Comparing the Effects of Integrated Cognitive-Behavioral Therapy and Transdiagnostic Treatment on Symptoms of Patients with Generalized Anxiety Disorder Comorbid with Depression

Abstract

Objectives The purpose of this study was to compare the efficacy of integrated cognitive behavioral therapy with Transdiagnostic Treatment on symptoms of patients with generalized anxiety disorder comorbid with depression. Methods The quasi-experimental design of two groups (integrated cognitive behavioral therapy group, Transdiagnostic treatment group) was used for competitive validity. The statistical population included people with comorbid anxiety disorder with depression who referred to counseling centers in Isfahan in 1398, from which 10 people were selected by purposive sampling and randomly assigned to two groups. Research instruments were GAD-7 scales, Beck Depression Inventory, and Penn State Worry Questionnaire (PSWQ). Results Visual charting, percentage of improvement, and reliable change index (RCI)) showed that both treatments produced clinically and statistically significant changes in therapeutic outcomes (symptoms of anxiety, worry and depressive symptoms) and continued therapeutic effects during follow-up. But the percentages of improvement in the integrated treatment group in all three components of symptoms of anxiety, worry and depression were higher. Conclusion Based on the obtained results and based on the Theoretical explanation of findings for effectiveness of therapy, integrated Cognitive Behavioral Therapy is preferred over transdiagnostic treatment in terms of the magnitude of change and stability, but both are similar in acceptance.

Designing unified trans-diagnostic interventions and their efficacy on the common mechanisms of the comorbid obsessive personality disorder with anxiety, depression, and obsessive-compulsive disorder: A protocol study

“…[ 3 ] The results of epidemiological studies of psychological disorders show that anxiety disorders and depression are the most common psychological disorders; at the same time, the fourth most common disorder following phobia, substance-dependent disorder, and depressive disorders is obsessive-compulsive disorder. [ 19 20 21 22 23 24 25 26 27 28 ] The high prevalence of comorbidity of anxiety disorders, and depression with comorbidity is reported between 40% and 80%[ 29 ] and also people with obsessive-compulsive disorder often suffer from other mental disorders. Several adults with this disorder have a lifetime diagnosis of an anxiety disorder (76% such as panic disorder, social anxiety disorder, generalized anxiety disorder, or specific phobia) or bipolar disorder (63% with bipolar or any other type of depression), the most common of which is major depressive disorder (41%).…”

“…;[ 25 ]4 people, ghaderi et al . [ 26 ]10 people. So, in this research, the optimal number of people is suggested between 6 and 10.…”

Investigating the Effectiveness of Transdiagnostic Treatment on Maladaptive Personality Traits and Mentalized Affectivity of Patients With Generalized Anxiety Disorder Comorbid With Depression: A Case Study

“…In this formula, the pre-test score is subtracted from the post-test score and the result is divided by the pre-test score. Then, the result is multiplied by 100 (Hamidpour et al, 2011).…”