TY  - JOUR
SN  - 1932-6203
N2  - Introduction
            The aim of this study was to use cluster analysis based on the trajectory of five cognitive-emotional processes (worry, rumination, metacognition, cognitive reappraisal and expressive suppression) over time to explore differences in clinical and performance variables in primary care patients with emotional symptoms.

            Methods
            We compared the effect of adding transdiagnostic cognitive-behavioural therapy (TD-CBT) to treatment as usual (TAU) according to cluster membership and sought to determine the variables that predicted cluster membership. 732 participants completed scales about cognitive-emotional processes, anxiety and depressive symptoms, functioning, and quality of life (QoL) at baseline, posttreatment, and at 12 months. Longitudinal cluster analysis and logistic regression analyses were carried out.

            Results
            A two-cluster solution was chosen as the best fit, named as ?less? or ?more? improvement in cognitive-emotional processes. Individuals who achieved more improvement in cognitive-emotional processes showed lower emotional symptoms and better QoL and functioning at all three time points. TAU+TD-CBT, income level, QoL and anxiety symptoms were significant predictors of cluster membership.

            Conclusions
            These results underscore the value of adding TD-CBT to reduce maladaptive cognitive-emotional regulation strategies. These findings highlight the importance of the processes of change in therapy and demonstrate the relevance of the patient?s cognitive-emotional profile in improving treatment outcomes.
TI  - Patterns of cognitive-emotional change after cognitive-behavioural treatment in emotional disorders: A 12-month longitudinal cluster analysis
AV  - public
A1  - Chen, Mu-Hong
A1  - Barrio-Martínez, Sara
A1  - Rodriguez-Perez, Noelia
A1  - Priede, Amador
A1  - Medrano, Leonardo Adrián
A1  - Muñoz-Navarro, Roger
A1  - Moriana, Juan Antonio
A1  - Carpallo-González, María
A1  - Prieto-Vila, Maider
A1  - Ruiz-Rodríguez, Paloma
A1  - Cano-Vindel, Antonio
A1  - González-Blanch, César
IS  - 5
JF  - PLOS ONE
Y1  - 2024/05//
VL  - 19
ID  - uneatlantico12368
UR  - http://doi.org/10.1371/journal.pone.0301746
ER  -