Angel Enrique

Angel Enrique
Trinity College Dublin | TCD · School of Psychology

PhD in Psychology

About

54
Publications
33,568
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402
Citations

Publications

Publications (54)
Preprint
BACKGROUND Research suggests there is heterogeneity on treatment response for internet-delivered CBT (iCBT) users, but few studies have investigated the trajectory of individual symptom change across iCBT treatment. Large patient datasets using routine outcome measures provides an opportunity to investigate treatments effect over time, as well as t...
Article
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Background: Clients independently applying Cognitive Behavior Therapy (CBT) skills is an important outcome of CBT-based treatments. The relationship between posttherapeutic CBT skills usage and clinical outcomes remains under-researched-especially after internet-delivered CBT (iCBT). Objective: Explore contemporaneous and lagged effects of postt...
Article
Full-text available
Background Major depressive disorder (MDD) is a leading cause of disease morbidity. Combined treatment with antidepressant medication (ADM) plus psychotherapy yields a much higher MDD remission rate than ADM only. But 77% of US MDD patients are nonetheless treated with ADM only despite strong patient preferences for psychotherapy. This mismatch is...
Article
Full-text available
Background: Previous research has shown a strong relationship between financial difficulties and mental health problems. Psychological factors such as hope and worry about finances appear to be an important factor in this relationship. Objective: To develop an online based psychological intervention (Space from Money Worries) to tackle the psychol...
Article
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Objective: To investigate post-treatment relapse and remission rates 3-, 6-, and 9- months after completion of an acute phase of a clinician-supported internet-delivered cognitive-behavioral therapy (iCBT) for anxiety and depressive symptoms, within a routine care setting. Method: Secondary analysis from a 12-month pragmatic randomized-controlle...
Article
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Objectives This study aimed to explore quality-adjusted life-year (QALY) and subsequent cost-effectiveness estimates based on the more physical health–focused EQ-5D 5-level version (EQ-5D-5L) value set for England or cross-walked EQ-5D 3-level version UK value set scores or more mental health recovery-focused Recovering Quality of Life Utility Inde...
Article
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Purpose Generic health measures have been questioned for quantifying mental-health-related outcomes. In patients with anxiety and/or depression, our aim is to assess the psychometric properties of the preference-based EQ-5D-5L (generic health) and ReQoL-UI (recovery-focussed quality of life) for economic evaluation against the PHQ-9 (depression) an...
Article
Full-text available
Insomnia is a highly prevalent, often comorbid disorder associated with difficulties sleeping, remaining awake, and impaired quality of life. Internet-delivered Cognitive Behavioral Therapy for insomnia (ICBT-I1) has the potential to help large numbers of people with sleep disorders. This study investigated the preliminary effects of an 8-week guid...
Article
Full-text available
Background Internet-delivered cognitive behavior therapy (iCBT) is effective in treating anxiety and depression. Research on how these interventions operate is scarce. This study explored whether emotion regulation skills and positive beliefs about rumination were affected by iCBT and if these constructs mediated changes in depression and anxiety....
Article
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Background While the acquisition and application of Cognitive Behavior Therapy (CBT) skills is a core component and likely mechanism of effect maintenance in all CBT-based treatments, the extent of post-therapeutic CBT skills usage among internet-delivered CBT (iCBT) clients remains under-researched. Method Nested within a pragmatic randomized con...
Preprint
Full-text available
Background: Major Depressive Disorder (MDD) is a leading cause of disease morbidity. Combined treatment with antidepressant medication (ADM) plus psychotherapy yields a much higher MDD remission rate than ADM-only. But 77% of US MDD patients are nonetheless treated with ADM-only despite strong patient preferences for psychotherapy. This mismatch is...
Article
Full-text available
Context Eating disorders (ED) are very difficult conditions to treat. Therefore, interventions in this field are shifting their main target towards the disorder’s impact in quality of life, rather than ED symptomatology in itself. In this sense, a focus in the promotion of positive emotions and well-being is emerging to ameliorate the harmful effec...
Article
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Background Generalized anxiety disorder (GAD) is a highly prevalent, chronic disorder associated with impaired quality of life, societal burden, and poor treatment rates. Internet‐delivered interventions may improve the accessibility of treatments and are increasingly being used. This study aimed to update a previous meta‐analysis to determine the...
Article
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Introduction: The immediate impact of COVID-19 on morbidity and mortality has raised the need for accurate and real time data monitoring and communication. The aim of this study is to document initial observations from multiple digital services providers during the COVID-19 crisis, especially those related to mental health and wellbeing. Materials...
Article
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Background Mood tracking is commonly employed within a range of mental health interventions. Physical activity and sleep are also important for contextualizing mood data but can be difficult to track manually and rely on retrospective recall. Smartwatches could enhance self-monitoring by addressing difficulties in recall of sleep and physical activ...
Preprint
BACKGROUND Treatment dropout continues to be reported from iCBT interventions and lower completion rates are generally associated with lower treatment effect sizes. However, evidence is emerging to suggest that completion of a pre-defined number of modules is not always necessary for clinical benefit nor considerate of the needs of each individual...
Article
Full-text available
Background Treatment dropout continues to be reported from internet-delivered cognitive behavioral therapy (iCBT) interventions, and lower completion rates are generally associated with lower treatment effect sizes. However, evidence is emerging to suggest that completion of a predefined number of modules is not always necessary for clinical benefi...
Article
Full-text available
Background College students are at elevated risk for developing mental health problems and face specific barriers around accessing evidence-based treatment. Web-based interventions that focus on mental health promotion and strengthening resilience represent one possible solution. Providing support to users has shown to reduce dropout in these inter...
Article
Full-text available
Importance The mechanisms by which engagement with internet-delivered psychological interventions are associated with depression and anxiety symptoms are unclear. Objective To identify behavior types based on how people engage with an internet-based cognitive behavioral therapy (iCBT) intervention for symptoms of depression and anxiety. Design, S...
Article
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Utilization of internet-delivered cognitive behavioural therapy (iCBT) for treating depression and anxiety disorders in stepped-care models, such as the UK’s Improving Access to Psychological Therapies (IAPT), is a potential solution for addressing the treatment gap in mental health. We investigated the effectiveness and cost-effectiveness of iCBT...
Preprint
BACKGROUND College students are at elevated risk for developing mental health problems and face specific barriers around accessing evidence-based treatment. Web-based interventions that focus on mental health promotion and strengthening resilience represent one possible solution and providing support to users has shown to reduce drop-out in these i...
Article
Full-text available
Bipolar Disorder (BD) is a chronic condition that requires continued care. Psychological interventions are recommended by clinical guidelines but there are treatment barriers that prevent patients to access these services. Internet‐delivered self‐management interventions are promising alternatives to improve treatment accessibility in patients with...
Article
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Background: The UK's Improving Access to Psychological Therapies (IAPT) program is a stepped-care model treating individuals with depression and anxiety disorders. Internet-delivered cognitive behavioral therapy (iCBT) is routinely offered to individuals with mild to moderate symptoms, but its applicability to individuals with severe clinical sympt...
Article
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The Best Possible Self (BPS) exercise promotes a positive view of oneself in the best possible future, after working hard towards it. Since the first work that attempted to examine the benefits of this intervention in 2001, studies on the BPS have grown exponentially and, currently , this is one of the most widely used Positive Psychology Intervent...
Article
Objectives: Psychological interventions designed to enhance positive affect are promising ways to promote adaptive functioning in people with chronic pain. However, few studies have addressed the efficacy of positive affect interventions in chronic pain populations and examined which patients can benefit more from them. The aim of the present stud...
Article
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Background: Internet interventions can easily generate objective data about program usage. Increasingly, more studies explore the relationship between usage and outcomes, but they often report different metrics of use, and the findings are mixed. Thus, current evaluations fail to demonstrate which metrics should be considered and how these metrics...
Chapter
Positive psychology interventions (PPI) have proved to produce mild to moderate effects in reducing depression and promoting subjective and psychological wellbeing. However, it is important to explore the optimal conditions under which these interventions work best. In this sense, it has been suggested that for a PPI to be effective in increasing w...
Article
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Background: Exposure to new stressors places college students at increased risk for developing mental health problems. Preventive interventions aimed at enhancing resilience have the potential to improve mental health and well-being in college students and internet-delivery may improve access to these interventions. However, few studies have evalu...
Chapter
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Introduction In recent years, computer-based and internet-delivered CBT (iCBT) has become an attractive and evidence-based alternative to face-to-face CBT, and in some cases, a significantly better option for some individuals. This chapter will discuss the origins of iCBT and the research that supports its efficacy and effectiveness, as well as the...
Article
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Traditionally, evidence-based treatments for depression have focused on negative symptoms. Different authors describe the need to include positive affect as a major target of treatment. Positive psychology aims to fill this gap. Reaching everyone in need is also important, and Internet-based interventions can help in this task. The present study is...
Article
Quality of Life (QoL) outcomes in interventions for depression are an area in the literature that has received little focus, particularly in trials relating to internet-delivered psychological interventions. Evaluating QoL outcomes are necessary to more completely understand if an intervention is successful in the treatment of depression, given tha...
Article
Quality of Life (QoL) outcomes in interventions for depression are an area in the literature that has received little focus, particularly in trials relating to internet-delivered psychological interventions. Evaluating QoL outcomes are necessary to more completely understand if an intervention is successful in the treatment of depression, given tha...
Article
Full-text available
Background: Positive psychological interventions (PPIs) have been suggested to produce benefits in patients with eating disorders (ED) by improving well-being, which might act as a buffer of the harmful effects caused by the disorder. Best Possible Self (BPS) is a PPI which consists of writing and envisioning a future where everything has turned ou...
Article
Full-text available
Background Depression and anxiety are common mental health disorders worldwide. The UK’s Improving Access to Psychological Therapies (IAPT) programme is part of the National Health Service (NHS) designed to provide a stepped care approach to treating people with anxiety and depressive disorders. Cognitive Behavioural Therapy (CBT) is widely used, w...
Article
Full-text available
Introduction: Traditionally, evidence-based treatments for depression have focused on clinicalsymptoms. The combination of positive psychological strategies and traditional approaches has re-ceived little empirical attention in clinical settings. Objective: The development and implementationof a positive clinical psychology protocol for depressive...
Article
Objective: Previous studies have demonstrated the effects of positive psychological factors on pain adjustment. Specifically, optimism has been linked to better physical functioning and less psychological distress. Until recently, these beneficial effects have mostly been examined in correlational studies or laboratory settings. The aim of this st...
Article
Full-text available
The present study is aimed to analyze acceptability ratings of positive technologies reported by patients with eating disorders. 54 patients were enrolled in a randomized control trial with two experimental conditions. In the intervention group (n=29), participants performed the best possible self exercise, through positive technologies, for one mo...
Poster
Full-text available
Objective: To examine effectiveness and cost-effectiveness of internet-delivered interventions for depression and anxiety disorders against a waiting list control group at step 2 of IAPT. Method: A CONSORT compliant single-blinded, parallel-groups, randomised controlled trial design will be used. 360 patients will be randomized to the intervention...
Article
Best possible Self (BPS) is a positive psychological intervention based onpositive future thinking. It has been shown to be effective in improving well-being anddepressive symptoms over short periods of time. Positive technology is a scientificapproach designed to increase well-being through Information and CommunicationTechnologies. To assess the...
Article
Full-text available
ositive psychology has integrated, more or less clearly, contemplative practices such as mindfulness within the range of grounded and empowering techniques of the positive aspects of being human. Despite this, there has been little depth within this movement on its implications and the inconsistencies that exist between mindfulness and positive psy...
Article
Full-text available
Although mindfulness is included in many positive psychology manuals as a “positive” technique, the implications of its use have scarcely been developed and the relationship between mindfulness and human well-being has barely been researched. Analyzing the main strengths of the two fields, the possibilities for their integration and the potential c...
Article
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introduction: Insomnia is a major problem that affects millions of people worldwide. In Spain, 6.4% of the population would meet the criteria to be diagnosed it. Studies have shown that Cognitive-Behavioural Therapy (cBt) for insomnia is very effective, but not everyone has access to this treatment. Hence treatment over the Internet would facilitat...
Article
Full-text available
Positive psychology interventions (PPI) represent a promising method to promote resources to better cope with pain. This study aims to describe the rationale for a PPI for fibromyalgia and outline a potential model by which a positive imagery exercise supported by Information and Communication technologies could lead to resilience in chronic pain....
Article
Low back pain is a major public health problem due to the physical limitations it produces and the comorbidity with mental problems. The aim of this study was to apply a cognitive behavioral group treatment of six sessions in a public health rehabilitation service, to test its effects on pain, disability, anxiety, depression, fear and avoidance bel...
Article
Full-text available
INTRODUCCIÓN: Las predicciones emocionales que hacemos frente a acontecimientos futuros son conocidas como predicciones afectivas (Wilson y Gilbert, 2003). Diversos estudios han identificado que tendemos a sobreestimar la intensidad de nuestras emociones (e.g., Loewenstein, 2011; Wilson y Gilbert, 2003); esto es definido como sesgo de intensidad (L...
Article
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En los últimos años se ha producido un gran aumento del juego legalizado a nivel mundial y, en consecuencia, de problemas relacionados con el juego. En España, el 40 % de los jugadores patológicos tiene entre 18 y 30 años. Los programas de prevención desarrollados hasta ahora incluyen información sobre conocimientos, actitudes y pensamientos sobre...
Article
Full-text available
La experiencia de emociones positivas, como alegría y satisfacción, tiene numerosos beneficios físicos, sociales e intelectuales para el individuo (Sheldon y Lyubomirsky, 2006). Una gran variedad de estudios han investigado la eficacia de diferentes intervenciones dirigidas a promover estados emocionales positivos. El objetivo del presente trabajo...

Questions

Question (1)
Question
Do you know if I can use the same formula (Cohen's d) for the calculation of within groups effect size (pre-post treatment of one group) and between groups effect size (post-treatment of two groups)? 
The formula that I know is proposed by Durlak (2009, How to select, calculate and interpret effect sizes). 
Thank you! =)

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