Examinando por Autor "Piqueras, José A."
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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 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.