Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial

BACKGROUND: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is a theory-derived approach that can target the common underlying processes, such as the cognitive, emotional, and behavioral processes in emotional disorders in children aged 8–12 years. This s...

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Main Authors: Pantea Ahadianfard, Banafsheh Gharraee, Asma Aghebati, Mojtaba Habibi Asgarabad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Education and Health Promotion
Subjects:
Online Access:http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=387;epage=387;aulast=Ahadianfard
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author Pantea Ahadianfard
Banafsheh Gharraee
Asma Aghebati
Mojtaba Habibi Asgarabad
author_facet Pantea Ahadianfard
Banafsheh Gharraee
Asma Aghebati
Mojtaba Habibi Asgarabad
author_sort Pantea Ahadianfard
collection DOAJ
description BACKGROUND: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is a theory-derived approach that can target the common underlying processes, such as the cognitive, emotional, and behavioral processes in emotional disorders in children aged 8–12 years. This study aimed to investigate UP-C's efficacy in treating children's anxiety disorders compared to cognitive behavior therapy (CBT). MATERIALS AND METHODS: In this randomized control trial (RCT), with pre-test, post-test, and follow-up, 34 participants aged 8–12 with anxiety disorders were selected through the restricted randomization method and allocated to intervention (UP-C) or control (CBT) groups by random allocation rule. UP-C group consisted of 15 weekly individual sessions, and CBT included 16 weekly individual sessions. The Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) and The Screen for Child Anxiety Related Disorders (SCARED-71) were completed in the pre-test, post-test, and three-month follow-up stages. The data of participants were analyzed using the repeated measure analysis of variance. A P- value under. 05 was regarded as significant. RESULTS: Based on the repeated measures ANOVA, UP-C, and CBT significantly reduced anxiety symptoms (P = .002) and emotional suppression (P = .032). Moreover, UP-C and CBT significantly increased emotion regulation (P = .000) and cognitive reappraisal (P = .000). CONCLUSION: The individual UP-C can be effective as anxiety-oriented CBT in treating anxiety disorders. Also, in the three months follow-up, the UP-C's effects were more stable and progressive than the CBT.
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spelling doaj.art-4043cb9cb5dd477da4910e96042c7f392024-04-01T05:57:03ZengWolters Kluwer Medknow PublicationsJournal of Education and Health Promotion2277-95312023-01-0112138738710.4103/jehp.jehp_1578_22Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trialPantea AhadianfardBanafsheh GharraeeAsma AghebatiMojtaba Habibi AsgarabadBACKGROUND: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is a theory-derived approach that can target the common underlying processes, such as the cognitive, emotional, and behavioral processes in emotional disorders in children aged 8–12 years. This study aimed to investigate UP-C's efficacy in treating children's anxiety disorders compared to cognitive behavior therapy (CBT). MATERIALS AND METHODS: In this randomized control trial (RCT), with pre-test, post-test, and follow-up, 34 participants aged 8–12 with anxiety disorders were selected through the restricted randomization method and allocated to intervention (UP-C) or control (CBT) groups by random allocation rule. UP-C group consisted of 15 weekly individual sessions, and CBT included 16 weekly individual sessions. The Emotion Regulation Questionnaire for Children and Adolescents (ERQ-CA) and The Screen for Child Anxiety Related Disorders (SCARED-71) were completed in the pre-test, post-test, and three-month follow-up stages. The data of participants were analyzed using the repeated measure analysis of variance. A P- value under. 05 was regarded as significant. RESULTS: Based on the repeated measures ANOVA, UP-C, and CBT significantly reduced anxiety symptoms (P = .002) and emotional suppression (P = .032). Moreover, UP-C and CBT significantly increased emotion regulation (P = .000) and cognitive reappraisal (P = .000). CONCLUSION: The individual UP-C can be effective as anxiety-oriented CBT in treating anxiety disorders. Also, in the three months follow-up, the UP-C's effects were more stable and progressive than the CBT.http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=387;epage=387;aulast=Ahadianfardanxiety disorderschildrencognitive behavior therapycognitive reappraisalemotional suppressionunified protocol
spellingShingle Pantea Ahadianfard
Banafsheh Gharraee
Asma Aghebati
Mojtaba Habibi Asgarabad
Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
Journal of Education and Health Promotion
anxiety disorders
children
cognitive behavior therapy
cognitive reappraisal
emotional suppression
unified protocol
title Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
title_full Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
title_fullStr Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
title_full_unstemmed Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
title_short Effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders: A randomized control trial
title_sort effectiveness of unified protocol for trans diagnostic treatment in children with anxiety disorders a randomized control trial
topic anxiety disorders
children
cognitive behavior therapy
cognitive reappraisal
emotional suppression
unified protocol
url http://www.jehp.net/article.asp?issn=2277-9531;year=2023;volume=12;issue=1;spage=387;epage=387;aulast=Ahadianfard
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