Abstract

Brief transdiagnostic psychotherapy is a possible approach for emotional disorders in primary care. The objective of the present randomized controlled trial was to determine its effectiveness compared with the treatment as usual based on pharmacological interventions in patients with mild/moderate symptoms. In addition, emotional regulation strategies and cognitive factors were studied as potential predictors. Participants (N = 105) were assigned to brief group therapy based on the Unified Protocol (n = 53) or treatment as usual (n = 52). They were assessed before and after the interventions. Mean differences and stepwise regression analyses were performed. Brief group transdiagnostic psychotherapy was more effective than medication in reducing all clinical symptoms (p = .007 for generalized anxiety; p = .000 for somatization; p = .000 for panic disorder; and p = .041 for depression) and in modifying emotional regulation strategies and cognitive processes (p = .000 for cognitive reappraisal, expressive suppression, worry, rumination, and metacognition) with moderate/high effect sizes. Besides, it was found that these variables acted as predictors of the therapeutic change. It is concluded that brief therapies could be an accurate treatment for mild/moderate emotional disorders in primary care due to their cost-effective characteristics.

摘要

简短的跨诊断心理治疗是初级保健中情绪障碍的一种可能方法。本随机对照试验的目的是确定其与基于轻度/中度症状患者的药物干预的常规治疗相比的有效性。此外，还研究了情绪调节策略和认知因素作为潜在的预测因素。参与者 ( N  = 105) 被分配到基于统一协议 ( n  = 53) 的简短团体治疗或照常治疗 ( n = 52)。他们在干预前后进行了评估。进行平均差异和逐步回归分析。在减轻所有临床症状（广泛性焦虑p  = .007； 躯体化p  = .000；惊恐障碍 p = .000；抑郁症p  = .041）和改善情绪方面，简短的团体跨诊断心理治疗比药物治疗更有效调节策略和认知过程 ( p = .000 用于认知重新评估、表达抑制、担忧、反刍和元认知），具有中等/高效应量。此外，发现这些变量可以作为治疗变化的预测因子。得出的结论是，由于其具有成本效益的特点，简短的治疗可能是初级保健中轻度/中度情绪障碍的准确治疗。