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Applications of the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents
Abstract
The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C and UP-A) are evidence-based, transdiagnostic intervention programs that target core emotion regulation processes that may be shared across varying presentations of internalizing distress or disorders in youth. Given their popular transdiagnostic and modular structures, the UP-C and UP-A have quickly been disseminated and implemented with a variety of populations and in differing treatment settings. This volume aims to aid UP-C and UP-A therapists in understanding varied applications and modifications of these approaches and assist them in applying such in their own practice. To that end, chapters are offered on not only standard UP-C and UP-A research and practice but also applications for youth with obsessive-compulsive symptoms, tic-related concerns, substance use, serious mental illness, and eating disorders. Structural modifications to the UP-C and UP-A using a stepped care model and when delivering care in pediatric or community practice settings and in differing cultures or languages are also discussed. To aid in their use, each chapter includes a brief, user-friendly description of the modifications or adaptations of the UP-C and/or UP-A that are described therein.
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“A transdiagnostic treatment with a strong evidence base is the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A; Ehrenreich-May et al., 2018).UP-A has the potential to meet all requirements for indicated prevention and has already been proven effective as an intervention treatment program for adolescents with clinical emotional disorders in several studies”
From Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders (2024) · cites this paper as Ehrenreich-May & Kennedy, 2021
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State of the Science: The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders
Farchione, T. J., Long, L. J., Spencer-Laitt, D., Moreno-Villamizar, J. D., & Barlow, D. H. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.04.007 · Cited by 57
Garcia-Lopez, L.-J., Jimenez-Vazquez, D., Muela-Martinez, J.-A., Piqueras, J. A., Espinosa-Fernandez, L., Canals-Sans, J., Vivas-Fernandez, M., Morales-Hidalgo, P., Diaz-Castela, M.-M., Rivera, M., et al. (2024) · Current Psychology · doi:10.1007/s12144-023-05421-3 · Cited by 34
Vivas-Fernandez, M., Garcia-Lopez, L.-J., Piqueras, J. A., Muela-Martinez, J.-A., Canals-Sans, J., Espinosa-Fernandez, L., Jimenez-Vazquez, D., Diaz-Castela, M. D. M., Morales-Hidalgo, P., Rivera, M., et al. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-023-00616-9 · Cited by 20
Bugatti, M., & Boswell, J. F. (2022) · Psychotherapy Research · doi:10.1080/10503307.2022.2030497 · Cited by 16
Zemestani, M., Ezzati, S., Nasiri, F., Gallagher, M. W., Barlow, D. H., & Kendall, P. C. (2024) · Psychological Medicine · doi:10.1017/s0033291723001903 · Cited by 19
Espinosa, V., Valiente, R. M., García-Escalera, J., Chorot, P., Arnáez, S., Schmitt, J. C., & Sandín, B. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104560 · Cited by 15
Novel approaches for the prevention of emotional problems in young people
López, L. J. G. (2023) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2023.102797 · Cited by 13
Vivas-Fernández, M., López, L. J. G., Piqueras, J. A., Fernández, L. E., Muela-Martínez, J. A., Jiménez-Vázquez, D., Díaz-Castela, M. D. M., & Ehrenreich, J. T. (2023) · Child Psychiatry & Human Development · doi:10.1007/s10578-023-01638-2 · Cited by 14
“…and the 12-month follow-up, with similar results to those found after the completion of the main treatment [36] and providing evidence in line with promising previous studies of the transdiagnostic approach for young people with clinical, indicated and universal samples [23, 29–32, 34, 35, 62].”
Ishikawa, S., Kishida, K., Takahashi, T., Fujisato, H., Urao, Y., Matsubara, K., & Sasagawa, S. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00446-3 · Cited by 13
Vivas-Fernández, M., López, L. J. G., Muela-Martínez, J. A., Piqueras, J. A., Fernández, L. E., Jiménez-Vázquez, D., & Díaz-Castela, M. D. M. (2024) · European Journal of Psychology Open · doi:10.1024/2673-8627/a000054 · Cited by 11
Interventions for selective prevention of emotional problems in adolescents: a systematic review
Vivas-Fernández, M., López, L. J. G., & David, J.-V. (2024) · Revista de Psicología Clínica con Niños y Adolescentes · doi:10.21134/rpcna.2024.11.2.1 · Cited by 11
“…primary care settings, providing cost-saving benefits compared to disorder-specific interventions (Bullis et al., 2019; Ehrenreich-May et al., 2018; Ehrenreich-May & Kennedy, 2021; Norton et al., 2021; Meidlinger & Hope, 2017; Sandín et al., 2012; Cano-Vindel et al., 2021; Roberge et al., 2020;…”
George, S. M. S., Velez, C. V., Ahn, Y. A., Phillips, D. A., Pulgarón, E. R., & Ehrenreich, J. T. (2024) · School Mental Health · doi:10.1007/s12310-024-09686-2 · Cited by 10
“The UP-A has also led to reduced diagnostic severity and greater global improvement compared to waitlist conditions at mid-and post-treatment (Ehrenreich-May et al., 2017) and has been adapted for use with a number of related youth samples and settings (see Ehrenreich-May & Kennedy, 2021).”
Jiménez-Vázquez, D. (2024) · Revista de Psicología Clínica con Niños y Adolescentes · doi:10.21134/rpcna.2024.11.2.6 · Cited by 9
“Th s approach focuses on emotion regulation to reduce the emotional symptomatology shared by anxiety and depression problems (Bullis et al., 2019; Ehrenreich-May et al., 2018; Ehrenreich-May & Kennedy, 2021; Norton et al., 2021; Sandín et al., 2012).”
BackgroundVivas-Fernández, M., López, L. J. G., Piqueras, J. A., Muela-Martínez, J. A., Canals, J., Fernández, L. E., Jiménez-Vázquez, D., Díaz-Castela, M. D. M., Morales‐Hidalgo, P., Rivera, M., et al. (2023) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-022-00550-2 · Cited by 7
RetractedVincenzo, C. D., Demaria, F., Bertoncini, I., Menghini, D., Antonietti, A., Vicari, S., & Pontillo, M. (2026) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1750938 · Cited by 5
Velez, C. V., Campez, M., Canovas, J. M., Pedronzo, P. M., Ahn, Y. A., Dale, C. F., Dale, S. K., Gwynn, L. A., Jensen‐Doss, A., Pulgarón, E. R., et al. (2025) · JMIR Research Protocols · doi:10.2196/74080 · Cited by 1
“The UP-A has also previously been implemented in community-based mental health care settings [45,46] and in more structured, group-based formats.”
Urbán, D. J. A., García-Fernández, J. M., Fernández‐Sogorb, A., & Inglés, C. J. (2022) · European Journal of Education and Psychology · doi:10.32457/ejep.v15i2.1970 · Cited by 1
Zhang, Y., Xiang, X., Chen, K., & Xu, Z. (2024) · Frontiers of Architectural Research · doi:10.1016/j.foar.2024.06.004 · Cited by 1
A Trauma-Informed Approach to the Unified Protocol for Children with Exposure to Child Maltreatment
Gruen, R. L., Lindenbach, D., Arnold, P. D., Ehrenreich, J. T., & Dimitropoulos, G. (2023) · Child maltreatment solutions network · doi:10.1007/978-3-031-33739-0_10 · Cited by 1
Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents
Halliday, E. R., & Ehrenreich, J. T. (2026) · Neuromethods · doi:10.1007/978-1-0716-5134-6_15
Ringle, V. A. M., Shaw, A. M., Kennedy, S. M., Shepard, B. D., Jensen‐Doss, A., Ginsburg, G. S., & Ehrenreich, J. T. (2026) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2026.2714517
Metadata
- Venue
- Oxford University Press eBooks
- Publisher
- Oxford University Press
- Published
- 2021-08
- OpenAlex
- W4235774751
- Cited by
- 21
- References
- 0
- Citations by year
- 2026: 3 · 2025: 1 · 2024: 7 · 2023: 8 · 2022: 2
- FWCI
- 7.38
- Type
- book
- Language
- en
- Open access
- closed
- Locations
- Oxford University Press eBooks (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- Unified Protocol, transdiagnostic treatment, emotion regulation, children and adolescents, internalizing disorders, obsessive-compulsive symptoms, substance use, severe mental illness, eating disorders, stepped care, treatment adaptation, cultural adaptation, community-based care, pediatric care
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