Negative and Positive Affect Regulation in a Transdiagnostic Internet-Based Protocol for Emotional Disorders: Randomized Controlled Trial
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Other documents of the author: Díaz-García, Amanda; González-Robles, Alberto; García-Palacios, Azucena; Fernández-Álvarez, Javier; Castilla, Diana; Bretón-López, Juana; Baños, Rosa Maria; Quero, Soledad; Botella, Cristina
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Title
Negative and Positive Affect Regulation in a Transdiagnostic Internet-Based Protocol for Emotional Disorders: Randomized Controlled TrialAuthor (s)
Date
2021Publisher
JMIR PublicationsISSN
1438-8871Bibliographic citation
DÍAZ-GARCÍA, Amanda, et al. Negative and Positive Affect Regulation in a Transdiagnostic Internet-Based Protocol for Emotional Disorders: Randomized Controlled Trial. Journal of Medical Internet Research, 2021, vol. 23, no 2, p. e21335.Type
info:eu-repo/semantics/articleVersion
info:eu-repo/semantics/publishedVersionSubject
Abstract
Background: Emotional disorders (EDs) are among the most prevalent mental disorders. Existing evidence-based psychological
treatments are not sufficient to reduce the disease burden of mental disorders. It is therefore ... [+]
Background: Emotional disorders (EDs) are among the most prevalent mental disorders. Existing evidence-based psychological
treatments are not sufficient to reduce the disease burden of mental disorders. It is therefore essential to implement innovative
solutions to achieve a successful dissemination of psychological treatment protocols, and in this regard, the use of information
and communication technologies such as the internet can be very useful. Furthermore, the literature suggests that not everyone
with an ED receives the appropriate treatment. This situation has led to the development of new intervention proposals based on
the transdiagnostic perspective, which attempts to address the underlying processes common to EDs. Most of these transdiagnostic
interventions focus primarily on downregulating negative affectivity (NA), and less attention has been paid to strengths and the
upregulation of positive affectivity, despite its importance for well-being and mental health.
Objective: This study aims to evaluate the efficacy of a transdiagnostic internet-based treatment for EDs in a community sample.
Methods: A 3-armed randomized controlled trial was conducted. A total of 216 participants were randomly assigned to a
transdiagnostic internet-based protocol (TIBP), a TIBP+ positive affect (PA) component, or a waiting list (WL) control group.
The treatment protocol contained core components mainly addressed to downregulate NA (ie, present-focused emotional awareness
and acceptance, cognitive flexibility, behavioral and emotional avoidance patterns, and interoceptive and situational exposure)
as well as a PA regulation component to promote psychological strengths and enhance well-being. Data on depression, anxiety,
quality of life, neuroticism and extraversion, and PA/NA before and after treatment were analyzed. Expectations and opinions
of treatment were also analyzed.
Results: Within-group comparisons indicated significant pre-post reductions in the two experimental conditions. In the TIBP+PA
condition, the effect sizes were large for all primary outcomes (d=1.42, Beck Depression Inventory [BDI-II]; d=0.91, Beck
Anxiety Inventory [BAI]; d=1.27, Positive and Negative Affect Schedule-Positive [PANAS-P]; d=1.26, Positive and Negative
Affect Schedule-Negative [PANAS-N]), whereas the TIBP condition yielded large effect sizes for BDI-II (d=1.19) and PANAS-N
(d=1.28) and medium effect sizes for BAI (d=0.63) and PANAS-P (d=0.69). Between-group comparisons revealed that participants
who received one of the two active treatments scored better at posttreatment than WL participants. Although there were no
statistically significant differences between the two intervention groups on the PA measure, effect sizes were consistently larger
in the TIBP+PA condition than in the standard transdiagnostic protocol. [-]
Is part of
J Med Internet Res, 2021, 23 (2)Funder Name
Ministerio de Economía y Competitividad | CIBER Fisiopatología de la Obesidad y Nutrición
Project code
PSI2014-54172-R | FPI-MINECO | BES-2015-072360 | ISCIII CB06/03/0052
Rights
©Amanda Díaz-García, Alberto González-Robles, Azucena García-Palacios, Javier Fernández-Álvarez, Diana Castilla, Juana María Bretón, Rosa María Baños, Soledad Quero, Cristina Botella. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 01.02.2021.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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Except where otherwise noted, this item's license is described as ©Amanda Díaz-García, Alberto González-Robles, Azucena García-Palacios, Javier Fernández-Álvarez, Diana Castilla, Juana María Bretón, Rosa María Baños, Soledad Quero, Cristina Botella. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 01.02.2021.