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Transdiagnostic cognitive behavioral therapy versus treatment asusual in adult patients with emotional disorders in the primarycaresetting (PsicAP Study): protocol for a Randomized Controlled Trial

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Cano Vindel, Antonio and Muñoz Navarro, Roger and Wood, Cristina Mae and Limonero, Joaquín T and Medrano, Leonardo Adrián and Ruiz Rodríguez, Paloma and Gracia Gracia, Irene and Dongil Collado, Esperanza and Iruarrizaga, Iciar and Chacón, Fernando and Santolaya, Francisco (2016) Transdiagnostic cognitive behavioral therapy versus treatment asusual in adult patients with emotional disorders in the primarycaresetting (PsicAP Study): protocol for a Randomized Controlled Trial. JMIR research protocols, 5 (4). e246. ISSN 1929-0748

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Official URL: https://www.researchprotocols.org/2016/4/e246/




Abstract

BACKGROUND
Demand for primary care (PC) services in Spain exceeds available resources. Part of this strong demand is due to the high prevalence of emotional disorders (EDs)-anxiety, depression, and somatic symptom disorders-and related comorbidities such as pain or chronic illnesses. EDs are often under- or misdiagnosed by general practitioners (GPs) and, consequently, treatment is frequently inadequate.

OBJECTIVE
We aim to compare the short- and long-term effectiveness of group-delivered transdiagnostic cognitive behavioral therapy (TD-CBT) versus treatment as usual (TAU) in the treatment of EDs in the PC setting in Spain. We also aim to compare the effect of these treatments on disability, quality of life, cognitive-emotional factors, and treatment satisfaction.

METHODS
Here we present the study design of a two-arm, single-blind, randomized controlled trial (N=1126) to compare TAU to TD-CBT for EDs. TAU will consist primarily of pharmacological treatment and practical advice from the GP while TD-CBT will be administered in seven 90-minute group sessions held over a period ranging from 12 to 14 weeks. Psychological assessments are carried out at baseline (ie, pretreatment); posttreatment; and at 3-, 6-, and 12-month follow-up. The study is conducted in approximately 26 PC centers from the National Health System in Spain.

RESULTS
This study was initiated in December 2013 and will remain open to new participants until recruitment and follow-up has been completed. We expect all posttreatment evaluations to be completed by December 2017, and follow-up will end in December 2018.

CONCLUSIONS
We expect the TD-CBT group to have better results compared to TAU on all posttreatment measures and that this improvement will be maintained during follow-up. This project could serve as a model for use in other areas or services of the National Health System in Spain and even in other countries.

CLINICALTRIAL
International Standard Randomized Controlled Trial Number (ISRCTN): 58437086; http://www.isrctn.com/ISRCTN58437086 (Archived by WebCite at http://www.webcitation.org/6mbYjQSn3).


Item Type:Article
Uncontrolled Keywords:anxiety ; Depression ; Somatization ; Treatment as usual ; Cognitive behavioral therapy ; Quality of life ; Primary care ; Emotional disorders ; Transdiagnostic therapy ; Medically unexplained symptoms ; Common mental health disorders
Subjects:Medical sciences > Psychology > Clinical psychology and psychodiagnostics
Medical sciences > Psychology > Psychotherapy
Medical sciences > Psychology > Emotions and Aggresiveness
ID Code:40803
Deposited On:28 Apr 2017 08:33
Last Modified:29 Nov 2018 12:56

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