The Top Problems assessment is an idiographic measure of client concerns that may allow clinicians to identify early treatment response. Few studies have examined early response to evidence-based therapies using Top Problems. We collected weekly Top Problems ratings from 95 youth with emotional disorders who received treatment using the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C/UP-A). We assessed Top Problems rating change from session 1 to session 4, the role of pre-treatment variables in early Top Problems rating change, and the role of early Top Problems rating change in post-treatment symptom outcomes. Top Problems ratings decreased significantly from session 1 to session 4. Younger child age and higher parent cognitive flexibility were associated with early Top Problems improvement. Controlling for pre-treatment, early Top Problems rating change did not explain the variance in post-treatment outcomes. Future research should examine Top Problems trajectories over treatment course.

主要问题评估是对客户关注点的具体衡量，可以让临床医生识别早期治疗反应。很少有研究使用热门问题检查对基于证据的治疗的早期反应。我们收集了 95 名患有情绪障碍的青少年的每周热门问题评分，这些青少年使用儿童和青少年情绪障碍跨诊断治疗统一协议 (UP-C/UP-A) 进行治疗。我们评估了从会话 1 到会话 4 的热门问题评分变化、治疗前变量在早期热门问题评分变化中的作用，以及早期热门问题评分变化在治疗后症状结果中的作用。从第 1 节到第 4 节，Top Problems 评分显着下降。儿童年龄越小和父母认知灵活性越高，与早期 Top Problems 的改善有关。控制治疗前，早期的热门问题评级变化并不能解释治疗后结果的差异。未来的研究应该检查治疗过程中的主要问题轨迹。