<p>This pilot study evaluated the feasibility and acceptability of a five-session version of the transdiagnostic Unified Protocol adapted for older adults with emotional distress and impaired functional activity.&#xa0;In Phase 1, the therapist-delivered treatment was adapted for this population. In Phase 2, 16 older adults with emotional distress and impairments in functioning were randomly assigned to either a Self-Guided or Therapist-Delivered version of the 5-session protocol. Assessments were conducted after one week and one month.&#xa0;The intervention was feasible, with participants in the therapist-delivered group expressing significantly higher treatment satisfaction (Cohen’s <i>d</i><sub><i>1_week</i></sub> = 2.08; <i>d</i><sub><i>1_month</i></sub> =2.00). Both groups showed improvement in functioning (<i>d</i> = 3.11), with no significant differences between conditions. Emotional distress decreased significantly (<i>d</i><sub>anxiety</sub> =1.14; <i>d</i><sub>depression</sub> =0.81) with no condition differences. Physical activity showed modest gains (<i>d</i>s = 0.17–0.18).&#xa0;These findings support the feasibility and preliminary efficacy of the adapted intervention.&#xa0;The UP-ST-5 may be a promising intervention for older adults, with the self-guided version offering a scalable option.</p>

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Emotion Regulation Treatment to Enhance Active Aging in Older Adults with Affective Distress: A Pilot Study

  • Andrada D. Neacsiu,
  • Paul Cernasov,
  • Lisalynn Kelley,
  • Zoe Brasher,
  • Paul A. Dennis,
  • Katherine Ramos,
  • Clair Cassiello-Robins

摘要

This pilot study evaluated the feasibility and acceptability of a five-session version of the transdiagnostic Unified Protocol adapted for older adults with emotional distress and impaired functional activity. In Phase 1, the therapist-delivered treatment was adapted for this population. In Phase 2, 16 older adults with emotional distress and impairments in functioning were randomly assigned to either a Self-Guided or Therapist-Delivered version of the 5-session protocol. Assessments were conducted after one week and one month. The intervention was feasible, with participants in the therapist-delivered group expressing significantly higher treatment satisfaction (Cohen’s d1_week = 2.08; d1_month =2.00). Both groups showed improvement in functioning (d = 3.11), with no significant differences between conditions. Emotional distress decreased significantly (danxiety =1.14; ddepression =0.81) with no condition differences. Physical activity showed modest gains (ds = 0.17–0.18). These findings support the feasibility and preliminary efficacy of the adapted intervention. The UP-ST-5 may be a promising intervention for older adults, with the self-guided version offering a scalable option.