ClinicalTrials.gg
Status unknownNCT05081830Updated Oct 18, 2021

Online Transdiagnostic Intervention for Emotional Disorders and Stress-related Disorders

An interventional study of Transdiagnostic online intervention and TCC online intervention in Emotional Disorder, Stress Related Disorder and Anxiety Disorders, sponsored by Universidad Nacional Autonoma de Mexico. Status unknown at 1 site in Mexico. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-10-18.

Sponsored by Universidad Nacional Autonoma de Mexico · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2021), so the status shown — last known as Not yet recruiting — may be out of date.

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Phase
Not applicable
Study type
Interventional
Enrollment
159
Allocation
Randomized
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 50 studies in Anxiety Disorders with a site in Mexico — 8 open to participants now, 9 under way, none of them phase 3. Anxiety Disorders · Mexico.

Planned enrollment
12th of 36
159 · median 83
Started
2021
with 7 others
No phase
28 of 50
4 open now
Registered
27th of 50
by date

Among the 50 studies in Anxiety Disorders with a site in Mexico, this one is the 12th largest by planned enrollment of the 36 interventional ones that give a count, is one of 8 that started in 2021, is one of 28 with no phase, and was the 27th registered.

Anxiety Disorders

7,207 studies on the registry are indexed under Anxiety Disorders; 1,682 are open to participants now.

Browse Anxiety Disorders studies →

Open to participants now

8 of the 50 studies in Anxiety Disorders with a site in Mexico are open now. Recruiting first, the newest first:

3 more — sign in →

All 8 open studies →

A study can be open while its sites in Mexico have not opened yet or have stopped. Only those recruiting at a site in Mexico →

Who these studies take

Of the 944 Anxiety Disorders studies recruiting now, 417 (44%) set no upper age limit and 460 (49%) stop at 75 or younger; 233 take children under 18; 317 take healthy volunteers.

This study: 18 Years to 70 Years · all sexes · healthy volunteers too.

The full table on the hub →

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02

Study summary

The general objective of this study is to determine the indicators of suitability, clinical utility and satisfaction of the transdiagnostic online intervention for the treatment of emotional disorders and those derived from stress and trauma in a Mexican community sample.

The specific aims are:

  • To Carry out a screening evaluation from the transdiagnostic model by evaluating clinical indicators (depression, anxiety, acute / post-traumatic stress, emotional regulation strategies, intolerance to uncertainty) and that allow determining the frequency, intensity and severity of cases identified by type of emotional problem.
  • Measure the fidelity of the use of the intervention manual in each treatment condition.
  • Evaluate the degree of satisfaction, acceptance, complexity and modality of the transdiagnostic intervention.
  • To know the degree of suitability of the transdiagnostic intervention from the point of view of therapists and supervisors in relation to the problems of the studied sample and the recommendations for its improvement.
  • To compare the clinical utility of the transdiagnostic intervention via the internet for the treatment of emotional disorders and those derived from stress and trauma against the efficacy of the CBT intervention and the waiting list group.
Read the detailed description

In recent decades, research findings indicate that cognitive-behavioral interventions, from a disorder-specific perspective, have shown great empirical support and constitute the first-line treatment for anxiety and depression care. However, these treatments are little used. In this regard, various reasons have been noted that explain the limited access and lack of availability to effective interventions; a minority of people actively seek psychological care due to their own condition of emotional distress, for fear of social stigma, for geographical reasons that separate them from health centers, for reasons of time, preference for another type of treatment or self -help, by the high cost of psychological support, which makes it inaccessible and unaffordable for both the user and the public health system. Likewise, it has been exposed that comorbidity between mental disorders, as well as the gap between research findings and clinical practice, could influence the little dissemination of effective treatments; which leads to a lack of up-to-date professionals who provide relevant interventions. Emotional dysregulation of negative affect has been found to be a study factor that is providing relevant data for a better understanding and approach to emotional disorders from a transdiagnostic perspective, a term coined from a dimensional conception to designate effective treatments aimed at two or more specific disorders. Thus, transdiagnostic treatments could help to overcome the drawbacks related to comorbidity between disorders. Now, technological progress has generated alternatives for psychological assistance, both for the evaluation and for the treatment of different emotional disorders. In this regard, the possibilities offered by technologies are highlighted; since the intervention programs supported by the Internet have been empirically tested to achieve effectiveness and efficiency / cost-benefit, and can be key to guaranteeing access to those who the interventions are inaccessible. Thus, the present study has the purpose of knowing the indicators of suitability, clinical utility and satisfaction of the transdiagnostic intervention via videoconferencing for the treatment of emotional disorders and those derived from stress and trauma.

Hypothesis

  • The transdiagnostic intervention program via the internet will reduce symptoms of anxiety / depression and / or comorbid acute stress compared to a cognitive-behavioral treatment (CBT) group and a waiting list group.
  • The transdiagnosis intervention program via internet will show statistical gains in the reduction of symptoms of anxiety / depression and / or acute stress, and a clinically significant improvement greater than the CBT intervention program and the waiting list group.
  • There will be a higher acceptance / satisfaction index reported by the participants in the transdiagnostic intervention program via the internet compared to the CBT intervention and with the group without treatment.
  • It will be found that emotional regulation functions as moderating variables of clinical change.
  • The changes will be maintained for three and six months after the end of the transdiagnosis intervention program.
03

Conditions studied

  • Emotional Disorder
  • Stress Related Disorder
  • Anxiety Disorders
  • Depression

Keywords

  • online therapy
  • e-therapy
  • mexican population
  • adults
  • transdiagnostic intervention
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. be of legal age;
  2. voluntarily participate in the study;
  3. meet diagnostic criteria for emotional disorders (anxiety or depression) according to the International Neuropsychiatric Interview- Mini, version 5.0, and show a score ≤ 25 on the Beck Anxiety Depression Inventory and / or ≤ 30 on the Inventory Depression of Beck-BDI-II,
  4. have access to a computer equipment with an Internet connection, (e) have a valid email address, (f) have basic digital skills in the use of a system operating and internet browsing.

Exclusion criteria

Exclusion Criteria:

  1. psychotic disorder;
  2. alcohol and drug abuse;
  3. medical illness whose severity or characteristics prevent the performance of the intervention;
  4. be receiving psychological and / or pharmacological treatment during the study.

Elimination criteria:

  1. not accepting the conditions of
  2. absence in two consecutive sessions to the synchronous treatment sessions.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
159 participants (estimated)

Study arms

  • Experimental
    transdiagnostic intervention via the Internet

    Treatment provided in eight individual sessions of 60 min., Once a week by videoconference. The integrity of the treatment will be controlled through the therapist's manual (Barlow et al., 2011) adapted for the Mexican population and to the online modality.

    Behavioral: Transdiagnostic online intervention

  • Active comparator
    TCC intervention via the Internet

    The TCC intervention program is short, with active, focused and directive participation, in 8 individual weekly sessions of one hour by videoconference.

    Behavioral: TCC online intervention

  • No intervention
    waiting list control.

    Participants in the control group on the waiting list will be assigned to the intervention after 2 months after randomization and will join the Transdiagnostic intervention.

Interventions

  • BehavioralTransdiagnostic online intervention

    Based on the theoretical proposal of Barlow et al. (2011) a treatment applicable to all anxiety and mood disorders (unipolar depression) will be implemented. The unified protocol incorporates proven emotion-focused psychological techniques (Ellard et al., 2010). The main components are: (1) motivation for change, understanding emotions, and recognition and observation of emotional response; (2) learn to observe experiences, evaluate and reevaluate thoughts; (3) what is emotional avoidance, emotion and behavior, and awareness and tolerance of physical sensations; (4) emotional exposure to physical sensations and situations and achievements, maintenance and prevention of relapses.

  • BehavioralTCC online intervention

    This program incorporates psychological techniques under the cognitive-behavioral model that have demonstrated their effectiveness in online mode (De la Rosa, 2019; Flores et al., 2014). The main components are: (1) psychoeducation, (2) cognitive restructuring, (3) identification and expression of emotions, (4) assertiveness training and (5) problem solving, and (6) relapse prevention. The order of application of each technique is established by the advisor derived from the formulation of treatment of each case to solve the problems raised, under supervision.

06

What researchers measure

Primary outcomes

  1. Decrease in the score of Beck Anxiety Inventory

    Beck Anxiety Inventory ( BAI , Beck \& Steer, 1990). Self-applied instrument that consists of 21 questions that determine the severity with which the symptomatic and behavioral categories of anxiety symptoms present in an individual are presented. High internal consistency and adequate construct validity, divergent and convergent (Robles, Varela, Jurado \& Páez, 2001).

    Time frame: 9 weeks

  2. Decrease in the score of Beck Depression Inventory

    Beck Depression Inventory (BDI-II; Beck, Steer \& Brown, 1996). It consists of 21 items that fundamentally evaluate the clinical symptoms of melancholy and the intrusive thoughts present in depression. Cronbach's alpha for version II (= .87-.92)

    Time frame: 9 weeks

  3. Decrease in the score of Checkable List of Post-Traumatic Stress Disorder for DSM-5 (PCL-5)

    This instrument describes the symptoms of post-traumatic stress taking into consideration the diagnostic criteria of activation, alterations, avoidance and reexperimentation. It has 20 items that are scored on a Likert-type scale that goes from 0 (not at all) to 4 (totally). In its adaptation to the Mexican population, the psychometric properties of the scale show adequate internal consistency with an alpha of .97, as well as an appropriate convergent validity (rs = .58 to .88; Durón-Figueroa et al., 2019).

    Time frame: 9 weeks

  4. Decrease in the score of Scale of Difficulties in Emotional Regulation

    Scale of Difficulties in Emotional Regulation (DERS ; Gratz, \& Roemer, 2004). It is a self-applied instrument that measures two dimensions through 15 items, emotional regulation strategies and awareness of emotions. Version validated into Spanish by De la Rosa et al. (2021). Presents Cronbach's alpha between .84-.74.

    Time frame: 9 weeks

Secondary outcomes

  1. Increase the level of acceptance and satisfaction of psychological treatment

    Questionnaire with four questions that report the level of satisfaction with the treatment, if you would recommend the treatment to a friend or relative, is the treatment considered useful for your case and if you think that the treatment was difficult to handle or aversive.

    Time frame: 9 weeks

07

Study locations

1 site
08

References and documents

Publications

  • Andersson G. Internet-Delivered Psychological Treatments. Annu Rev Clin Psychol. 2016;12:157-79. doi: 10.1146/annurev-clinpsy-021815-093006. Epub 2015 Dec 11. PubMed 26652054 ↗
  • Andrews G, Cuijpers P, Craske MG, McEvoy P, Titov N. Computer therapy for the anxiety and depressive disorders is effective, acceptable and practical health care: a meta-analysis. PLoS One. 2010 Oct 13;5(10):e13196. doi: 10.1371/journal.pone.0013196. PubMed 20967242 ↗
  • Barlow DH, Allen LB, Choate ML. Toward a Unified Treatment for Emotional Disorders - Republished Article. Behav Ther. 2016 Nov;47(6):838-853. doi: 10.1016/j.beth.2016.11.005. Epub 2016 Nov 10. PubMed 27993336 ↗
  • Cárdenas, G., Botella, C., Quero, S., De la Rosa, A. & Baños, R. Programa de Telepsicología para el Tratamiento de la Fobia a hablar en público en Población Mexicana. Revista Psicología Iberoamericana. 2014; 22 (1): 45-54.
  • Cárdenas, G., Flores, L. y De la Rosa, A. Psicoterapia vía Internet: Manual de entrenamiento. Facultad de Psicología de la UNAM. DGAPA. 2012. ISBN-978-606-02-2263-4.
  • Ellard KK, Fairholme CP, Boisseau CL, Farchione TJ, Barlow DH. Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data. Cogn Behav Pract. 2010 Feb;17(1):88-101. doi: 10.1016/j.cbpra.2009.06.002. Epub 2010 Jan 29. PubMed 33762811 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — The information will be available in a private server or in a open server of the journal(s) that we will publish the articles that will be the result of this study. The informed consent is already shared in the register of clinical trials.

Supporting information: Study protocol, Informed consent form

Time frame: This data will be available in december 2022 and it will be available for 5 years. It will be shared in the databases of the journal where the article(s) will be published.

Access criteria: Open access saving personal and sensitive data of the participants.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2021; primary completion for Dec 2022, 13 months later.

Of 3,841 non-industry interventional studies with no phase under Anxiety Disorders, half reached primary completion within 12 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 28. This study's planned 13 months is close to that.

Counting every sponsor, half of 3,943 studies reached it within 12 months; a quarter within 5 and three quarters within 28.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 4, 2021
First posted
Oct 18, 2021
StartEst.
Nov 1, 2021
Primary completionEst.
Dec 31, 2022
CompletionEst.
Dec 31, 2022
Last update
Oct 18, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 18, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05081830
Lead sponsor
Universidad Nacional Autonoma de Mexico
Responsible party
Anabel De La Rosa Gomez (PhD, Universidad Nacional Autonoma de Mexico) — Principal investigator
First posted
Oct 18, 2021
Start date
Nov 1, 2021 (estimated)
Primary completion
Dec 31, 2022 (estimated)
Completion
Dec 31, 2022 (estimated)
Last update
Oct 18, 2021

Study contacts

Anabel De la Rosa-Gómez, PhD
Contact
anabel.delarosa@iztacala.unam.mx
525556231344
Lorena A Flores-Plata, PhD
Contact
lorena.flores@iztacala.unam.mx
525556231344
Alejandrina Hernández-Posadas, PhD student
study chair · Faculty of Higher Studies Iztacala, National Autonomous University of Mexico
Pablo D Valencia, PhD student
study chair · Faculty of Higher Studies Iztacala, National Autonomous University of Mexico
Carolina Santillán-Torres Torija, PhD
study chair · Faculty of Higher Studies Iztacala, National Autonomous University of Mexico
Paulina Arenas-Landgrave, PhD
study chair · Faculty of Psychology, National Autonomous University of Mexico
Berenice Serrano-Zarate, PhD
study chair · Universitat Jaume I
Alejandro Domínguez-Rodríguez, PhD
study chair · Valencian International University
Mario F Vázquez-Sánchez, Ms student
study chair · Faculty of Higher Studies Iztacala, National Autonomous University of Mexico
Alicia I Flores-Elvira, Ms
study chair · Faculty of Higher Studies Iztacala, National Autonomous University of Mexico

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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