Development and preliminary evaluation of a group adaptation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in adolescents (UP-A) in a Spanish public mental health center.
- 1Faculty of Psychology, National University of Distance Education (UNED), Calle Juan del Rosal, 10, Madrid, 28040, Spain.
- 2Faculty of Psychology, National University of Distance Education (UNED), Calle Juan del Rosal, 10, Madrid, 28040, Spain. [email protected].
- 3Majadahonda's Mental Health Center, Calle Costa Rica, 1, Madrid, 28221, Spain.
Abstract
Background
Anxiety and depression frequently co-occur during adolescence. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) targets shared emotional mechanisms and has shown promise in individual formats. This study adapted the UP-A to a group format and evaluated its feasibility, acceptability, and preliminary effectiveness in a public outpatient mental health setting in Spain.Methods
Thirty-one adolescents (M = 14.03; 87.1% female) participated in a 16-session group intervention, which included 3 group sessions for parents.Results
A total of 80.65% of participants completed the treatment. Adolescents and parents reported high satisfaction and therapeutic alliance. Significant improvements were observed in adolescent-reported emotional symptoms and emotion regulation strategies, along with parent-reported reductions in depressive symptoms. Clinician ratings indicated reduced diagnostic severity and improved functioning.Conclusions
These findings suggest that the group-based UP-A is feasible, well accepted, and associated with clinical improvement in public mental health care. Further randomized studies are needed to confirm these results. TRIAL REGISTRATION NUMBER (CLINICALTRIALS.GOV): NCT06894368. Date of registration: March 12, 2025 (retrospectively registered).
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BibTeX
@article{cortes2026development,
title = {{Development and preliminary evaluation of a group adaptation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in adolescents (UP-A) in a Spanish public mental health center.}},
author = {Lucía Cortés and Julia García-Escalera and Irene Casanova and Alberto Segura and Rosa M Valiente and Paloma Chorot},
journal = {BMC psychology},
year = {2026},
month = sep,
doi = {10.1186/s40359-026-05472-8},
url = {https://europepmc.org/article/MED/42850649},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Development and preliminary evaluation of a group adaptation of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in adolescents (UP-A) in a Spanish public mental health center.
AU - Lucía Cortés
AU - Julia García-Escalera
AU - Irene Casanova
AU - Alberto Segura
AU - Rosa M Valiente
AU - Paloma Chorot
PY - 2026
DA - 2026/09/16
JO - BMC psychology
DO - 10.1186/s40359-026-05472-8
UR - https://europepmc.org/article/MED/42850649
AB - Background Anxiety and depression frequently co-occur during adolescence. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents (UP-A) targets shared emotional mechanisms and has shown promise in individual formats. This study adapted the UP-A to a group format and evaluated its feasibility, acceptability, and preliminary effectiveness in a public outpatient mental health setting in Spain.Methods Thirty-one adolescents (M = 14.03; 87.1% female) participated in a 16-session group intervention, which included 3 group sessions for parents.Results A total of 80.65% of participants completed the treatment. Adolescents and parents reported high satisfaction and therapeutic alliance. Significant improvements were observed in adolescent-reported emotional symptoms and emotion regulation strategies, along with parent-reported reductions in depressive symptoms. Clinician ratings indicated reduced diagnostic severity and improved functioning.Conclusions These findings suggest that the group-based UP-A is feasible, well accepted, and associated with clinical improvement in public mental health care. Further randomized studies are needed to confirm these results. TRIAL REGISTRATION NUMBER (CLINICALTRIALS.GOV): NCT06894368. Date of registration: March 12, 2025 (retrospectively registered).
SN - 2050-7283
ER -