Protocolo transdiagnóstico PsicAP de entrenamiento cognitivo-conductual en grupo para trastornos emocionales

Anxiety disorders and depression are highly prevalent today. The PsicAP clinical trial showed that adding 7 sessions of group cognitive-behavioural training with a transdiagnostic approach to the usual treatment of emotional disorders in adult primary care patients increased efficacy and cost-effectiveness in reducing symptom levels, reduced disability and improved quality of life. In this work, these 7 sessions of the PsicAP protocol of transdiagnostic treatment are described, aimed at intervening on the factors common to the different disorders: cognitive distortions and emotional regulation strategies. It is an intervention based on learning through psychoeducation, cognitive restructuring, relaxation, behavioural techniques and relapse prevention. It concludes by arguing about the usefulness of this protocol to reduce the gap between research and clinical practice, something necessary in today's societyLos trastornos de ansiedad y la depresión son altamente prevalentes en la sociedad actual. El ensayo clínico PsicAP demostró que añadir 7 sesiones de entrenamiento cognitivo-conductual en grupo con enfoque transdiagnóstico al tratamiento habitual de trastornos emocionales en pacientes adultos de atención primaria aumentó la eficacia y coste-efectividad para reducir los niveles de síntomas, redujo la discapacidad y mejoró la calidad de vida. En este trabajo se describen esas 7 sesiones del protocolo PsicAP de tratamiento transdiagnóstico, dirigido a la intervención sobre los factores comunes a los distintos trastornos: las distorsiones cognitivas y las estrategias de regulación emocional. Se trata de una intervención basada en el aprendizaje mediante psicoeducación, reestructuración cognitiva, relajación, técnicas conductuales y prevención de recaídas. Se concluye argumentando sobre la utilidad de este protocolo para reducir la brecha entre investigación y práctica clínica, algo necesario en la sociedad actua

Numbers, nuances and moving targets: converging the use of corruption indicators or descriptors in assessing state development

This article is concerned with three issues: the convergence of donors over a shared development agenda, on why dealing with corruption is seen as a key aspect of the agenda, and the means to assess corruption within the context of monitoring development progress. The article reviews the genesis of the agenda, and why corruption is often used as an indicator or measure of progress. It distinguishes between two general approachesâ��quantitative indicators and qualitative descriptorsâ��for assessing types and levels of corruption before considering methodological and interpretative issues relating to each approach. It suggests that, while each has a role, cognizance should be made of the awareness of the limitations of either for policy- or reform-related issues, particularly in terms of the exercise of political power or the nature and direction of development. The necessary convergence of the use of the two approaches has not been fully achieved to date and, until such time as a convergence is achieved, an over-reliance on one or other approach may not provide an effective basis for reform and aid initiatives, nor for assessing the progress and impact of both in delivering the development agenda. Reprinted by permission of Sage Publications Ltd from Doig, Alan and McIvor, Stephanie and Theobald, Robin (2006), International Review of Administrative Sciences, 72 (2). pp.239-252. © 2006 International Institute of Administrative Sciences. All rights reserved. Not for commercial use or unauthorized distribution