eprintid: 12368 rev_number: 8 eprint_status: archive userid: 2 dir: disk0/00/01/23/68 datestamp: 2024-05-30 20:51:00 lastmod: 2024-05-30 20:51:03 status_changed: 2024-05-30 20:51:00 type: article metadata_visibility: show creators_name: Chen, Mu-Hong creators_name: Barrio-Martínez, Sara creators_name: Rodriguez-Perez, Noelia creators_name: Priede, Amador creators_name: Medrano, Leonardo Adrián creators_name: Muñoz-Navarro, Roger creators_name: Moriana, Juan Antonio creators_name: Carpallo-González, María creators_name: Prieto-Vila, Maider creators_name: Ruiz-Rodríguez, Paloma creators_name: Cano-Vindel, Antonio creators_name: González-Blanch, César creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: creators_id: cesar.gonzalezblanch@uneatlantico.es title: Patterns of cognitive-emotional change after cognitive-behavioural treatment in emotional disorders: A 12-month longitudinal cluster analysis ispublished: pub subjects: uneat_ps divisions: uneatlantico_produccion_cientifica full_text_status: public abstract: 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. date: 2024-05 publication: PLOS ONE volume: 19 number: 5 pagerange: e0301746 id_number: doi:10.1371/journal.pone.0301746 refereed: TRUE issn: 1932-6203 official_url: http://doi.org/10.1371/journal.pone.0301746 access: open language: en citation: Artículo Materias > Psicología Universidad Europea del Atlántico > Investigación > Artículos y libros Abierto Inglés 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. metadata Chen, Mu-Hong; Barrio-Martínez, Sara; Rodriguez-Perez, Noelia; Priede, Amador; Medrano, Leonardo Adrián; Muñoz-Navarro, Roger; Moriana, Juan Antonio; Carpallo-González, María; Prieto-Vila, Maider; Ruiz-Rodríguez, Paloma; Cano-Vindel, Antonio y González-Blanch, César mail SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, SIN ESPECIFICAR, cesar.gonzalezblanch@uneatlantico.es (2024) Patterns of cognitive-emotional change after cognitive-behavioural treatment in emotional disorders: A 12-month longitudinal cluster analysis. PLOS ONE, 19 (5). e0301746. ISSN 1932-6203 document_url: http://repositorio.uneatlantico.es/id/eprint/12368/1/journal.pone.0301746.pdf