The Effectiveness of Unified Protocols for Transdiagnostic Treatment on Improving Mental Health of Bilingual Female Adolescents

Document Type : Original Article

Authors

1 Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran

2 Department of Educational Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran.

3 Department of Psychology and Education of Exceptional Children, Faculty of Psychology and Educational Sciences, University of Tehran, Tehran, Iran.

Abstract

The present research is conducted to determine the effectiveness of Unified protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-A) on empathy and perceived social support, in bilingual middle school students. The statistical population of this study was comprised of bilingual students who studied of Tehran International School in the academic year of 2021-2022. A purposive method was used to select a sample of 30 students, and then they were randomly divided into two groups, experimental and control groups, each of 15 students. A semi-experimental research method with a pre-test, post-test, and follow-up test design was used for both experimental and control groups. The experimental group received family-centered psycho-education based on emotion regulation between the pre-test and post-test. Two questionnaires, the EmQue-CA and MSPSS were employed, to measure empathy and perceived social support, respectively. A mixed variance analysis with repeated measures was the technique for data analysis. The results indicated that there were significant differences in the scores of empathy and perceived social support of the students between the two groups in post-test and follow-up test compared to the pre-test (p < 0.05). Considering the vulnerability of adolescents to psychological harm due to difficulties regulating emotions, UP-A programs with an emphasis on emotion regulation can be particularly suitable for the effective prevention of a wide range of psychological disorders and seems effective in enhancing student empathy and perceived social support. Therefore, implementing UP-A in schools would be a wise preventive measure against emotional problems of adolescents

Keywords

References

Albert, D., Chein, J., & Steinberg, L. (2013). The teenage brain: Peer influences on adolescent decision making. Current directions in psychological science, 22(2), 114-120.
Barlow, F. T., Sauer-Zavala S, Latin HM, Ellard KK, Bullis JR. (2017). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. Oxford University Press.
Barth, J., Schneider, S., & Von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: a systematic review and meta-analysis. Psychosomatic medicine, 72(3), 229-238.
Berk, L. E. (2022). Development through the lifespan. Sage Publications.
Bohman, H., JONSSON, U., PÄÄREN, A., KNORRING, A. V., OLSSON, G., & KNORRING, L. V. (2010). Long-term follow-up of adolescent depression. A population-based study. Upsala Journal of Medical Sciences, 115(1), 21-29. https://doi.org/https://doi.org/10.3109/03009730903572057
Bruwer, B., Emsley, R., Kidd, M., Lochner, C., & Seedat, S. (2008). Psychometric properties of the Multidimensional Scale of Perceived Social Support in youth. Comprehensive psychiatry, 49(2), 195-201.
Buckley, M., & Saarni, C. (2009). Emotion regulation: Implications for positive youth development. Teoksessa R. Gillman, E. Huebner & M. Furlong (toim.) Handbook of positive psychology in schools. In: New York: Taylor & Francis.
Carlucci, L., Saggino, A., & Balsamo, M. (2021). On the efficacy of the unified protocol for transdiagnostic treatment of emotional disorders: A systematic review and meta-analysis. Clinical psychology review, 87, 101999.
Casey, B., Jones, R. M., & Somerville, L. H. (2011). Braking and accelerating of the adolescent brain. Journal of Research on Adolescence, 21(1), 21-33.
Chan, M.-k., Sharkey, J. D., Nylund-Gibson, K., Dowdy, E., & Furlong, M. J. (2022). Social support profiles associations with adolescents' psychological and academic functioning. Journal of school psychology, 91, 160-177.
Choe, S. Y., Lengua, L. J., McFall, J. P., & Wyman, P. A. (2023). Adolescents’ Comfort in Disclosing to Caregivers Predicts Suicidal Thoughts and Behaviors Directly and Indirectly Through Difficulties in Emotion Regulation. Journal of youth and adolescence, 1-17.
Clayborne, Z. M., Varin, M., & Colman, I. (2019). Systematic review and meta-analysis: adolescent depression and long-term psychosocial outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, 58(1), 72-79.
Ehrenreich-May, J., Kennedy, S. M., Sherman, J. A., Bilek, E. L., Buzzella, B. A., Bennett, S. M., & Barlow, D. H. (2017). Unified protocols for transdiagnostic treatment of emotional disorders in children and adolescents: Therapist guide. Oxford University Press.
Freeman, P., & Rees, T. (2010). Perceived social support from team-mates: Direct and stress-buffering effects on self-confidence. European Journal of Sport Science, 10(1), 59-67.
Frey, C. U., & Röthlisberger, C. (1996). Social support in healthy adolescents. Journal of youth and adolescence, 25(1), 17-31.
Gadassi Polack, R., Everaert, J., Uddenberg, C., Kober, H., & Joormann, J. (2021). Emotion regulation and self-criticism in children and adolescence: Longitudinal networks of transdiagnostic risk factors. Emotion, 21(7), 1438.
García-Escalera, J., Valiente, R. M., Sandín, B., Ehrenreich-May, J., Prieto, A., & Chorot, P. (2020). The unified protocol for transdiagnostic treatment of emotional disorders in adolescents (UP-A) adapted as a school-based anxiety and depression prevention program: An initial cluster randomized wait-list-controlled trial. Behavior therapy, 51(3), 461-473.
Ghasemzadeh, S., & Naghsh, Z. (2020). The effectiveness of Unified protocol for Transdiagnostic Treatment on mothers' emotion regulation and anxiety in children with type 1 diabetes. Iranian Red Crescent Medical Journal, 11(22), 1-7.
Grossman, R. A., & Ehrenreich-May, J. (2020). Using the unified protocol for Transdiagnostic treatment of emotional disorders with youth exhibiting anger and irritability. Cognitive and Behavioral Practice, 27(2), 184-201.
Hague, B., Scott, S., & Kellett, S. (2015). Transdiagnostic CBT treatment of co-morbid anxiety and depression in an older adult: single case experimental design. Behavioural and Cognitive Psychotherapy, 43(1), 119-124.
Ito, M., Horikoshi, M., Kato, N., Oe, Y., Fujisato, H., Nakajima, S., Kanie, A., Miyamae, M., Takebayashi, Y., & Horita, R. (2016). Transdiagnostic and transcultural: pilot study of unified protocol for depressive and anxiety disorders in Japan. Behavior therapy, 47(3), 416-430.
Ito, M., Horikoshi, M., Kato, N., Oe, Y., Fujisato, H., Yamaguchi, K., Nakajima, S., Miyamae, M., Toyota, A., & Okumura, Y. (2023). Efficacy of the unified protocol for transdiagnostic cognitive-behavioral treatment for depressive and anxiety disorders: a randomized controlled trial. Psychological Medicine, 53(7), 3009-3020.
Jankowska, M. (2019). On bilingualism in monolingual English classrooms: Voicing the challenges for bilingual children, their parents and schools. In Pupil, Teacher and Family Voice in Educational Institutions (pp. 33-54). Routledge.
Jorm, A. F. (2012). Mental health literacy: empowering the community to take action for better mental health. American psychologist, 67(3), 231.
Karademas, E. C. (2006). Self-efficacy, social support and well-being: The mediating role of optimism. Personality and individual differences, 40(6), 1281-1290.
Kashdan, T. B., & Rottenberg, J. (2010). Psychological flexibility as a fundamental aspect of health. Clinical psychology review, 30(7), 865-878.
Khosravi Larijani, M., Mohammadpanah Ardakan, A., Choobforoush-zadeh, A., & Dehghani Ashkezari, E. (2021). Examining the Validity and Reliability of the Persian Version of the Empathy Questionnaire for Children and Adolescents. Journal of Applied Psychological Research, 11(4), 263-280.
Khosravi, M., & Mohamadi, A. M. (2016). The relationship between empathy, moral judgment and social adjustment in students Semnan University]. Iran.
Kitahara, Y., Mearns, J., & Shimoyama, H. (2020). Emotion regulation and middle school adjustment in Japanese girls: Mediation by perceived social support. Japanese Psychological Research, 62(2), 138-150.
Lardier Jr, D. T., Barrios, V. R., Garcia-Reid, P., & Reid, R. J. (2018). Preventing substance use among Hispanic urban youth: Valuing the role of family, social support networks, school importance, and community engagement. Journal of Child & Adolescent Substance Abuse, 27(5-6), 251-263.
Marroquín, B. (2011). Interpersonal emotion regulation as a mechanism of social support in depression. Clinical psychology review, 31(8), 1276-1290.
Meuter, R. (2009). Neurolinguistic contributions to understanding the bilingual mental lexicon. The Bilingual Mental Lexicon: Interdisciplinary Approaches. Multilingual Matters, Bristol, England, United Kingdom, 1-25.
Meyza, K. Z., Bartal, I. B.-A., Monfils, M. H., Panksepp, J. B., & Knapska, E. (2017). The roots of empathy: Through the lens of rodent models. Neuroscience & Biobehavioral Reviews, 76, 216-234.
Osma, J., Peris-Baquero, O., Suso-Ribera, C., Farchione, T., & Barlow, D. (2022). Effectiveness of the Unified Protocol for transdiagnostic treatment of emotional disorders in group format in Spain: Results from a randomized controlled trial with 6-months follow-up. Psychotherapy Research, 32(3), 329-342.
Overgaauw, S., Rieffe, C., Broekhof, E., Crone, E. A., & Güroğlu, B. (2017). Assessing empathy across childhood and adolescence: Validation of the empathy questionnaire for children and adolescents (EmQue-CA). Frontiers in psychology, 8, 870.
Park, S., Wang, J., & Choi, B. (2021). Measuring affective and cognitive empathy among Korean and Chinese adolescents: translating and validating the empathy scale. Asia Pacific Education Review, 22, 583-593.
Rapee, R. M., Oar, E. L., Johnco, C. J., Forbes, M. K., Fardouly, J., Magson, N. R., & Richardson, C. E. (2019). Adolescent development and risk for the onset of social-emotional disorders: A review and conceptual model. Behaviour research and therapy, 123, 103501.
Riediger, M., & Klipker, K. (2014). Emotion regulation in adolescence.
Rieffe, C., Ketelaar, L., & Wiefferink, C. H. (2010). Assessing empathy in young children: Construction and validation of an Empathy Questionnaire (EmQue). Personality and individual differences, 49(5), 362-367.
Riess, H. (2017). The science of empathy. Journal of patient experience, 4(2), 74-77.
Salimi, A., JOUKAR, B., & NIKPOUR, R. (2009). Internet and communication: Perceived social support and loneliness as antecedent variables.
Sandhu, T., & Kapoor, S. (2013). Implications of personality types for emotional regulation in young women. Voice of Research, 1(4), 34-39.
Sandín, B., García-Escalera, J., Valiente, R. M., Espinosa, V., & Chorot, P. (2020). Clinical utility of an internet-delivered version of the unified protocol for transdiagnostic treatment of emotional disorders in adolescents (iUP-A): a pilot open trial. International Journal of Environmental Research and Public Health, 17(22), 8306.
Shaheen, A. M., Hamdan, K. M., Albqoor, M., Othman, A. K., Amre, H. M., & Hazeem, M. N. A. (2019). Perceived social support from family and friends and bullying victimization among adolescents. Children and Youth Services Review, 107, 104503.
Sloan, E., Hall, K., Moulding, R., Bryce, S., Mildred, H., & Staiger, P. K. (2017). Emotion regulation as a transdiagnostic treatment construct across anxiety, depression, substance, eating and borderline personality disorders: A systematic review. Clinical psychology review, 57, 141-163.
Somerville, L. H. (2013). The teenage brain: Sensitivity to social evaluation. Current directions in psychological science, 22(2), 121-127.
Talkovsky, A. M., Green, K. L., Osegueda, A., & Norton, P. J. (2017). Secondary depression in transdiagnostic group cognitive behavioral therapy among individuals diagnosed with anxiety disorders. Journal of anxiety disorders, 46, 56-64.
Tosuncuoglu, I., & Ignatkına, A. L. (2020). The reality of bilingualism. Язык науки и профессиональная коммуникация(1 (2)), 108-118.
Uchino, B. N., Bowen, K., Carlisle, M., & Birmingham, W. (2012). Psychological pathways linking social support to health outcomes: A visit with the “ghosts” of research past, present, and future. Social science & medicine, 74(7), 949-957.
Weisz, E., & Zaki, J. (2018). Motivated empathy: a social neuroscience perspective. Current opinion in psychology, 24, 67-71.
Woods, A., Solomonov, N., Liles, B., Guillod, A., Kales, H. C., & Sirey, J. A. (2021). Perceived social support and interpersonal functioning as predictors of treatment response among depressed older adults. The American Journal of Geriatric Psychiatry, 29(8), 843-852.
Xiang, G., Teng, Z., Li, Q., Chen, H., & Guo, C. (2020). The influence of perceived social support on hope: A longitudinal study of older-aged adolescents in China. Children and Youth Services Review, 119, 105616.
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of personality assessment, 52(1), 30-41.
Cognitive Science Research
Volume 1, Issue 1
March 2025
Pages 33-44

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History

  • Receive Date: 06 November 2024
  • Revise Date: 30 January 2025
  • Accept Date: 03 February 2025
  • First Publish Date: 01 March 2025
  • Publish Date: 01 March 2025

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