A Randomized Controlled Pilot Trial of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children
Abstract
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) is an intervention for children aged 7 to 13 targeting high negative emotion, emotional reactivity, and emotion regulation deficits common across emotional disorders. Our objective was to collect pilot randomized controlled trial (RCT) data on the efficacy of the UP-C, comparing UP-C with an active, anxiety-focused intervention. Participants were 47 children with at least one primary anxiety disorder; approximately one half had elevated depression symptoms. Participants received either UP-C or the anxiety-focused control treatment. No condition-related differences were found with respect to diagnostic remission and anxiety symptoms. However, differences in favor of UP-C were observed with respect to treatment response at follow-up, depression symptoms, sadness dysregulation, and cognitive reappraisal. Results provide preliminary evidence that the UP-C may be at least as efficacious in treating anxiety as well-supported anxiety-specific treatment protocols and may produce greater gains in certain emotion reactivity and regulation variables.
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The UP-C has demonstrated efficacy in treating children's emotional disorders within American children and their parents.
“The UP-C has already demonstrated its efficacy in treating children’s emotional disorders within American children and their parents [48]”
From The Factorial Structure, Psychometric Properties and Sensitivity to Change of the Distress Tolerance Scale for Children with Emotional Disorders. (2024) · cites this paper as [48]
The UP-A and UP-C have also been shown to be efficacious in open-trial and randomized-controlled studies.
“The UP-A and UP-C have also been shown to be efficacious in open-trial and randomized-controlled studies (Bilek and Ehrenreich-May, 2012, Ehrenreich-May et al., 2017, Kennedy et al., 2019).”
From Brief Transdiagnostic Intervention for Parents With Emotional Disorder Symptoms During the COVID-19 Pandemic: A Case Example (2021) · cites this paper as Kennedy et al., 2019
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- Authors
- Kennedy, S. M., Bilek, E. L., & Ehrenreich-May, J.
- Affiliations
- University of Miami (US)
- University of Michigan (US)
- University of Miami, Coral Gables, FL, USA
- Corresponding author
- Kennedy, Sarah M.
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2018-01-27
- Volume
- 43
- Issue
- 3
- Pages
- 330-360
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2785685749
- Cited by
- 129
- References
- 57
- Citations by year
- 2026: 15 · 2025: 15 · 2024: 16 · 2023: 16 · 2022: 19 · 2021: 15 · 2020: 18 · 2019: 10 · 2018: 4
- FWCI
- 13.77
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Miami (Provost Grant)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- transdiagnostic treatment, childhood anxiety disorders, depressive symptoms, emotion regulation, emotional reactivity, cognitive reappraisal, treatment response
- MeSH terms
- Anxiety Disorders, Child, Depression, Emotions, Female, Humans, Male, Pilot Projects, Cognitive Behavioral Therapy, Treatment Outcome
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