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A Systematic Review Comparing Four Transdiagnostic Programmes for School-Age Children.

Giorgio Ghizzoni1, Maria Mirandi1, Carlo Garofalo1

  • 1Department of Philosophy, Social Sciences and Education, University of Perugia, Perugia, Italy.

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Transdiagnostic programs effectively treat childhood internalizing symptoms. Unified Protocol for Children (UP-C) and Super Skills for Life (SSL) show promise for preventing and treating anxiety and depression in children.

Keywords:
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Area of Science:

  • Child and Adolescent Psychology
  • Clinical Psychology
  • Psychopathology

Background:

  • Transdiagnostic programs address shared processes in internalizing symptoms and comorbid psychopathology.
  • Children often exhibit less differentiated psychopathological manifestations than adults, making transdiagnostic approaches valuable.
  • Evidence-based transdiagnostic programs offer a unified approach to mental health in youth.

Purpose of the Study:

  • To systematically review the effectiveness of four evidence-based transdiagnostic programs: FRIENDS, Pyramid Club, Unified Protocol for Children (UP-C), and Super Skills for Life (SSL).
  • To examine studies published between 2018 and 2023 involving children aged 4-14 years.
  • To assess the application of these programs in both prevention and treatment contexts.

Main Methods:

  • Systematic review following PRISMA guidelines.
  • Inclusion of 48 studies meeting specific criteria.
  • Analysis focused on studies published from 2018-2023 concerning children aged 4-14.

Main Results:

  • All reviewed transdiagnostic programs demonstrated effectiveness.
  • Unified Protocol for Children (UP-C) and Super Skills for Life (SSL) emerged as most promising for childhood anxiety and depression, supported by recent research.
  • UP-C and SSL showed particular efficacy in reducing externalizing problems and enhancing social and prosocial behaviors.

Conclusions:

  • Transdiagnostic programs, especially UP-C and SSL, are effective for childhood internalizing disorders.
  • Further randomized controlled trials are needed to confirm the incremental benefits and long-term effectiveness of these programs.
  • These interventions hold potential for improving child psychological well-being and reducing healthcare burdens.