Implementation, efficacy and cost effectiveness of the unified protocol in a blended format for the transdiagnostic treatment of emotional disorders: a study protocol for a multicentre, randomised, superiority controlled trial in the Spanish National Health System

Introduction Emotional disorders (EDs) have become the most prevalent psychological disorders in the general population, which has boosted the economic burden associated with their management. Approximately half of the individuals do not receive adequate treatment. Consequently, finding solutions to deliver cost-effective treatments for EDs has become a key goal of today’s clinical psychology. Blended treatments, a combination of face-to-face and online interventions, have emerged as a potential solution to the previous. The Unified Protocol for the Transdiagnostic Treatment of EDs (UP) might serve this purpose, as it can be applied to a variety of disorders simultaneously and its manualised format makes it suitable for blended interventions. Methods and analysis The study is a multicentre, randomised, superiority, clinical trial. Participants will be 310 individuals with a diagnosis of an ED. They will be randomised to a treatment as usual (individual cognitive behavioural therapy) or a UP condition in a blended format (face-to-face individual UP +online, app-based UP). Primary outcomes will be ED diagnostic criteria and depression and anxiety symptoms. Cost efficiency of the intervention, app usability, as well as opinion and confidence in the treatment will also be evaluated. Assessment points will include baseline and 3 months, 6 months and 12 months after UP treatment. Ethics and dissemination The study has received approvals by the Ethics Research Committee of N...
Source: BMJ Open - Category: General Medicine Authors: Tags: Open access, Public health Source Type: research

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DiscussionTo the best of our knowledge, this protocol describes the first RCT which directly examines the effect of perioperative cognitive behavioural therapy on CPSP among breast cancer patients with high pain catastrophising characteristics. The outcomes of this trial may have significant implications for these patients because perioperative cognitive behavioural therapy has the potential to become an important perioperative intervention to complement patient management.Trial registrationClinicalTrials.govNCT04924010. Registered on 11 June 2021. All item from the World Health Organisation Trial Registration Data set have been included.
Source: Trials - Category: Research Source Type: clinical trials
This study explores patients ’ experiences of therapist behaviour and how it is helpful and hindering for progress in cognitive behavioural therapy groups for anxiety and depression. We interviewed 23 patients from 17 different CBT groups. The fully transcribed texts were analyzed using Braun&Clarke ’s thematic analysis with blinded double coding of 26% of the material. The resulting themes were (1)the co-therapists, (2)the way to communicate, (3)the session structure, and (4)the therapists as group facilitators. Helpful and hindering aspects were highlighted in each theme. A novel finding of the study was ...
Source: Journal of Contemporary Psychotherapy - Category: Psychiatry & Psychology Source Type: research
Sleep Breath. 2022 Jan 8. doi: 10.1007/s11325-021-02547-1. Online ahead of print.ABSTRACTOBJECTIVE: To investigate the positive impact of e-aid cognitive behavioural therapy on the sleep quality, anxiety, and depression of nurses on site during the COVID-19 pandemic.METHODS: Nurses on site at the Tianjin Medical University General Hospital Airport Site experiencing insomnia, anxiety and depression during the COVID-19 prevention and control period, from February 2020 to April 2021, were selected and divided into either an e-aid cognitive behavioural therapy (eCBT-I) group or a control group using a randomized grouping metho...
Source: Sleep and Breathing - Category: Sleep Medicine Authors: Source Type: research
Introduction Patients with cardiac disease often experience anxiety (prevalence about 20%–25%) and have a doubled mortality risk when suffering from anxiety compared with patients without anxiety. This calls for interventions aiming to reduce anxiety. Methods and analysis The Heart &Mind Trial consists of three parts: (1) screening of all hospitalised and outpatient cardiac patients with arrhythmia, heart failure or ischaemic heart disease at four university hospitals in Denmark using the Hospital Anxiety and Depression Scale-Anxiety subscale (HADS-A); Patients scoring ≥8 is invited to participate; (2) Assess...
Source: BMJ Open - Category: General Medicine Authors: Tags: Open access, Cardiovascular medicine Source Type: research
CONCLUSION: The TVICBT intervention was effective in assisting women to identify triggers during their pregnancy journey, develop appropriate coping strategies and advocate for their needs to best cope.IMPACT: TVICBT offers an effective, individualized, trauma and violence-informed approach to optimize the health outcomes of perinatal women and their infants by promoting positive coping and maternal-infant bonding, thus filling an existing practice gap of a lack of individualized, trauma-informed care.PMID:34837410 | DOI:10.1111/jan.15117
Source: Adv Data - Category: Epidemiology Authors: Source Type: research
Introduction Emerging adulthood is a phase in life that is associated with an increased risk to develop a variety of mental health disorders including anxiety and depression. However, less than 25% of university students receive professional help for their mental health reports. Internet-based cognitive behavioural therapy (iCBT) may entail useful interventions in a format that is attractive for university students. The aim of this study protocol is to test the effectiveness of a therapist-guided versus a computer-guided transdiagnostic iCBT programme with a main focus on anxiety and depression. Methods and analysis Unive...
Source: BMJ Open - Category: General Medicine Authors: Tags: Open access, Mental health Source Type: research
Br J Clin Psychol. 2021 Nov 17. doi: 10.1111/bjc.12347. Online ahead of print.ABSTRACTOBJECTIVES: Bouldering has shown promising results in the treatment of various health problems. In previous research, bouldering psychotherapy (BPT) was shown to be superior to a waitlist control group and to physical exercise with regard to reducing symptoms of depression. The primary aim of this study was to compare group BPT with group cognitive behavioural psychotherapy (CBT) to test the hypothesis that BPT would be equally as effective as CBT.DESIGN: We conducted a randomized, controlled, assessor-blinded non-inferiority trial in whi...
Source: The British Journal of Clinical Psychology - Category: Psychiatry & Psychology Authors: Source Type: research
Mental health morbidity has increased amid the COVID-19 pandemic due to social isolation, impairment of basic needs, financial instability, and fears of the virus. New cases of anxiety and depression have been on the rise, while preexisting mental and chronic illnesses have been exacerbated. Cognitive behavioral therapy (CBT) is a highly flexible technique used to manage an array of mental illnesses. CBT may be of particular benefit under conditions of social isolation and virtual health care delivery.
Source: The Journal for Nurse Practitioners - Category: Nursing Authors: Tags: Featured Article Source Type: research
Conditions:   Anxiety;   Mild to Moderate Depression Interventions:   Behavioral: Guided internet-based cognitive behavioural therapy;   Behavioral: Individual F2F Cognitive behavioural therapy;   Behavioral: Blended cognitive behavioural therapy Sponsors:   Norwegian Institute of Public Health;   Norwegian Directorate of Health;   University of Bergen;   Göteborg University;   University of Tromso;   Sussex Partnership NHS Foundation Trust Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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