Respondent and non-respondent profiles for at-risk adolescents following a personalised, transdiagnostic, selective...

This study examined changes in adolescents' emotional risk profiles following participation in the personalised, transdiagnostic, selective preventive intervention named PROCARE+. The sample was composed by 233 adolescents aged 12-18 years who were identified as being at emotional risk. Using Latent Profile Analysis, two baseline profiles were identified: (1) adolescents with moderate risk and positive quality of life (77.7 %) and (2) those with moderate risk and low quality of life (22.3 %). After the intervention, two profiles emerged: a respondent profile (56.4 %), composed by low emotional risk along with high levels of resilience, emotion regulation, and quality of life; and a non-respondent profile (43.6 %), marked by presence of risk of developing emotional problems along with lower levels of resilience, emotion regulation, and quality of life. The results evidence the presence of four transition patters with a similar proportion of responders across initial profiles but significant differences in the proportion of non-responders. In particular, the Latent Profile Transition Analysis revealed that adolescents who reported low quality of life at baseline were more likely to respond to treatment and therefore, move to the respondent profile after the intervention, whereas those who reported high quality of life at baseline were more likely to move to the non-respondent profile following the intervention. These findings suggest that subjective quality of life among adolescents at emotional risk before the intervention may have an impact on treatment response, highlighting the need to tailor preventive interventions based on at-risk adolescents' emotional and well-being profiles before intervention.