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Systematic Review and Meta-analysis of the Efficacy and Effectiveness of the Unified Protocol for Emotional Disorders in Group Format for Adults

Bibliographic Data

ID15440918
AuthorsAntonio Ayuso-Bartol (0000-0001-7710-9440, Pontifical University of Salamanca, corresponding author), María Ángeles Gómez Martínez (0000-0003-0095-2194, Pontifical University of Salamanca), María Ángeles Gómez-Martínez, Pablo Riesco-Matías (0000-0003-2731-9372, Pontifical University of Salamanca), Jose Ramón Yela Bernabé (0000-0001-9770-4001, Pontifical University of Salamanca), José Ramón Yela-Bernabé, Antonio Crego (0000-0003-0410-5697, Pontifical University of Salamanca), JOSE BUZ (0000-0002-8526-937X, Universidad de Salamanca)
Year2024
Volume23
Issue5
Pages3948-3974
Publication date2024-05-17
Open AccessYes
TypeARTICLE
VenueInternational Journal of Mental Health and Addiction (JOURNAL)
Journal identifiersISSN: 1557-1874 • E-ISSN: 1557-1882
PublisherSpringer Science+Business Media (PUBLISHER • DE)
DOI10.1007/s11469-024-01330-z
OpenAlexW4396995229
LanguageEN
References cited49

Little is known about the efficacy and effectiveness of the Unified Protocol for Emotional Disorders in group format. A systematic review of the research of this intervention (UP) was conducted, and a meta-analysis of the efficacy and effectiveness was made. We searched for studies in the databases Web of Science, PubMed, PsycInfo, PSICODOC, Scholar Google, EBSCOhost, SpringerLink, and Sage Publications. We used a fixed effects model. Effect sizes were measured using Hedges’ g (adjusted), and heterogeneity was calculated using Cochran’s Q and I 2. The psychological variables on which we assessed the effect of the intervention were anxiety and depressive symptoms, positive and negative affect, quality of life, and social adjustment. We located 115 studies that applied the UP, including 7 studies for the efficacy analysis (randomized controlled trial (RCT) studies) and 24 for the effectiveness analysis (RCT and non-RCT studies). The analyses suggest that the UP presents high efficacy reducing anxiety (1.29) and depressive (1.54) symptoms, as well as high effectiveness in decreasing negative affect (0.78), anxiety (1.08), and depressive (1.02) symptoms and increasing quality of life (1.01), social adjustment (0.62), and positive affect (0.59). We found heterogeneity in the analyses performed. This heterogeneity could be explained by the differences between the heterogeneous studies and the rest of the studies. The UP in group format for adults represents a highly effective and efficient alternative for treating emotional problems

Alternative medicine · Health psychology · Meta-analysis · Pathology · Physical therapy · Protocol (science · Psychotherapist · Public health · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Medicine · Mental Health Treatment and Access · Nursing · Personality Disorders and Psychopathology · Psychology · Internal Medicine · Rehabilitation

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