TY - JOUR AU - Díaz-García, Amanda AU - González-Robles, Alberto AU - García-Palacios, Azucena AU - Fernández-Álvarez, Javier AU - Castilla, Diana AU - Bretón, Juana María AU - Baños, Rosa María AU - Quero, Soledad AU - Botella, Cristina PY - 2021 DA - 2021/2/1 TI -情绪障碍跨诊断互联网协议中的消极和积极情绪调节:背景:情绪障碍(emotional disorder, EDs)是最常见的精神障碍之一。现有的循证心理治疗不足以减轻精神障碍的疾病负担。因此，必须实施创新的解决方案，以成功地传播心理治疗方案，在这方面，使用互联网等信息和通信技术可能非常有用。此外，文献表明并不是每个ED患者都得到了适当的治疗。这种情况导致了基于跨诊断视角的新干预建议的发展，该建议试图解决急诊科常见的潜在过程。大多数这些跨诊断干预主要侧重于下调负面情感(NA)，而很少关注积极情感的优势和上调，尽管它对幸福感和心理健康很重要。目的:本研究旨在评估社区样本中基于互联网的跨诊断治疗急诊科的疗效。方法:采用三臂随机对照试验。共有216名参与者被随机分配到基于互联网的跨诊断协议(TIBP)， TIBP+积极影响(PA)组件或等待名单(WL)对照组。 The treatment protocol contained core components mainly addressed to downregulate NA (ie, present-focused emotional awareness and acceptance, cognitive flexibility, behavioral and emotional avoidance patterns, and interoceptive and situational exposure) as well as a PA regulation component to promote psychological strengths and enhance well-being. Data on depression, anxiety, quality of life, neuroticism and extraversion, and PA/NA before and after treatment were analyzed. Expectations and opinions of treatment were also analyzed. Results: Within-group comparisons indicated significant pre-post reductions in the two experimental conditions. In the TIBP+PA condition, the effect sizes were large for all primary outcomes (d=1.42, Beck Depression Inventory [BDI-II]; d=0.91, Beck Anxiety Inventory [BAI]; d=1.27, Positive and Negative Affect Schedule-Positive [PANAS-P]; d=1.26, Positive and Negative Affect Schedule-Negative [PANAS-N]), whereas the TIBP condition yielded large effect sizes for BDI-II (d=1.19) and PANAS-N (d=1.28) and medium effect sizes for BAI (d=0.63) and PANAS-P (d=0.69). Between-group comparisons revealed that participants who received one of the two active treatments scored better at posttreatment than WL participants. Although there were no statistically significant differences between the two intervention groups on the PA measure, effect sizes were consistently larger in the TIBP+PA condition than in the standard transdiagnostic protocol. Conclusions: Overall, the findings indicate that EDs can be effectively treated with a transdiagnostic intervention via the internet, as significant improvements in depression, anxiety, and quality of life measures were observed. Regarding PA measures, promising effects were found, but more research is needed to study the role of PA as a therapeutic component. Trial Registration: ClinicalTrials.gov NCT02578758; https://clinicaltrials.gov/ct2/show/NCT02578758 International Registered Report Identifier (IRRID): RR2-10.1186/s12888-017-1297-z SN - 1438-8871 UR - //www.mybigtv.com/2021/2/e21335 UR - https://doi.org/10.2196/21335 UR - http://www.ncbi.nlm.nih.gov/pubmed/33522977 DO - 10.2196/21335 ID - info:doi/10.2196/21335 ER -