Effectiveness of Transdiagnostic Cognitive Behaviour Therapy for Anxiety and Depression in Adults: A Systematic Review and Meta-analysis

Andersen, Phil; Toner, Paul; Bland, Martin; McMillan, Dean

doi:10.1017/s1352465816000229

Cited by 112 publications

(68 citation statements)

References 60 publications

(151 reference statements)

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“…Second, the protocol implemented is based on a transdiagnostic approach that seeks to deliver the same treatment for different clinical symptoms (all ED). Although there is a strong and supported psychopathological rationale for its use ( Harvey et al, 2004 ), as well as conclusive evidence of its efficacy and effectiveness both for traditional and online therapy ( Andersen et al, 2016 , Newby et al, 2015 , Newby et al, 2016 , Păsărelu et al, 2017 ), it may constitute a barrier to deliver more personalized contents.…”

Section: Discussionmentioning

confidence: 99%

Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences

Fernández‐Álvarez

Díaz-García

González‐Robles

et al. 2017

Internet Interventions

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IntroductionAn important concern in Internet-based treatments (IBTs) for emotional disorders is the high dropout rate from these protocols. Although dropout rates are usually reported in research studies, very few studies qualitatively explore the experiences of patients who drop out of IBTs. Examining the experiences of these clients may help to find ways to tackle this problem.MethodA Consensual Qualitative Research study was applied in 10 intentionally-selected patients who dropped out of a transdiagnostic IBT.Results22 categories were identified within 6 domains. Among the clients an undeniable pattern arose regarding the insufficient support due to the absence of a therapist and the lack of specificity of the contents to their own problems.ConclusionsThe analyzed content has direct impact on the clinical application of IBTs. A more tailored manage of expectations as well as strategies to enhance the therapeutic relationship in certain clients are identified as the two key elements in order to improve the dropout in IBTs. Going further, in the mid and long run, ideographic interventions would be vital. The present study permits to better grasp the phenomenon of dropout in IBTs and delineate specific implications both in terms of research, training and practice.

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Section: Discussionmentioning

confidence: 99%

Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences

Fernández‐Álvarez

Díaz-García

González‐Robles

et al. 2017

Internet Interventions

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“…Considering MM or HQ can have distinct mechanisms of action on the effects of depression versus anxiety [24,62], it is suggested that speci c interpretations can be made regarding different modes of intervention as applied to depression and anxiety, respectively. Besides, meta-analysis suggested that although there are positive signs of the value of transdiagnostic CBT for anxiety and depression, there is as yet insu cient evidence to recommend its use in place of disorder-speci c CBT [63]. Thus, comparison of transdiagnostic-based versus disorder-speci c HQCT and MBCT is worthy of further investigation.…”

Section: Limitations and Conclusionmentioning

confidence: 99%

A Randomized Controlled Trial on the Comparative Effectiveness of Mindfulness-Based Cognitive Therapy and Health Qigong-Based Cognitive Therapy Among Chinese People With Mood Disorders

Chan

Chao

et al. 2020

Preprint

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Background: The goal of this study was to investigate treatment outcome and related intervention processes of mindfulness-based cognitive therapy (MBCT) versus health qigong-based cognitive therapy (HQCT) versus waitlist control (WC) among individuals with mood disorders.Methods: A total of 187 individuals with mood disorders were randomized and allocated into MBCT, HQCT, or WC groups. All participants were assessed at three time points with regard to mood symptoms, physical and mental health status, perceived stress, sleep quality, and self-efficacy. Linear mixed models analysis was used to test the individual growth model by studying the longitudinal data.Results: MBCT and HQCT both produced greater improvements on most outcome measures as compared with WC. Relatively, more reductions of mood symptoms were observed in the HQCT group as compared with the MBCT group. HQCT is more conducive to physical health status whereas MBCT has more favorable mental health outcomes. Individual growth curve models indicated that alternations in perceived stress was the common predictor of mood changes in both intervention groups. Conclusions: The predominant emphasis on physical health in HQCT makes it more acceptable and effective than MBCT as applied in Chinese individuals with mood disorders. The influence of Chinese culture is discussed. Trial registration: HKU Clinical Trials Registry. Identifier: HKUCTR-2558. Registered 21st Nov 2018.

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“…Puede también asociarse a otras barreras, como la distancia (p.ej., personas que viven en zonas rurales) o la falta de profesionales cualificados. Una forma de terapia emergente, desarrollada especialmente durante la última década, es la TCC aplicada a través de internet (iTCC) (para una revisión, véase Andersen, 2016). La iTCC posee ciertas ventajas potenciales sobre la TCC aplicada cara-a-cara, tales como facilitar el acceso físico al tratamiento, reducir el coste económico, minimizar el estigma, reducir el tiempo de atención del terapeuta, maximizar la relación coste-efectividad, mejorar el apoyo continuado al paciente y, en último término, incrementar en la población el acceso a los tratamientos psicológicos basados en la evidencia.…”

Section: Introductionunclassified

Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales en adolescentes a través de internet (iUP-A): Aplicación web y protocolo de un ensayo controlado aleatorizado

Sandín¹,

Valiente²,

García-Escalera³

et al. 2020

RPPC

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Internet-delivered unified protocol for transdiagnostic treatment of emotional disorders in adolescents (iUP-A): Web application and study protocol for a randomized controlled trial. A characteristic of transdiagnostic treatment is that it targets simultaneously the core symptoms and underlying vulnerabilities of several disorders. The UP-A is a new empirically supported cognitive-behavioral therapy (CBT) protocol developed by Ehrenreich-May’s group for the transdiagnostic treatment approach of emotional disorders (i.e., depression, anxiety and related disorders) in adolescents (Ehrenreich-May et al., 2018), to be applied in a face-to-face format. Internet-delivered psychological treatments represent an emerging model to improve access to evidence-based CBT. A first aim of this study is to describe the development of a web application named Aprende a Manejar Tus Emociones (AMTE; Learn to Manage Your Emotions), designed to implement the UP-A in order to be delivered via internet (iUP-A). A second objective is to test the efficacy of the iUP-A for the treatment of depression and anxiety disorders compared to waiting list, in a randomized controlled trial. We investigated changes in a broad range of primary, secondary and transdiagnostic outcome measures.Keywords: Transdiagnostic; UP-A; iUP-A; internet-delivered CBT; AMTE; anxiety; depression.Resumen: Una característica del tratamiento transdiagnóstico consiste en que aborda simultáneamente los síntomas principales y las vulnerabilidades que subyacen a varios trastornos. El UP-A es un nuevo protocolo de terapia cognitivo-conductual (TCC) basada en la evidencia desarrollado por el grupo de Ehrenreich-May para un tratamiento transdiagnóstico de los trastornos emocionales (i.e., depresión, ansiedad y trastornos relacionados) en adolescentes (Ehrenreich-May et al., 2018), para ser aplicado en un formato cara-a-cara. Los tratamientos psicológicos dispensados a través de internet representan un modelo emergente para mejorar el acceso a la TCC basada en la evidencia. Un primer objetivo del presente estudio consiste en describir el desarrollo de una aplicación web denominada Aprende a Manejar Tus Emociones (AMTE), diseñada para implementar el UP-A con objeto de ser dispensado a través de internet (iUP-A). Un segundo objetivo es probar la eficacia del iUP-A para el tratamiento de la depresión y los trastornos de ansiedad en comparación con una lista de espera, en un ensayo controlado aleatorizado. Se investigan los cambios en un amplio rango de medidas de resultado primarias, secundarias y transdiagnósticas.Palabras clave: Transdiagnóstico; UP-A; iUP-A; TCC por internet; AMTE; ansiedad; depresión.

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Effectiveness of Transdiagnostic Cognitive Behaviour Therapy for Anxiety and Depression in Adults: A Systematic Review and Meta-analysis

Cited by 112 publications

References 60 publications

Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences

Dropping out of a transdiagnostic online intervention: A qualitative analysis of client's experiences

A Randomized Controlled Trial on the Comparative Effectiveness of Mindfulness-Based Cognitive Therapy and Health Qigong-Based Cognitive Therapy Among Chinese People With Mood Disorders

Protocolo unificado para el tratamiento transdiagnóstico de los trastornos emocionales en adolescentes a través de internet (iUP-A): Aplicación web y protocolo de un ensayo controlado aleatorizado

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