The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C) in Portugal: Feasibility Study Results
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The Unified Protocol for Children (UP-C) is a transdiagnostic Cognitive-Behavioral Therapy group intervention for children and caregivers targeting the treatment of children’s emotional disorders (EDs). The present study aims to assess the feasibility and acceptability of the UP-C in the Portuguese population using a single-armed design. The participants were 32 children (6–12 years of age) with an ED (anxiety and/or depressive disorder) as a main diagnosis and their parents. All participants received the UP-C intervention and were assessed at pretreatment, midtreatment, posttreatment, and 3 months posttreatment. Children, parents, the clinicians, and an external observer completed questionnaires to assess the feasibility and acceptability of the UP-C (e.g., satisfaction, motivation, and adherence). Children and parents also completed self-report measures assessing the children’s anxiety and depression and its interference and severity. The results of the present study support the feasibility and acceptability of the UP-C in Portugal; low dropout rates, high adherence rates, and high levels of child and parent satisfaction and motivation were observed. Moreover, significant reductions over time in children’s levels of anxiety and/or depression and of its interference and severity were found and were maintained after 3 months of follow-up. These results are promising and warrant a subsequent randomized controlled trial (RCT).
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Feasibility studies in Portugal and Japan confirmed that the UP-C was viable and accepted by Portuguese and Japanese populations.
“feasibility studies have been conducted in Portugal [55] and Japan [56], confirming that the UP-C was viable and accepted by Portuguese and Japanese populations.”
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 [55]
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“…has already demonstrated its efficacy in treating children’s emotional disorders within American children and their parents [48], and feasibility studies have been conducted in Portugal [55] and Japan [56], confirming that the UP-C was viable and accepted by Portuguese and Japanese populations.”
BackgroundSelf-citationCaiado, B., Canavarro, M. C., Pereira, A. I., & Moreira, H. (2024) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-023-10102-3 · Cited by 3 · see citing works
“Children and parents participated in a feasibility study (Caiado et al., 2022) and in a randomized controlled trial evaluating the efficacy of the UP-C (Ehrenreich-May et al., 2017a, b transdiagnostic group intervention for children with emotional disorders and their parents.”
Self-citation
- Authors
- Caiado, B., Góis, A., Pereira, B., Canavarro, M. C., & Moreira, H.
- Affiliations
- University of Coimbra (PT)
- Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115 Coimbra, Portugal
- Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Faculty of Psychology and Educational Sciences, University of Coimbra, Rua do Colégio Novo, 3030-115 Coimbra, Portugal
- Corresponding author
- Caiado, Brígida
- Venue
- International Journal of Environmental Research and Public Health
- Publisher
- MDPI AG
- Published
- 2022-02-04
- Volume
- 19
- Issue
- 3
- Pages
- 1782
- ISSN
- 1660-4601 (ISSN-L)
- PMC
- PMC8835210
- OpenAlex
- W4210363057
- Cited by
- 26
- References
- 52
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 7 · 2023: 6 · 2022: 1
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Environmental Research and Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Estudo Geral (Universidad de Coimbra) (submittedVersion, cc-by)
- Funders
- Fundação para a Ciência e Tecnologia ([SFRH/BD/147848/2019])
- 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 cognitive behavioral therapy, childhood anxiety, childhood depression, group intervention, feasibility, acceptability, parental involvement, medication adherence, dropout, Portugal
- MeSH terms
- Anxiety, Anxiety Disorders, Child, Feasibility Studies, Humans, Portugal, Cognitive Behavioral Therapy
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