The Comparative Efficacy of Unified Transdiagnostic Protocol (UP) and Mindfulness-Based Stress Reduction Protocol (MBSR) on Emotion Regulation and Uncertainty Intolerance in Infertile Women Receiving IVF.

Some emotional and social aspects of infertility affect the response of the infertile women to the treatment. The purpose of this study was to compare the efficacy of unified transdiagnostic protocol (UP) and mindfulness-based stress reduction protocol (MBSR) on emotion regulation and uncertainty intolerance in infertile women receiving IVF. Forty-five infertile women with symptoms of anxiety and depression were included in the study. They were randomly assigned in two intervention groups and one control group. The UP was performed for 10 sessions and MBSR was performed for eight sessions. All participants completed emotion regulation and uncertainty intolerance questionnaires at pre-test, post-test, and follow-up stages. Both interventions had a significant effect on increasing patients' emotion regulation (p ≤ 0.05), but only unified transdiagnostic protocol had a significant effect on intolerance of uncertainty (p ≤ 0.05). Findings show that UP and MBSR have increased emotion regulation. Also UP could reduce the rate of uncertainty intolerance.

Aplicación y evaluación de la eficacia del protocolo unificado transdiagnóstico con estudiantes universitarios españoles / Application and evaluation of the effi cacy of the Unifi ed Transdiagnostic Protocol with Spanish college students

Resumen Se presenta aplicación y evaluación del Protocolo Unificado Transdiagnóstico para los trastornos emocionales grupal, online sincrónico a estudiantes universitarios que solicitaron atención al Servicio de Atención Psicológica de la Universidad de Cádiz. Se implementó el Protocolo Unificado de ocho módulos desarrollado en 12 sesiones semanales con el objetivo de examinar su eficacia en un formato grupal online. Los objetivos específicos fueron los siguientes: Incrementar la calidad de vida, el optimismo y el afecto positivo y disminuir la sintomatología depresiva y ansiosa, el afecto negativo, las conductas rumiativas, el malestar psicológico y la evitación experiencial. La investigación tuvo un enfoque cuantitativo, exploratorio, descriptivo e interactivo, con un diseño cuasi-experimental, pre-post test para muestras pareadas. Los instrumentos de evaluación fueron los siguientes: OASIS, ODSIS, QLI-Sp, COP, PANAS, RRS, CORE-OM, BEAQ, ficha sociodemográfica ad hoc y una Escala de satisfacción/opinión. Participaron nueve estudiantes con una edad promedio de 21.11. Se hallaron diferencias estadísticamente significativas entre las mediciones pre y pos test en afecto negativo (t = 3.250; p < .012) y en la escala Riesgo del CORE OM (t = 2.401; p < .043). La aplicación del PU en formato grupal online resultó eficaz en el contexto no clínico aplicado: los participantes evidenciaron un progreso en el tratamiento y mejoras en las variables en estudio.

Abstract: This study presents the results of the application of the Unified Transdiagnostic Protocol Treatment of Emotional Disorders in a group format in a non-clinical context, with university students who have asked for therapy at the University Psychological Services. The standardized eight modules-UP was implemented and it was administered in twelve group sessions. Synchronous online weekly and 90-minute long sessions were carried out. UP is an evidence-based cognitive behavioral intervention program to address a wide range of emotional disorders. The general target was to examine the efficacy of UP for the Transdiagnostic Treatment of Emotional Disorders in an online group format. The specific targets were: (a) to increase quality of life, optimism and positive affect; and (b) to reduce depressive and anxious symptoms, negative affect, ruminant behaviors, psychological distress and experiential avoidance. This study was carried out with a quantitative, exploratory, descriptive and interactive approach. A quasi-experimental design, pre- and posttest for paired samples was used. Instruments: OASIS, ODSIS, QLI-Sp, COP, PANAS, RRS, CORE-OM, BEAQ, ad hoc socio-demographic file and Opinion Scale. A total of 9 students voluntarily participated in the study (Mean age = 21.11 years). After the intervention, statistically significant diffe- rences were found between the pre- and posttest measurements in negative affect (t = 3.250; p < .012) and in the CORE OM´ Risk Scale (t = 2.401; p < .043). The UP application in a group format with students that asked for therapy has proven to be effective in a non-clinical context, participants have shown progress in the treatment as well as in some psychological areas.