Examinando por Autor "Espinosa-Fernández, Lourdes"
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Ítem Effectiveness of a transdiagnostic indicated preventive intervention for adolescents at high risk for anxiety and depressive disorders(Springer Nature, 2023-12-14) Garcia-Lopez, Luis Joaquin; Jimenez-Vazquez, David; Muela-Martinez, José Antonio; Piqueras, José A.; Espinosa-Fernández, Lourdes; Canals-Sans, Josefa; Vivas-Fernandez, Manuel; Morales-Hidalgo, Paula; Diaz-Castela, María-Mar; Rivera, MaríaDespite ample evidence for transdiagnostic interventions in clinical populations and in universal prevention approaches, there are only a few controlled trials examining their role for indicated prevention. This study is the first randomized controlled trial to assess the effectiveness of a brief, 8-session group version of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A), called PROCARE-I (Preventive Transdiagnostic Intervention for Adolescents at Risk for Emotional Disorders-Indicated), delivered online, and including a booster session, in reducing symptoms of anxiety and depression in adolescents compared to an active control condition. Sixty-four adolescents (53% identifying as female) with elevated levels of anxiety and/or depression were randomly assigned to either the 8-week PROCARE-I or the active control condition. Self-report, parent, and clinician measures were collected before and after the interventions, at the 6-month follow-up, and 1 month after the booster session. After the intervention, participants in the PROCARE-I group showed improved scores on 9 of the 13 primary and secondary outcome measures, including reduction of anxiety and mood symptomatology, level of risk of developing emotional disorders, resilience, as well as increase of psychological flexibility, and emotional regulation. In contrast, those in the control group showed improvements in only 2 of the 13 outcome measures. After the booster session, significant differences were found between the PROCARE-I and control condition on measures of overall anxiety and depression symptoms, emotional risk, resilience, and quality of life. Low dropout rates and limited incidence of emotional disorders were observed at follow-ups. The interventions were well-accepted, with high satisfaction rates.Ítem Estudio longitudinal sobre la Inhibición Conductual en la infancia, sus factores asociados y su relación con el desarrollo de los trastornos de ansiedad(Jaén : Universidad de Jaén, 2016-01-26) Ordoñez-Ortega, Alfonso; Espinosa-Fernández, Lourdes; García-Lopez, Luis-Joaquín; Muela-Martínez, José-Antonio; Universidad de Jaén. Departamento de Psicología[ES]El objetivo es examinar si la Inhibición Conductual predice el desarrollo de trastornos de ansiedad. También, se exploran las características intelectuales, madurativas, de adaptación socioemocional y conductual en niños inhibidos y Trastorno de Ansiedad Social. Se realizó un estudio longitudinal con 73 niños de entre 6 y 8 años. Los niños completaron el Test breve de Inteligencia de Kaufman y las Escalas McCarthy de aptitudes y psicomotricidad. Padres, madres y maestros las Escalas de Áreas de Conductas-Problema, el Inventario del Comportamiento de niños y el Sistema de Evaluación de la Conducta de niños y adolescentes. Niños y padres la Entrevista para el diagnóstico de los trastornos de ansiedad en Niños según el DSM-IV. Los resultados muestran que los niños identificados como inhibidos entre los 4 y 6 años desarrollan trastornos de ansiedad y Trastorno de Ansiedad Social. Además, muestran una peor adaptación socioemocional y conductual sin diferencias intelectuales ni madurativas.Ítem Exploring the Role of Resilience as a Mediator in Selective Preventive Transdiagnostic Intervention (PROCARE+) for Adolescents at Risk of Emotional Disorders(Hogrefe, 2024-04-25) Vivas-Fernandez, Manuel; Garcia-Lopez, Luis Joaquin; Muela-Martinez, José Antonio; Piqueras, José A.; Espinosa-Fernández, Lourdes; Jimenez-Vazquez, David; Diaz-Castela, María del MarIntroduction: Psychological treatments are becoming an increasingly important component of medical healthcare, as a growingnumber of people seek treatment for a wide range of mental health problems. While these treatments are known to be effective, much remainsto be understood about their mechanisms and reasons for effectiveness. The study of statistical mediators is crucial in psychological research,as it is fundamental to understanding how psychological factors influence health, well-being, and human behavior, and thus to designingeffective psychological interventions. Aim: This study investigates the role of resilience as a treatment mediator in PROCARE+, a brieftransdiagnostic, personalized protocol for the selective prevention of emotional disorders in adolescents. This approach has proven effectivefor young people at risk of developing emotional issues. Method: We used simple mediation models in a sample of 153 adolescents to assessthe impact of interventions on resilience. Outcome variables included self-reported and parent-reported emotional risk, mood, anxietysymptoms, and quality of life. Discussion: The results of this study provide valuable information on how PROCARE+ works and how to improveits effectiveness, pointing to resilience as a key mediator in reducing the risk of developing emotional disorders and improving quality of life.Ítem Identifying Adolescents at Risk for Emotional Disorders with Latent Profle Analysis: A Personalized, Transdiagnostic Preventive Intervention(Springer Nature, 2024-02-24) Piqueras, José A.; Falcó, Raquel; Rico-Bordera, Pilar; Canals, Josefa; Espinosa-Fernández, Lourdes; Vivas-Fernández, Manuel; García-López, Luis Joaquin; Equipo PROCAREIt can be challenging to assign patients to the appropriate intervention programs, as risk and protective factors for developing emotional disorders are multiple and shared across disorders. This study aimed to provide a theoretical and empirical approach to identify and categorise adolescents into diferent levels of severity. The risk of developing emotional symptoms was assessed in 1425 Spanish adolescents (M=14.34, SD=1.76; 59.9% women). Latent Profle Analysis (LPA) was conducted to identify subgroups based on their emotional symptom severity, risk, and resilience factors. Results revealed four profles: at low risk (emotionally healthy), moderate risk (for selective interventions), high risk (for indicated interventions), and severe risk (for clinical referral). Older age and especially female gender were predictors of higher risk clusters, and there were diferences in the levels of psychopathology and health-related quality of life across clusters. Identifcation of atrisk adolescents for emotional disorders by means of LPA may contribute to designing personalised and tailored prevention programs that match adolescents’ specifc needs.Ítem Optimal cut-off score of Social Phobia and Anxiety Inventory-Brief form for detecting DSM-5 social anxiety disorder and performance-only specifier(2018) García-López, Luis Joaquín; Beidel, Deborah; Muela-Martínez, Jose Antonio; Espinosa-Fernández, LourdesNo cut-off scores for the Social Phobia and Anxiety Inventory-Brief (SPAI-B) are available to screen for young adults with andwithout social anxiety disorder (SAD). In addition, there is a currently heated debate on the utility of the performance-only specifier in DSM-5. The present study is aimed at covering these gaps. Participants included 124 young adults in higher education with a clinical diagnosis of SAD and 81 healthy controls. The SPAI-B scores revealed a continuum of severity among the nonclinical population, performance-only specifier participants, and those with both performance and social interactional fears. Data suggested to use a rounded cut-off of 24 to screen for patients with both performance and interactional fears, and a rounded cut-off score of 23 for young adults with performance-only specifier. Findings demonstrated that the SPAI-B is particularly useful as a screening measure among young adults in higher education, but the limited discriminative capacity of the performance-only specifier may call into question the clinical utility of this recently established specifier.Ítem Validation of the Structured Interview for the Assessment of Expressed Emotion (E5) in a Sample of Adolescents and Young Adults From the General Population(FRONTIERS MEDIA SA, 2021-08-27) Muela-Martínez, Jose-Antonio; Espinosa-Fernández, Lourdes; García-López, Luis-Joaquín; Martín-Puga, M. EvaExpressed emotion (EE) is an index of significant others’ attitudes, feelings, and behavior toward an identified patient. EE was originally conceptualized as a dichotomous summary index. Thus, a family member is rated low or high on how much criticism, hostility, and emotional overinvolvement (EOI) s/he expresses toward an identified patient. However, the lack of brief, valid measures is a drawback to assess EE. To cover this gap, the E5 was designed. The objective of this study is to provide psychometric properties of a recent measured in adolescents to be used to tap perceived high levels of EE. The sample was composed by 2,905 adolescents aged from 11–19 years; 57% girls. Results demonstrate good factor structure, reliability, construct validity and invariance across gender and age revealed a good fit. As a result, E5 is a brief, valid and reliable measure for assessing expressed emotion in parents of adolescent children.