Unified Protocol Versus Self-Acceptance Group Therapy for Emotional Disorders in People With Severe Shame
ABSTRACT
Severe shame is a distressing negative emotion linked to various psychological disorders. A study compared the effects of two treatments, the Unified Protocol (UP) and Self-Acceptance Group Therapy (SAGT), on shame dysregulation in individuals with emotional disorders, including borderline personality disorder (BPD).
Individuals with high levels of shame were randomly assigned to either UP (N = 280) or SAGT (N = 282). Outcome measures included shame, loneliness, neuroticism, emotional dysregulation, and positive and negative affect measured pre-treatment, post-treatment, and at 3- and 6-month follow-ups.
Results showed UP was superior to SAGT in maintaining therapeutic gains at the 6-month follow-up. Those with a BPD diagnosis exhibited higher neuroticism and emotion dysregulation at baseline, with similar post-treatment reductions in most outcomes compared to those without a BPD diagnosis.
Conclusions support the use of both UP and SAGT in treating severe shame. The study also highlighted the specific mechanisms targeted by UP in reducing negative emotionality and provided support for the theoretical rationale for UP as a treatment for dysregulated shame and emotional dysfunction.
PMID:38924181 | DOI:10.1002/cpp.3022
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