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19-12-2022 | Original Article

Mediators and Moderators of Therapeutic Change in the Unified Protocol for Women Experiencing Homelessness

Auteurs: Sara Rodriguez-Moreno, Ana I. Guillén, Julianne W. Tirpak, Carolina Marín, Nicole D. Cardona, Elizabeth H. Eustis, Todd J. Farchione, David H. Barlow, Sonia Panadero

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2023

Abstract

Background

The general aim of the study was to examine potential mediators and moderators in an adaptation of the Unified Protocol for Homeless Women (UPHW).

Methods

We conducted a secondary analysis in a sample of 80 homeless women participated in the study: 37 in the UPHW and 43 in the waitlist control condition. The assessment before and after the program included primary outcomes (anxiety and depression) and secondary outcomes, including different mediators (positive and negative affect, well-being, and social support) and moderators (demographics, homelessness, physical function, drug and alcohol abuse).

Results

The UPHW showed significant improvements on anxiety and depression outcomes at post-intervention compared to waitlist control condition. Negative affect was the only significant mediator of the relationship between the UPHW and reductions in anxiety and depression symptoms. Physical functioning was the only significant moderator of the relationship between the UPHW and depression symptoms.

Conclusion

To our knowledge this is the first study examining potential mediators and moderators of change in an evidence-based psychological treatment in a population experiencing homelessness. Findings suggest that transdiagnostic protocols may be a promising approach to improving psychological outcomes in this population.

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Titel: Mediators and Moderators of Therapeutic Change in the Unified Protocol for Women Experiencing Homelessness
Auteurs: Sara Rodriguez-Moreno
Ana I. Guillén
Julianne W. Tirpak
Carolina Marín
Nicole D. Cardona
Elizabeth H. Eustis
Todd J. Farchione
David H. Barlow
Sonia Panadero
Publicatiedatum: 19-12-2022
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 2/2023
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-022-10335-8

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Andere artikelen Uitgave 2/2023

Low Emotional Complexity as a Transdiagnostic Risk Factor: Comparing Idiographic Markers of Emotional Complexity to Emotional Granularity as Predictors of Anxiety, Depression, and Personality Pathology

Stress-Related Exhaustion, Polygenic Cognitive Potential, and Cognitive Test Performance – A General Population Study

Therapeutic Alliance and Treatment Expectations: Predicting Outcomes in Exposure Treatments for Specific Phobia

Goal-Directed Learning Deficits in Patients with OCD: A Bayesian Analysis

Smoking Abstinence Expectancies Among Latinx Smokers: An Initial Test and Evaluation of Individual Difference Factors

Sleep-Directed Hypnosis Improves Subjective Sleep Quality but not Extinction Memory After Exposure to Analog Trauma