Viabilidad y utilidad clínica del Protocolo Unificado Transdiagnóstico con alumnos del Aula Universitaria de Mayores de la Universidad de Cádiz

  1. FLAVIA ARRIGONI 1
  2. ESPERANZA MARCHENA CONSEJERO 2
  3. JOSÉ I.NAVARRO GUZMÁN 2
  1. 1 Pontificia Universidad Católica Argentina
    info

    Pontificia Universidad Católica Argentina

    Buenos Aires, Argentina

    ROR https://ror.org/0422kzb24

  2. 2 Universidad de Cádiz, España
Journal:
Acción psicológica

ISSN: 1578-908X

Year of publication: 2022

Issue Title: Protocolo Unificado

Volume: 19

Issue: 2

Pages: 129-148

Type: Article

DOI: 10.5944/AP.19.2.36983 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Acción psicológica

Abstract

Emotional disorders are the result of a triple vulnerability. The pandemic context increased the appearance of emo-tional imbalances, and being an older adult in that context, constituted a psychological vulnerability that may have fa-vored the appearance of emotional disorders, affecting the health and well-being of these people. Objective. Explore the feasibility and clinical utility of the online group Uni-fied Protocol to improve emotional regulation in an aca-demic context. Research with a quantitative, exploratory, descriptive,and interactive approach, with a quasi-exper-imental design, pre-posttest for paired samples. Study with a non-probabilistic sample of volunteers that was formed by 13 studentswith an average age of 61.92 years (DT = 4.4; range of 55 to 70) of the University of Cadiz ́s Elderly Classroom who received an online, synchronous, group psychological intervention for three months (from Decem-ber 2020 to February 2021). Pre and post-intervention measurements were performed. The intervention con-sisted of 12 weekly 90-minute sessions. Instruments: OASIS, ODSIS, QLI-Sp, COP, PANAS, RRS, CORE-OM, BEAQ, NEO FFI, ad hoc sociodemographic data sheet, Satisfaction Scale and Treatment Assessment Sur-vey. The results of the Multivariate Analysis of Variance (MANOVA) showed a statistically significant reduction (p<.05) in psychological distress: CORE OM Problem (t=2.345; p<.037), CORE OM Functioning (Z=-1.968; p<.049), CORE OM Visi (Z=-2.028; p<.043) and CORE OM VISI-R (Z=-2.040; p< .041). After the inter-vention, there was a quantitative increase in quality of life, optimism and positive affection; and a reduction in anxi-ety, negative affection, rumiative behavior, avoidant be-havior and psychological discomfort. To know the size of the effect Cohen d was used, this was small in the different variables in study. High levels of satisfaction with the treatment were found and most of the participants were satisfied or very satisfied with the quality of the treatment. The preliminary results obtained justify the design of a randomized controlled trial to show the efficacy of the Unified Protocol in this context and population. It is be-lieved that this type of intervention would satisfy the spe-cific needs of this population and offer them a space for health care and promotion of their well-being from the ac-ademic context.

Bibliographic References

  • American Psychological Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5ª ed.). Autor.
  • American Psychological Association. (2021). Dictionary of Psychology. https://dictionary.apa.org/clinical-psychology
  • Ausín, B., Muñoz, M. y Castellanos, M. (2017). Loneliness, Sociodemographic and Mental Health Variables in Spanish Adults over 65 Years Old. The Spanish Journal of Psychology, 20, Artículo e46. https://doi.org/10.1017/sjp.2017.48
  • Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Murray Latin, H., Ellard, K., Bullis, J., Bentley, K., Boettcher, H. y Cassiello-Robbins, C. (2019b). Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales: Manual del terapeuta [Unified Protocol for Transdiagnostic Treatment of Emotional Disorder: Workbook] (Trad. J. J. Osma López y E. Crespo Delgado; 2ª ed. rev y act.). Alianza.
  • Barlow, D. H., Farchione, T. J., Sauer-Zavala, S., Murray Latin, H., Ellard, K., Bullis, J., Bentley, K., Boettcher, H. y Cassiello-Robbins, C. (2019a). Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales: Manual del paciente [Unified Protocol for Transdiagnostic Treatment of Emotional Disorder: Workbook] (Trad. J. J. Osma López y E. Crespo Delgado; 2ª ed. rev y act.). Alianza.
  • Bentley, K., Gallagher, M., Carl, J. y Barlow, D. H. (2014). Development and Validation of the Overall Depression Severity and Impairment Scale. Psychological Assessment, 26(3), 815–830. https://doi.org/10.1037/a0036216
  • Borkovec, T. D. y Nau, S. D. (1972). Credibility of Analogue Therapy Rationales. Journal of Behavior Therapy and Experimental Psychiatry, 3, 257–260.
  • Botella-Arbona, C., García Palacios, A., Días García, A., González Robles, A. y Castilla López, D. (2019). Protocolo de tratamiento transdiagnóstico online para los trastornos emocionales. En J. Osma (coord.), Aplicaciones del Protocolo Unificado para el tratamiento transdiagnóstico de la disregulación emocional (pp. 297–318). Alianza.
  • Campbell-Sills, L., Norman, S. B., Craske, M. G., Sullivan, G., Lang, A. J., Chavira, D. A., Bystritsky, A., Sherbourne, C., Roy-Byrne, P. y Stein, M. B. (2009). Validation of a Brief Measure of Anxiety-Related Severity and Impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). Journal of Affective Disorders, 112(1–3), 92–101. https://doi.org/10.1016/j.jad.2008.03.014
  • Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2ª ed.). Academic Press.
  • Consejo General de la Psicología de España. (2020). El rol de los psicólogos en Europa frente al coronavirus-comunicado de la EFPA. http://www.infocop.es/view_article.asp?id=8636
  • Consejo General de Psicología de España. (2017). Guía para la práctica de la telepsicología. http://www.cop.es/pdf/telepsicologia2017.pdf
  • Costa, P. T. y McCrae, R. R. (1999). NEO PI-R Manual. NEO PI-R, Inventario de Personalidad NEO Revisado. NEO-FFI, Inventario NEO reducido de Cinco Factores. TEA.
  • Dávila de Velásquez, A. (2021). El adulto mayor y la educación no formal en tiempos de pandemia [The Elderly Adult and Non-formal Education inTimes of Pandemic]. Revista Educare, 25(1), 457–474.
  • De Andrés-Pizarro, J. (2000). El análisis de estudios cualitativo [Analysis of Qualitative Studies]. Atención Primaria, 25(1), 42–46. https://doi.org/10.1016/S0212-6567(00)78463-0
  • Díaz Barrientos, E., Reyes Terrero, E. y Sosa Cornado, A. (2016). Comportamiento del anciano ante situaciones de desastres [Elderly behavior when facing disasters situations]. Medisan, 20(3), 390–394.
  • Echeburua, E. y Del Corral, P. (2007). Intervención en crisis en víctimas de sucesos traumáticos: ¿cuándo, ¿cómo y para qué? [Crisis Intervention in Victims of Traumatic Events: When, How and What for?]. Psicología Conductual, 15(3), 373–387.
  • Feixas, G., García-Grau, E., Bados, A., González, E., Corbella, S., Botella, L., Saúl, L. Ángel, Trujillo, A., Evans, C. y López-González, M. A. (2012). La versión española del CORE-OM: Clinical Outcomes in Routine Evaluation-Outcome Measure [The Spanish Version of the Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM)]. Revista De Psicoterapia, 23(89), 109–135. https://doi.org/10.33898/rdp.v23i89.641
  • Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., Suzuki, N. y Watson, D. (2014). The Brief Experiential Avoidance Questionnaire: Development and Initial Validation. Psychological Assessment, 26(1), 35–45. https://doi.org/10.1037/a0034473
  • Grill, S., Castañeiras, C. y Fasciglione, M. P. (2017). Aplicación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionales en población argentina [Group application of the Unifi ed Protocol for transdiagnostic treatment of emotional disorders in Argentine population]. Revista de Psicopatología y Psicología Clínica, 22, 171–181. https://doi.org/10.5944/rppc.vol.22.num.3.2017.18122
  • Hernández-Sampieri, R., Fernández-Collado, C. y Baptista-Lucio, P. (2014). Metodología de la investigación (6ª ed.) [Investigation Methodology]. McGraw Hill.
  • Hervás-Torres, G. (2008). Adaptación al castellano de un instrumento para evaluar el estilo rumiativo [Spanish Adaptation of an Instrument to Assess Ruminative Style: Ruminative Responses Scale]. Revista de Psicopatología y Psicología Clínica, 13(2), 111–121. https://doi.org/10.5944/rppc.vol.13.num.2.2008.4054
  • Labrador, F. J., Estupiñá, F. J. y García Vera, M. P. (2010). Demanda de atención psicológica en la práctica clínica: tratamientos y resultados [Psychological Care Demand in Clinical Practice: Treatment and Results]. Psicothema, 22(3), 619–626. https://doi.org/10.1177/0145445516667664
  • López-Gómez, I., Hervas, G. y Vázquez, C. (2015). Adaptación de la “Escala de afecto positivo y negativo” (PANAS) en una muestra general española. Psicología Conductual, 23(3), 529–548.
  • Martínez-Borba, V., Osma, J., Crespo-Delgado, E., Andreu-Pejó, L. y Monferrer-Serrano, A. (2022). Prevention of Emotional Disorders and Symptoms Under Health Conditions: A Pilot Study using the Unified Protocol in a Fertility Unit. Annals of Psychology, 38(1), 25–35. https://doi.org/10.6018/analesps.462331
  • Mezzich, J., Cohen, N. y Ruipérez, M. (1996). A Quality of Life Index: Brief description and validation. Paper presented at the International Congress of the International Federation for Psychiatric Epidemiology. Santiago de Compostela, Spain.
  • Mezzich, J., Ruipérez, M., Pérez, C., Yoon, G., Liu, J. y Mahmud, S. (2000). The Spanish version of the Quality of Life Index: Presentation and Validation. The Journal of Nervous and Mental Disease, 188(5), 301–305. https://doi.org/10.1097/00005053-200005000-00008
  • Moreno, E. y Moriana, J. (2012). El tratamiento de problemas psicológicos y de salud mental en atención primaria [The treatment of Mental Health and Psychological Problems in a Primary Care]. Salud Mental, 4, 315–328. https://pdfs.semanticscholar.org/5d2b/1ba42edb913ee711cd388776f6bbca8e4c0b.pdf
  • Mrazek, P. y Haggerty, R. (1994). Reducing Risks for Mental Disorders: Frontiers for Preventive Intervention Research. National Academy.
  • Nolen-Hoeksema, S. y Morrow, J. (1991). A Prospective Study of Depression and Posttraumatic Stress Symptoms after a Natural Disaster: The 1989 Loma Prieta Earthquake. Journal of Personality and Social Psychology, 61, 115–121. https://doi.org/10.1037//0022-3514.61.1.115
  • Norman, S., Campbell-Sills, L., Hitchcock, C., Sullivan, S., Rochlin, A., Wilkins, K. y Stein, M. B. (2011). Psychometrics of a Brief Measure of Anxiety to Detect Severity and Impairment: the Overall Anxiety Severity and Impairment Scale (OASIS). Journal of Psychiatric Research, 45(2), 262–268. https://doi.org/10.1016/j.jpsychires. 2010.06.011
  • Organización Mundial de la Salud. (2017). Depression and other Common Mental Disorders: Global Health Estimates. https://apps.who.int/iris/bitstream/handle/10665/254610/WHO-MSD-MER-2017.2-eng.pdf
  • Organización Mundial de la Salud. (2020). ¿Qué es una pandemia? https://www.who.int/csr/disease/swineflu/frequently_asked_questions/pandemic/es/
  • Osma, J. (2019). Aplicaciones del Protocolo Unificado para el tratamiento transdiagnóstico de la desregulación emocional. Alianza.
  • Osma, J., Martínez-Loredo, V., Díaz-García, A., Quilez-Orden, A. y Peris-Baquero, O. (2022). Spanish Adaptation of the Overall Anxiety and Depression Severity and Impairment Scales in University Students. International Journal of Environmental Research and Public Health, 19(1), Artículo 345. https://doi.org/10.3390/ijerph19010345
  • Osma, J., Quilez-Ordena, A., Suso-Ribera, C., Peris-Baquero, O., Normand, S., Bentley, K., Sauer-Zavala, S. (2019). Psychometric properties and validation of the Spanish versions of the overall anxiety and depression severity and impairment scales. Journal of Affective Disorders, 252, 9–18. https://doi.org/10.1016/j.jad.2019.03.063
  • Pedrosa, I., Celis-Atenas, K., Suárez-Álvarez, J., García-Cueto, E. y Muñiz, J (2015). Cuestionario para la evaluación del optimismo: Fiabilidad y evidencias de validez [Questionnaire for the Assessment of Optimism: Reliability and Evidence of Validity]. Terapia Psicológica, 33(2), 127–138.
  • Pérez-Zepeda, M. U. (2015). La importancia de la investigación para el bienestar del adulto mayor [The Importance of Research for the Well-Being of the Elderly]. Enfermería Universitaria, 12(2), 47–48. https://doi.org/10.1016/j.reu.2015.05.001
  • Rosique-Sanz, M., Sandín, B., Valiente, R., García-Escalera, J. y Chorot, P. (2019). Tratamiento transdiagnóstico de un caso clínico con elevada comorbilidad de trastornos emocionales: aplicación del protocolo unificado [Transdiagnostic Treatment in a Clinical Case of High Comorbidity of Emotional Disorders: Application of the Unified Protocol]. Revista Argentina de Clínica Psicológica, 28(1), 79–91. http://doi.org/10.24205/03276716.2019.1092
  • Sandín, B., Chorot, P., Lostao, L., Joiner, T., Santed, M. y Valiente, R. (1999). Escalas PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural [The PANAS Scale of Positive and Negative Affect: Factor Analytic Validation and Cross-cultural Convergence]. Psicothema, 11(1), 37–51.
  • Sandín, B., Valiente, R. M., García-Escalera, J., Pineda, D., Espinosa, V., Magaz, M. y Chorot, P. (2020). Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales en adolescentes a través de internet (iUP-A): Aplicación web y protocolo de un ensayo controlado aleatorizado [Internet-Delivered Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (iUP-A): Web Application and Study Protocol for a Randomized Controlled Trial]. Revista de Psicopatología y Psicología Clínica, 24,197–215. https://doi.org/10.5944/rppc.26460
  • Sevilla Caro, M., Salgado Soto, M. y Osuna Millán, N. (2015). Envejecimiento activo. Las TIC en la vida del adulto mayor. Revista Iberoamericana para la Investigación y el Desarrollo Educativo, 6(11), 574–587.
  • Sotelo, I., Rojas, J., Sánchez, C. y Irigoyen, A. (2012). La depresión en el adulto mayor: epidemiológica desde el primer nivel de atención [Depression in the Elderly: a Clinical and Epidemiological Perspective from Primary Care]. Archivos en Medicina Familiar, 14(1), 5–13.
  • Trujillo, A., Feixas, G., Bados, A. y García Grau, E. (2016). Psychometric Properties of the Spanish version of the Clinical Outcomes in Routine Evaluation – Outcome Measure. Neuropsychiatric Disorder Treatment, 12, 1457–1466. https://doi.org/10.2147/NDT.S103079
  • Universidad de Cádiz. (2021). Presentación Aula Universitaria de Mayores. https://atencionalumnado.uca.es/presentacion-au-de-mayores/
  • Vásquez-Rizo, F., García-Torres, D., Valencia-Pizarro, M. y Gabalán-Coello, J. (2020). Análisis de la apropiación tecnológica en el adulto mayor. Más allá de la edad [Analysis of Technological Appropriation by Elderly People. Beyond Age]. Ánfora, 27(49), 125–142. https://doi.org/10.30854/anf.v27.n49.2020.741
  • Vega, O. y Quintero-Romero, S. (2019). Persona adulta mayor y TIC: un ambiente propicio para consolidar [Elderly Adult Personand Ict: An Enabling Environment to Consolidate]. Anales en Gerontología, 11, 129–140.
  • Villafuerte Reinante, Y., Alonso Abatt, Y. Alonso Vila, Y., Alcaide Guardado, Y., Leyva Betancourt, I. y Arteaga Cuéllar, Y. (2017). El bienestar y calidad de vida del adulto mayor, un reto para la acción intersectorial [Elderly Well-being and Quality of Life, a Challenge for Inter-Sectoral Action]. Medisur, 15(1), 85–92.
  • Vivaldi, F. y Barra, E. (2012). Bienestar Psicológico, Apoyo Social Percibido y Percepción de Salud en Adultos Mayores [Psychological Well-Being, Perceived Social Support and Health Perception Among Older Adults]. Terapia Psicológica, 30(2), 23–29.
  • Watson, D., Clark, L. y Tellegen, A. (1988). Development and Validation of Brief Measures of Positive and Negative Affect: The PANAS Scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063