoma de Barcelona. Departament de Psiquiatria i de Medicina Legal)
Botella, Cristina (Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición)

Fecha:	2020
Resumen:	Anxiety disorders and depression (emotional disorders) are highly prevalent mental disorders. Extensive empirical evidence supports the efficacy of cognitive behavioral therapy (CBT) for the treatment of these disorders. However, there are still some barriers related to their dissemination and implementation, which make it difficult for patients to receive these treatments, especially in public health care settings where resources are limited. Recent advances in improving CBT dissemination encompass different perspectives. One is the transdiagnostic approach, which offers treatment protocols that can be used for a range of emotional disorders. Another approach is the use of the internet to reach a larger number of people who could benefit from CBT. This study aimed to analyze the effectiveness and acceptability of a transdiagnostic internet-delivered protocol (EmotionRegulation) with human and automated guidance in patients from public specialized mental health care settings. A 2-armed randomized controlled trial (RCT) was conducted to compare the effectiveness of EmotionRegulation with treatment as usual (TAU) in specialized mental health care. In all, 214 participants were randomly assigned to receive either EmotionRegulation (n=106) or TAU (n=108). Measurement assessments were conducted at pre- and postintervention and at a 3-month follow-up. The results revealed the superiority of EmotionRegulation over TAU on measures of depression (d =0. 41), anxiety (d =0. 35), and health-related quality of life (d =−0. 45) at posttreatment, and these gains were maintained at the 3-month follow-up. Furthermore, the results for expectations and opinions showed that EmotionRegulation was well accepted by participants. EmotionRegulation was more effective than TAU for the treatment of emotional disorders in the Spanish public mental health system. The implications of this RCT, limitations, and suggestions for future research are discussed. ClinicalTrials. gov NCT02345668; https://clinicaltrials. gov/ct2/show/NCT02345668.
Ayudas:	Instituto de Salud Carlos III CB06-03-0052 Ministerio de Educación, Cultura y Deporte FPU13-00576
Nota:	Altres ajuts: The authors would like to thank Consorcio Hospitalario Provincial de Castellón, Hospital Universitario de la Ribera, and Hospital Universitario Vall d'Hebrón for their invaluable contribution to this study. This research was conducted with the financial support of grants P1-1B2014-43 (Universitat Jaume I, Castellón), a PhD grant from the Ministry of Education, Culture and Sports ), and CIBER Fisiopatología de la Obesidad y Nutrición-ISCIII . The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Derechos:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Lengua:	Anglès
Documento:	Article ; recerca ; Versió publicada
Materia:	Transdiagnostic ; Internet ; Cognitive behavioral therapy ; Emotional disorders ; Depression ; Anxiety ; Specialized care
Publicado en:	Journal of medical Internet research, Vol. 22 (july 2020) , ISSN 1438-8871

DOI: 10.2196/18220
PMID: 32673226

23 p, 601.7 KB

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