Efficacy of a Transdiagnostic internet-based treatment for emotional disorders with a specific component to address positive affect: Study protocol for a randomized controlled trial
Open accessAbstract
BACKGROUND: Emotional disorders (ED) are among the most prevalent mental disorders. However, less than 50% of people suffering from ED receive the appropriate treatment. This situation has led to the development of new intervention proposals based on the transdiagnostic perspective, which tries to address the underlying processes common to ED. Most of these programs focus primarily on down-regulating negative affectivity, rather than increasing strengths and up-regulating positive affectivity. The data suggest the existence of disturbances in positive affectivity in these disorders, and so new interventions focusing on these problems are greatly needed. It is also essential to provide assistance to all the people in need. Information and Communication Technologies can be very useful. This study aims to evaluate the efficacy of a transdiagnostic Internet-based treatment for ED in a community sample. The protocol includes traditional CBT components, as well as a specific component to address positive affect. We intend to test this protocol, including this specific component or not, versus a waiting list control group. Moreover, we aim to test the differential effect of this specific component, and study the effectiveness (in terms of patients' acceptance) of using a self-applied Internet-based program. This paper presents the study protocol. METHODS: The study is a randomized controlled trial. 207 participants will be randomly assigned to: a)Transdiagnostic Internet-based protocol (TIBP), b)Transdiagnostic Internet-based protocol + positive affect component (TIBP + PA), or c)a Waiting List control group (WL). Primary outcomes measures will be the BDI-II, the BAI, and the PANAS. Secondary outcomes will include diagnosis-specific measures of the principal disorder. Participants' treatment acceptance will also be measured. Participants will be assessed at pre-, post-treatment, and 3- and 12- month follow-ups. The data will be analyzed based on the Intention-to-treat principle. Per protocol analyses will also be performed. DISCUSSION: To the best of our knowledge, this is the first study of a transdiagnostic Internet-based treatment for ED with a specific component to up-regulate positive affectivity. This intervention could contribute to improve the efficiency and effectiveness of current treatment programs for ED, promote the dissemination of EBTs, and help to decrease the high prevalence of ED. TRIAL REGISTRATION: ClinicalTrial.gov: NCT02578758 . Registered 15 October 2015.
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Study power was estimated using different effect sizes from the literature and G*Power 3.1, and published in the study protocol.
“Different effect sizes found in the literature based on the transdiagnostic perspective of EDs were considered to estimate the study power in this study. These calculations were performed with the software program G*Power 3.1 [59] and published in the study protocol [58].”
From Negative and positive affect regulation in a transdiagnostic internet-based protocol for emotional disorders: Randomized controlled trial (2021) · cites this paper as [58]
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Flagged first, then by citations
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Research works printed but not linked: 3
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Sorted by citations
Díaz-García, A., González-Robles, A., Mor, S., Mira, A., Quero, S., García-Palacios, A., Baños, R. M., & Botella, C. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-2472-1 · Cited by 207 · see citing works
Self-citationNew Technologies for the Understanding, Assessment, and Intervention of Emotion Regulation
Colombo, D., Fernández-Álvarez, J., García Palacios, A., Cipresso, P., Botella, C., & Riva, G. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01261 · Cited by 75 · see citing works
Self-citationFernández-Álvarez, J., Díaz-García, A., González-Robles, A., Baños, R., García-Palacios, A., & Botella, C. (2017) · Internet Interventions · doi:10.1016/j.invent.2017.09.001 · Cited by 60 · see citing works
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“1 [59] and published in the study protocol [58].”
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Gual-Montolio, P., Suso-Ribera, C., García-Palacios, A., Castilla, D., Zaragozá, I., & Bretón-López, J. (2023) · Internet Interventions · doi:10.1016/j.invent.2023.100601 · Cited by 7 · see citing works
Self-citationBlended transdiagnostic group CBT for emotional disorders: A feasibility trial protocol
Díaz‐García, A., González‐Robles, A., García‐Palacios, A., Fernández‐Felipe, I., Tur, C., Castilla, D., & Botella, C. (2021) · Internet Interventions · doi:10.1016/j.invent.2021.100363 · Cited by 8 · see citing works
Self-citationTechnological Interventions for Emotion Regulation
Fernández‐Álvarez, J., Díaz‐García, A., Colombo, D., Botella, C., Cipresso, P., & Riva, G. (2020) · Comprehensive Clinical Psychology · doi:10.1016/b978-0-12-818697-8.00033-9 · Cited by 8 · see citing works
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Self-citationThe positive affect regulation in an online transdiagnostic protocol for emotional disorders
Díaz‐García, A. (2018) · doi:10.6035/14109.2018.549984
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Self-citationQuality of Life and Positive and Negative Affect in the Personality Disorder
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Self-citation
- Authors
- Díaz-García, A., González-Robles, A., Fernández-Álvarez, J., García-Palacios, A., Baños, R. M., & Botella, C.
- Affiliations
- Universitat de València (ES)
- Universitat Jaume I (ES)
- Corresponding author
- Botella, Cristina
- Venue
- BMC Psychiatry
- Published
- 2017-04-20
- Volume
- 17
- Issue
- 1
- Pages
- 145-145
- ISSN
- 1471-244X (ISSN-L)
- PMC
- PMC5397807
- OpenAlex
- W2606432536
- Cited by
- 22
- References
- 127
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 2 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 2 · 2017: 1
- FWCI
- 3.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- BMC Psychiatry (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Repositori UJI (Universitat Jaume I) (acceptedVersion, cc-by-sa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- CIBER Fisiopatología de la Obesidad y Nutrición-ISCIII (CB06/03/0052)
- Red de Excelencia PROMOSAM: Research in processes, mechanisms and psychological treatments for mental health promotion, from the Ministerio de Economía y Competitividad (2014) (PSI2014-56303-REDT)
- Ministerio de Economía y Competitividad (PSI2014-54172-R)
- Ministerio de Economía y Competitividad (FPI-MINECO) (BES-2015-072360)
- Topics
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- transdiagnostic treatment, online therapy, positive affect, positive affectivity, emotional disorders, cognitive behavioral therapy, treatment acceptance, community sample, depression, anxiety
- MeSH terms
- Clinical Protocols, Female, Humans, Male, Therapy, Computer-Assisted, Cognitive Behavioral Therapy, Treatment Outcome, Mood Disorders, Internet
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