{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:25:13Z","timestamp":1787840713774,"version":"build-2784847793"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>This study aims to compare the effectiveness of unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy on positive and negative affect and emotional awareness in children with Type 1 Diabetes (T1D).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>In this semi-experimental pretest-posttest study, T1D patients enrolled in two experimental groups: unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy interventions in a unified process and one control group. After the completion of the therapeutic sessions, all three groups responded to the research questionnaires in the post-test phase and after a two-month follow-up and were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The results of the repeated measures analysis of variance showed that the unified protocols for transdiagnostic treatment of emotional disorders and modular cognitive-behavioral therapy interventions had a significant effect on increasing positive affect and emotional awareness, as well as reducing negative affect in children with T1D, and the effects of the treatment remained during the follow-up stage (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). A comparison between the two treatments also indicated that the modular cognitive-behavioral therapy intervention had a greater effectiveness in reducing the negative affect variable in the post-test phase compared to the unified protocols for transdiagnostic treatment (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.01). There were no significant differences between the two therapeutic methods in other variables (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Based on these findings, both interventions can be used as useful treatments to improve psychological variables in children with T1D. These results underscore its potential as a potent tool for enhancing the emotional well-being of individuals with this condition, thereby contributing to an improved quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/abr.abr_239_24","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T07:00:34Z","timestamp":1738220434000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A Comparative Study on the Effectiveness of Unified Protocols for Transdiagnostic Treatment of Emotional Disorders and Modular Cognitive-Behavioral Therapy on Positive and Negative Affect, and Emotional Awareness in Children with Type 1 Diabetes Mellitus"],"prefix":"10.4103","volume":"14","author":[{"given":"Maryam","family":"Hashemipoor Zavareh","sequence":"first","affiliation":[{"name":"Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mansoureh","family":"Bahramipour Isfahani","sequence":"additional","affiliation":[{"name":"Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilnaz","family":"Sajjadian","sequence":"additional","affiliation":[{"name":"Department of Psychology, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"key":"R1-20250130","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1136\/injuryprev-2018-042927","article-title":"Associations between adverse childhood experiences and acquired brain injury, including traumatic brain injuries, among adults: 2014 BRFSS North Carolina","volume":"25","author":"Guinn","year":"2019","journal-title":"Inj Prev"},{"key":"R2-20250130","doi-asserted-by":"crossref","first-page":"1927.","DOI":"10.3390\/jcm12051927","article-title":"Mental health and health-related quality of life in Austrian adolescents with chronic physical health conditions: Results from the MHAT study","volume":"12","author":"Wagner","year":"2023","journal-title":"J Clin Med"},{"key":"R3-20250130","doi-asserted-by":"crossref","first-page":"109119.","DOI":"10.1016\/j.diabres.2021.109119","article-title":"IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045","volume":"183","author":"Sun","year":"2022","journal-title":"Diabetes Res Clin Pract"},{"key":"R4-20250130","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1111\/jdi.13975","article-title":"Trends in incidence rates of childhood type 1 diabetes mellitus: A retrospective study in Isfahan province, Iran","volume":"14","author":"Hashemipour","year":"2023","journal-title":"J Diabetes Investig"},{"key":"R5-20250130","first-page":"SC05","article-title":"Psychosocial illness in children with type 1 diabetes mellitus: Prevalence, pattern and risk factors","volume":"10","author":"Khandelwal","year":"2016","journal-title":"J Clin Diagn Res"},{"key":"R6-20250130","doi-asserted-by":"crossref","first-page":"13","DOI":"10.15605\/jafes.038.02.10","article-title":"Behavioural and emotional problems in Malaysian children and adolescents with type 1 diabetes mellitus: A cross-sectional study in a single centre","volume":"38","author":"Ching","year":"2023","journal-title":"J ASEAN Fed Endocr Soc"},{"key":"R7-20250130","first-page":"2132","article-title":"Model design and dimensions affecting the quality of life of diabetic patients; met composite study","volume":"11","author":"Niazi","year":"2023","journal-title":"J Diabetes Nurs"},{"key":"R8-20250130","doi-asserted-by":"crossref","first-page":"e00152.","DOI":"10.1002\/edm2.152","article-title":"Glucose variability and mood in adults with diabetes: A systematic review","volume":"4","author":"Muijs","year":"2021","journal-title":"Endocrinol Diabetes Metab"},{"key":"R9-20250130","doi-asserted-by":"crossref","first-page":"859.","DOI":"10.1037\/xlm0000056","article-title":"Negative and positive testing effects in terms of item-specific and relational information","volume":"41","author":"Mulligan","year":"2015","journal-title":"J Exp Psychol Learn Mem Cogn"},{"key":"R10-20250130","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.cobeha.2021.04.022","article-title":"Positive affect and behavior change","volume":"39","author":"Shiota","year":"2021","journal-title":"Curr Opin Behav Sci"},{"key":"R11-20250130","doi-asserted-by":"crossref","first-page":"S130","DOI":"10.1016\/j.jcjd.2017.10.031","article-title":"Diabetes and mental health","volume":"42","author":"Robinson","year":"2018","journal-title":"Can J Diabetes"},{"key":"R12-20250130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12955-018-1021-9","article-title":"Related factors of quality of life of type 2 diabetes patients: A systematic review and meta-analysis","volume":"16","author":"Jing","year":"2018","journal-title":"Health Qual Life Outcomes"},{"key":"R13-20250130","doi-asserted-by":"crossref","first-page":"831","DOI":"10.1007\/s00125-017-4517-7","article-title":"Increasing risk of psychiatric morbidity after childhood onset type 1 diabetes: A population-based cohort study","volume":"61","author":"Dybdal","year":"2018","journal-title":"Diabetologia"},{"key":"R14-20250130","doi-asserted-by":"crossref","first-page":"20","DOI":"10.2337\/dc20-1059","article-title":"Emotional regulation and diabetes distress in adults with type 1 and type 2 diabetes","volume":"44","author":"Coccaro","year":"2021","journal-title":"Diabetes Care"},{"key":"R15-20250130","doi-asserted-by":"crossref","first-page":"670.","DOI":"10.1037\/emo0000376","article-title":"The structure of emotional experience and its relation to trait emotional awareness: A theoretical review","volume":"18","author":"Smith","year":"2018","journal-title":"Emotion"},{"key":"R16-20250130","doi-asserted-by":"crossref","first-page":"265.","DOI":"10.1027\/1015-5759\/a000073","article-title":"The assessment of emotional awareness in children: Validation of the levels of emotional awareness scale for children","volume":"27","author":"Veirman","year":"2011","journal-title":"Eur J Psychol Assess"},{"key":"R17-20250130","doi-asserted-by":"crossref","first-page":"131.","DOI":"10.1037\/int0000244","article-title":"The role of enhanced emotional awareness in promoting change across psychotherapy modalities","volume":"32","author":"Lane","year":"2022","journal-title":"J Psychother Integr"},{"key":"R18-20250130","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.pcd.2013.04.006","article-title":"Association of HbA1c with emotion regulation, intolerance of uncertainty, and purpose in life in type 2 diabetes mellitus","volume":"7","author":"Rasmussen","year":"2013","journal-title":"Prim Care Diabetes"},{"key":"R19-20250130","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1007\/s00592-010-0191-7","article-title":"Psychological adjustment to diabetes mellitus: Highlighting self-integration and self-regulation","volume":"49","author":"Gois","year":"2012","journal-title":"Acta Diabetol"},{"key":"R20-20250130","first-page":"22","article-title":"Effectiveness of unified protocols for transdiagnostic treatment in emotion regulation of mothers and anxiety of children with type I diabetes","author":"Ghasemzadeh","year":"2020","journal-title":"Iran Red Crescent Med J"},{"key":"R21-20250130","doi-asserted-by":"crossref","first-page":"71","DOI":"10.52547\/shefa.9.4.71","article-title":"The effectiveness of transdiagnostic treatment program on improving the quality of life and reducing depression in children with type 1 diabetes: An experimental study","volume":"9","author":"Ghasemzadeh","year":"2021","journal-title":"Shefaye Khatam"},{"key":"R23-20250130","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1037\/cap0000039","article-title":"New approaches to diagnosis and treatment in anxiety and related emotional disorders: A focus on temperament","volume":"57","author":"Barlow","year":"2016","journal-title":"Can Psychol"},{"key":"R24-20250130","doi-asserted-by":"crossref","first-page":"970","DOI":"10.1111\/jcpp.12747","article-title":"Practitioner review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches","volume":"58","author":"Marchette","year":"2017","journal-title":"J Child Psychol Psychiatry"},{"key":"R25-20250130","doi-asserted-by":"crossref","first-page":"23.","DOI":"10.1007\/s00520-023-08207-2","article-title":"Representation of race and ethnicity among cancer survivors in trials of cognitive behavioral therapy for insomnia (CBT-I): A systematic review","volume":"32","author":"Li","year":"2024","journal-title":"Support Care Cancer"},{"key":"R27-20250130","doi-asserted-by":"crossref","first-page":"269.","DOI":"10.1037\/ccp0000454","article-title":"A common elements approach to the development of a modular cognitive behavioral theory for chronic loneliness","volume":"88","author":"K\u00e4ll","year":"2020","journal-title":"J Consult Clin Psychol"},{"key":"R28-20250130","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s10578-018-0817-5","article-title":"Open trial of modular cognitive-behavioral therapy in the treatment of anxiety among late adolescents with autism spectrum disorder","volume":"50","author":"Wise","year":"2019","journal-title":"Child Psychiatry Hum Dev"},{"key":"R29-20250130","first-page":"e139616.","article-title":"Microalbuminuria in children with type 1 diabetes and its relationship with body mass index, hemoglobin A1c, and age at diabetes onset","volume":"34","author":"Mosallanejad","year":"2024","journal-title":"Iran J Pediatr"},{"key":"R30-20250130","doi-asserted-by":"crossref","first-page":"e15149.","DOI":"10.1111\/dme.15149","article-title":"Level, types and determinants of physical activity in children with type 1 diabetes and their parents: A cross-sectional study","volume":"41","author":"Heikkil\u00e4","year":"2024","journal-title":"Diabet Med"},{"key":"R31-20250130","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1037\/1040-3590.11.3.326","article-title":"A measure of positive and negative affect for children: Scale development and preliminary validation","volume":"11","author":"Laurent","year":"1999","journal-title":"Psychol Assess"},{"key":"R32-20250130","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.paid.2006.11.015","article-title":"Psychometric properties of the Emotion Awareness Questionnaire for children","volume":"43","author":"Rieffe","year":"2007","journal-title":"Pers Individ Dif"},{"key":"R35-20250130","doi-asserted-by":"crossref","first-page":"440","DOI":"10.32598\/ijpcp.25.4.7","article-title":"Developing the Persian version of positive and negative affect scale for children (original and short form) and assessing its psychometric properties","volume":"25","author":"Lotfi","year":"2020","journal-title":"Iranian J Psychiatry Clin Psychol"},{"key":"R36-20250130","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1016\/0022-3999(94)90005-1","article-title":"The twenty-item Toronto Alexithymia Scale--I. Item selection and cross-validation of the factor structure","volume":"38","author":"Bagby","year":"1994","journal-title":"J Psychosom Res"},{"key":"R37-20250130","doi-asserted-by":"crossref","first-page":"756","DOI":"10.1016\/j.paid.2008.08.001","article-title":"Emotion awareness and internalising symptoms in children and adolescents: The Emotion Awareness Questionnaire revised","volume":"45","author":"Rieffe","year":"2008","journal-title":"Pers Individ Dif"},{"key":"R38-20250130","first-page":"85","article-title":"Survey on validity and reliability of Emotion awareness questionnaire in primary school students of Tehran","volume":"7","author":"Gholamreza","year":"2019","journal-title":"Psychometry"},{"key":"R39-20250130","doi-asserted-by":"crossref","first-page":"1","DOI":"10.21926\/obm.icm.2203035","article-title":"Living well with illness: Evaluation of a transdiagnostic compassion-focused therapy group for long-term health conditions","volume":"7","author":"Snodgrass","year":"2022","journal-title":"OBM Integr Complement Med"},{"key":"R40-20250130","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.jcbs.2016.09.001","article-title":"Better living with illness: A transdiagnostic acceptance and commitment therapy group intervention for chronic physical illness","volume":"5","author":"Brassington","year":"2016","journal-title":"J Contextual Behav Sci"},{"key":"R41-20250130","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1007\/s10608-012-9476-1","article-title":"The efficacy of cognitive behavioral therapy: A review of meta-analyses","volume":"36","author":"Hofmann","year":"2012","journal-title":"Cogn Ther Res"},{"key":"R42-20250130","first-page":"102353","article-title":"Cognitive behavioral therapies for depression and anxiety in people with chronic disease: A systematic review and meta-analysis","volume":"2023","author":"Scott","journal-title":"Clin Psychol Rev"},{"key":"R43-20250130","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1002\/jclp.22901","article-title":"Modular cognitive-behavioral therapy for affective symptoms in young individuals at ultra-high risk of first episode of psychosis: Randomized controlled trial","volume":"76","author":"Pozza","year":"2020","journal-title":"J Clin Psychol"},{"key":"R44-20250130","first-page":"730","article-title":"The effect of cognitive-behavioral play therapy on emotion regulation and separation anxiety: A quasi-experimental study in elementary-school children in Isfahan","volume":"8","author":"Sadeghi","year":"2022","journal-title":"Caspian J Pediatr"},{"key":"R45-20250130","first-page":"165","article-title":"Effectiveness of group cognitive-behavioral therapy on anxiety, depression and glycemic control in children with type 1 diabetes","volume":"2","author":"Ahmadi","year":"2014","journal-title":"Int J Pediatr"},{"key":"R46-20250130","first-page":"15439","article-title":"Combined effectiveness of the therapeutic benefits of clay in play therapy and cognitive-behavioral therapy on children\u2019s behavioral-emotional disorder","volume":"10","author":"Soleimani Hassanabadi","year":"2022","journal-title":"Int J Pediatr"},{"key":"R47-20250130","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/MED.0000000000000167","article-title":"Updates in behavioural and psychosocial literature in adolescents with type 1 diabetes","volume":"22","author":"Raymond","year":"2015","journal-title":"Curr Opin Endocrinol Diabetes Obes"},{"key":"R48-20250130","doi-asserted-by":"crossref","first-page":"1684175.","DOI":"10.1155\/2018\/1684175","article-title":"Common issues seen in paediatric diabetes clinics, psychological formulations, and related approaches to management","volume":"2018","author":"Deeb","year":"2018","journal-title":"J Diabetes Res"},{"key":"R49-20250130","first-page":"588.","article-title":"The efficacy of transdiagnostic cognitive behavioural therapy on reducing negative affect, anxiety sensitivity and improving perceived control in children with emotional disorders-A randomized controlled trial","volume":"25","author":"Qanbari Alaee","year":"2022","journal-title":"Res Psychother"},{"key":"R50-20250130","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1111\/papt.12282","article-title":"A systematic review of the use of acceptance and commitment therapy in supporting parents","volume":"94","author":"Byrne","year":"2021","journal-title":"Psychol Psychother"},{"key":"R51-20250130","first-page":"97","article-title":"The effectiveness of cognitive-behavioral therapy on emotional regulation in children with type 1 diabetes","volume":"18","author":"Soltanizadeh","year":"2019","journal-title":"Iranian J Diabetes Metab"},{"key":"R52-20250130","doi-asserted-by":"crossref","first-page":"553","DOI":"10.3349\/ymj.2008.49.4.553","article-title":"Antenatal cognitive behavioral therapy for prevention of postpartum depression: A pilot study","volume":"49","author":"Cho","year":"2008","journal-title":"Yonsei Med J"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_239_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:27:35Z","timestamp":1787837255000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_239_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":48,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_239_24","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2024-05-22","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}