Improvement in quality of life and sexual functioning in a comorbid sample after the unified protocol transdiagnostic group treatment

J Psychiatr Res. 2017 Oct:93:30-36. doi: 10.1016/j.jpsychires.2017.05.013. Epub 2017 May 26.

Abstract

Patients with multiple mental disorders often experience sexual dysfunction and reduced quality of life. The unified protocol (UP) is a transdiagnostic treatment for emotional disorders that has the potential to improve quality of life and sexual functioning via improved emotion management. The present study evaluates changes in quality of life and sexual functioning in a highly comorbid sample treated with the UP in a group format. Forty-eight patients were randomly assigned to either a UP active-treatment group or a medication-only control group. Treatment was delivered in 14 sessions over the course of 4 months. Symptoms of anxiety and depression were assessed using the Beck Anxiety Inventory and Beck Depression Inventory. Sexual functioning was assessed by the Arizona Sexual Experience Scale (ASEX), and quality of life was assessed by the World Health Organization Quality of Life-BREF scale (WHOQOL-BREF). Quality of life, anxiety and depression all significantly improved among participants treated with the UP. Some improvement in sexual functioning was also noted. The results support the efficacy of the UP in improving quality of life and sexual functioning in comorbid patients.

Keywords: Anxiety; Depression; Quality of life; Sexual function; Unified protocol.

MeSH terms

  • Adult
  • Anxiety Disorders / complications*
  • Anxiety Disorders / psychology*
  • Anxiety Disorders / rehabilitation
  • Depressive Disorder / complications*
  • Depressive Disorder / psychology*
  • Depressive Disorder / rehabilitation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Psychiatric Status Rating Scales
  • Quality of Life / psychology*
  • Sexual Dysfunctions, Psychological / etiology*
  • Statistics, Nonparametric