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| ID | Type | Description | Link |
|---|---|---|---|
| R34MH123601-01 | U.S. NIH Grant/Contract | View source |
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| Name | Class |
|---|---|
| National Institute of Mental Health (NIMH) | NIH |
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The proposed study will determine the feasibility, tolerability, and acceptability of a study that tests: 1) personalized treatment delivery (i.e., module sequencing and treatment discontinuation timing) aimed at increasing the efficiency of care, and 2) the research protocol designed to evaluate the effects of this personalized care. A sample of 60 participants with heterogeneous anxiety disorders (and comorbid conditions, including depression) will be enrolled in a pilot sequential multiple assignment randomized trial (SMART). Patients will be randomly assigned to one of three sequencing conditions: transdiagnostic treatment administered in its standard module order, module sequences that prioritize capitalizing on relative strengths, and module sequences that prioritize compensating for relative weaknesses. Next, after 6 sessions, participants will be randomly assigned to either continue or discontinue treatment to evaluate post-treatment change at varying levels of target engagement. This proposal will enable us to 1) test the feasibility, acceptability, and tolerability of the research protocol, treatment sequencing conditions, and early treatment discontinuation, 2) determine whether a preliminary signal that capitalization or compensation module sequencing improves treatment efficiency exists, and 3) explore preliminary associations between core process engagement at treatment discontinuation and later symptom improvement. The proposed study, and the subsequent research it will support, will inform evidence-based decision rules to make existing treatments more efficient, ultimately reducing patient costs and increasing the mental health service system's capacity to address the needs of more individuals.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard Group, Brief Intervention | Experimental | Participants in this group will receive 6 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. |
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| Standard Group, Full Intervention | Experimental | Participants in this group will receive 12 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. |
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| Capitalization Group, Brief Intervention | Experimental | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that capitalize on patient strengths. |
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| Capitalization Group, Full Intervention | Experimental | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that capitalize on patient strengths. |
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| Compensation Group, Brief Intervention | Experimental | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard UP Treatment | Behavioral | Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Clinical Severity From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinical severity will be measured using the Diagnostic Interview for Anxiety, Mood, and Obsessive Compulsive and Related Neuropsychiatric Disorders (DIAMOND) dimensional clinician ratings. Scores range from 1-7; higher scores indicate greater severity. Negative scores indicate symptom improvement. | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention |
| Change in Self-Reported Anxiety Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Anxiety symptoms will be measured using the Overall Anxiety Severity and Interference Scale (OASIS). This is a self-report measure in which scores range from 0-20; higher scores indicate more severe anxiety symptoms. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
| Change in Self-Reported Depressive Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Depressive symptoms will be measured using the Overall Depression Severity and Interference Scale (ODSIS). This is a self-report measure in which scores range from 0-20; higher scores indicate more severe anxiety symptoms. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
| Change in Self-Reported Aversive Reactions to Emotions From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Aversive reactions to emotions will be measured using the distress aversion subscale of the Multidimensional Experiential Avoidance Questionnaire (MEAQ). This is a self-report measure in which scores range from 13-78; higher scores indicate greater negative reactions to emotional experiences. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Shannon Sauer-Zavala | University of Kentucky | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kentucky | Lexington | Kentucky | 40506 | United States |
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| ID | Title | Description |
|---|---|---|
| FG000 | Standard Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| FG001 | Standard Group, Full Intervention | Participants in this group will receive 12 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| FG002 | Capitalization Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| FG003 | Capitalization Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| FG004 | Compensation Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
| FG005 | Compensation Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
|
1 participant in the standard group, full intervention did not complete the demographic info survey and 1 participant in the compensation group, brief intervention did not report their age
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| ID | Title | Description |
|---|---|---|
| BG000 | Standard Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 1 participant in the standard group, full intervention did not complete the demographic info survey and 1 participant in the compensation group, brief intervention did not report their age |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change in Clinical Severity From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinical severity will be measured using the Diagnostic Interview for Anxiety, Mood, and Obsessive Compulsive and Related Neuropsychiatric Disorders (DIAMOND) dimensional clinician ratings. Scores range from 1-7; higher scores indicate greater severity. Negative scores indicate symptom improvement. | Outcomes for participants in brief intervention groups will be the difference in clinical severity at assessments before and after 6 sessions of treatment. Outcomes for participants in full intervention groups will be the difference in clinical severity at assessments before and after 12 sessions of treatment. Participants who completed their pre- and post-treatment clinician assessment meetings were analyzed. | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention |
|
10 months
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Standard Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Sauer-Zavala | University of Kentucky | 859-562-1571 | ssz@uky.edu |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Jan 10, 2025 | May 8, 2025 | Prot_SAP_ICF_001.pdf |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D013313 | Stress Disorders, Post-Traumatic |
| D009771 | Obsessive-Compulsive Disorder |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
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|
| Compensation Group, Full Intervention | Experimental | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. |
|
| Capitalization UP Treatment | Behavioral | Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
|
| Compensation UP Treatment | Behavioral | Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
|
| Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
| Change in Clinician-Rated Anxiety Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinician-rated anxiety symptoms will be measured using the Hamilton Rating Scale for Anxiety Symptoms. Scores range from 0-56; higher scores indicate greater severity. Negative scores indicate symptom improvement. Outcomes for participants in brief intervention groups is the difference in clinician rated symptom scores before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in clinician rated symptom scores before and after 12 sessions. | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
| Change in Clinician-Rated Depressive Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinician-rated depressive symptoms will be measured using the Hamilton Rating Scale for Depressive Symptoms. Scores range from 0-68; higher scores indicate greater severity. Negative scores indicate symptom improvement. Outcomes for participants in brief intervention groups is the difference in Clinician-Rated symptom scores before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in Clinician-Rated symptom scores before and after 12 sessions. | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
| Lost to Follow-up |
|
| Therapist left trial before patient completed treatment |
|
| Ineligible due to conflict of interest with therapist |
|
| BG001 | Standard Group, Full Intervention | Participants in this group will receive 12 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| BG002 | Capitalization Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| BG003 | Capitalization Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| BG004 | Compensation Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
| BG005 | Compensation Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
| BG006 | Total | Total of all reporting groups |
| Mean |
| Standard Deviation |
| years |
|
| Sex: Female, Male | 1 participant in the standard group, full intervention did not fill out the demographics form | Count of Participants | Participants |
|
| Ethnicity (NIH/OMB) | 1 participant in the standard group, full intervention did not fill out the demographics form | Count of Participants | Participants |
|
| Race (NIH/OMB) | Count of Participants | Participants |
|
| Region of Enrollment | Number | participants |
|
Participants in this group will receive 6 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| OG001 | Standard Group, Full Intervention | Participants in this group will receive 12 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). |
| OG002 | Capitalization Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| OG003 | Capitalization Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. |
| OG004 | Compensation Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
| OG005 | Compensation Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. |
|
|
| Primary | Change in Self-Reported Anxiety Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Anxiety symptoms will be measured using the Overall Anxiety Severity and Interference Scale (OASIS). This is a self-report measure in which scores range from 0-20; higher scores indicate more severe anxiety symptoms. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported | Outcomes for participants in brief intervention groups is the difference in self-reported anxiety symptoms before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in scores before and after 12 sessions. Participants who completed the pre- and post-treatment assessment questionnaires were analyzed. Several participants completed the post-treatment clinician meeting but not the questionnaires, creating a disparity in sample across outcomes | Posted | Mean | Standard Error | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
|
|
|
| Primary | Change in Self-Reported Depressive Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Depressive symptoms will be measured using the Overall Depression Severity and Interference Scale (ODSIS). This is a self-report measure in which scores range from 0-20; higher scores indicate more severe anxiety symptoms. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported | Outcomes for participants in brief intervention groups is the difference in self-reported symptoms before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in scores before and after 12 sessions. Participants who completed the pre- and post-treatment assessment questionnaires were analyzed. Several participants completed the post-treatment clinician meeting but not the questionnaires, creating a disparity in sample across outcomes | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
|
|
|
| Primary | Change in Self-Reported Aversive Reactions to Emotions From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Aversive reactions to emotions will be measured using the distress aversion subscale of the Multidimensional Experiential Avoidance Questionnaire (MEAQ). This is a self-report measure in which scores range from 13-78; higher scores indicate greater negative reactions to emotional experiences. Negative scores indicate symptom improvement. assessed at baseline and weekly for 6 or 12 weeks, change from baseline after 6 sessions (6 weeks) and after 12 sessions (12 weeks) are being reported | Outcomes for participants in brief intervention groups is the difference in self-reported symptoms before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in scores before and after 12 sessions. Participants who completed the pre- and post-treatment assessment questionnaires were analyzed. Several participants completed the post-treatment clinician meeting but not the questionnaires, creating a disparity in sample across outcomes | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
|
|
|
| Primary | Change in Clinician-Rated Anxiety Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinician-rated anxiety symptoms will be measured using the Hamilton Rating Scale for Anxiety Symptoms. Scores range from 0-56; higher scores indicate greater severity. Negative scores indicate symptom improvement. Outcomes for participants in brief intervention groups is the difference in clinician rated symptom scores before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in clinician rated symptom scores before and after 12 sessions. | Participants who completed the pre- and post-treatment clinician assessment meetings. Several participants completed the post-treatment clinician assessment, but did not complete the associated questionnaire batteries, which is why there is a disparity in the number of participants analyzed across outcome measures. | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
|
|
|
| Primary | Change in Clinician-Rated Depressive Symptoms From Baseline to 6 Weeks (Brief Intervention) or 12 Weeks (Full Intervention) | Clinician-rated depressive symptoms will be measured using the Hamilton Rating Scale for Depressive Symptoms. Scores range from 0-68; higher scores indicate greater severity. Negative scores indicate symptom improvement. Outcomes for participants in brief intervention groups is the difference in Clinician-Rated symptom scores before and after 6 treatment sessions and outcomes for participants in full intervention groups is the difference in Clinician-Rated symptom scores before and after 12 sessions. | Participants who completed the pre- and post-treatment clinician assessment meetings. Several participants completed the post-treatment clinician assessment, but did not complete the associated questionnaire batteries, which is why there is a disparity in the number of participants analyzed across outcome measures. | Posted | Mean | Standard Deviation | score on a scale | Baseline to 6 weeks (Brief Intervention), Baseline to 12 weeks (Full Intervention) |
|
|
|
| 0 |
| 11 |
| 0 |
| 11 |
| 0 |
| 11 |
| EG001 | Standard Group, Full Intervention | Participants in this group will receive 12 sessions of treatment in accordance with the standard, published Unified Protocol (UP) manual. Standard UP Treatment: Participants will receive treatment modules sequenced in accordance with the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al 2011; 2018). | 0 | 10 | 0 | 10 | 0 | 10 |
| EG002 | Capitalization Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. | 0 | 10 | 0 | 10 | 0 | 10 |
| EG003 | Capitalization Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that capitalize on patient strengths. Capitalization UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that capitalize on patient strengths. | 0 | 10 | 0 | 10 | 0 | 10 |
| EG004 | Compensation Group, Brief Intervention | Participants in this group will receive 6 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. | 0 | 10 | 0 | 10 | 0 | 10 |
| EG005 | Compensation Group, Full Intervention | Participants in this group will receive 12 sessions of treatment organized to prioritize skills that compensate for patient weaknesses. Compensation UP Treatment: Participants will receive Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders (UP) treatment modules organized to prioritize skills that compensate for patient weaknesses. | 0 | 10 | 0 | 10 | 0 | 10 |
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| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|