Intolerance of uncertainty and transdiagnostic group cognitive behavioral therapy for anxiety

Talkovsky, Alexander M.; Norton, Peter J.

doi:10.1016/j.janxdis.2016.05.002

Cited by 65 publications

(38 citation statements)

References 39 publications

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“…The transdiagnostic construct was demonstrated across all clinical conditions investigated only in a minority (34%) of studies. It was demonstrated in a median of three conditions and one spectrum.…”

Section: Resultsmentioning

confidence: 93%

“…Most studies (45%) were investigating interventions (of which 50% were controlled, 48% uncontrolled, and 2% unclear). Less than half (46%) of the interventional studies were randomized.…”

Section: Resultsmentioning

confidence: 99%

“…Only a minority (35%) of studies explicitly acknowledged their primary outcome measure, which may be suggestive of suboptimal study quality. There was also a high variability in the number of primary outcome measures, ranging from one to thirteen (median: two measures) per study.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies (81%) were descriptive in nature. Mechanistic constructs were more infrequent (19%), and causal transdiagnostic constructs were hardly ever reported (7%) and only during the most recent years (2017‐2018).…”

Section: Resultsmentioning

confidence: 99%

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Transdiagnostic psychiatry: a systematic review

et al. 2019

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The usefulness of current psychiatric classification, which is based on ICD/DSM categorical diagnoses, remains questionable. A promising alternative has been put forward as the "transdiagnostic" approach. This is expected to cut across existing categorical diagnoses and go beyond them, to improve the way we classify and treat mental disorders. This systematic review explores whether self-defining transdiagnostic research meets such high expectations. A multi-step Web of Science literature search was performed according to an a priori protocol, to identify all studies that used the word "transdiagnostic" in their title, up to May 5, 2018. Empirical variables which indexed core characteristics were extracted, complemented by a bibliometric and conceptual analysis. A total of 111 studies were included. Most studies were investigating interventions, followed by cognition and psychological processes, and neuroscientific topics. Their samples ranged from 15 to 91,199 (median 148) participants, with a mean age from 10 to more than 60 (median 33) years. There were several methodological inconsistencies relating to the definition of the gold standard (DSM/ICD diagnoses), of the outcome measures and of the transdiagnostic approach. The quality of the studies was generally low and only a few findings were externally replicated. The majority of studies tested transdiagnostic features cutting across different diagnoses, and only a few tested new classification systems beyond the existing diagnoses. About one fifth of the studies were not transdiagnostic at all, because they investigated symptoms and not disorders, a single disorder, or because there was no diagnostic information. The bibliometric analysis revealed that transdiagnostic research largely restricted its focus to anxiety and depressive disorders. The conceptual analysis showed that transdiagnostic research is grounded more on rediscoveries than on true innovations, and that it is affected by some conceptual biases. To date, transdiagnostic approaches have not delivered a credible paradigm shift that can impact classification and clinical care. Practical "TRANSD"iagnostic recommendations are proposed here to guide future research in this field.

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Section: Resultsmentioning

confidence: 93%

“…Most studies (45%) were investigating interventions (of which 50% were controlled, 48% uncontrolled, and 2% unclear). Less than half (46%) of the interventional studies were randomized.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Transdiagnostic psychiatry: a systematic review

et al. 2019

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“…Talkovsky and Norton (2016) used a different approach to examining the relationship between IU and clinical outcomes by applying the same transdiagnostic intervention to individuals with SAD, panic disorder, or GAD. McEvoy and Erceg-Hurn (2016) explored relationships between changes in IU, repetitive negative thinking, and symptoms of generalized anxiety disorder (GAD), social anxiety disorder (SAD), and major depressive disorder (MDD), across three distinct group cognitive behavioral interventions.…”

mentioning

confidence: 99%

The wonder and angst of exploring the unknown: Introduction to the special issue on intolerance of uncertainty

McEvoy

Carleton

2016

Journal of Anxiety Disorders

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Interest in the relationship between intolerance of uncertainty (IU) and emotional disorders has rapidly increased over the last decade. Early theory and research focused on the relationship between IU and generalized anxiety disorder in particular; but, the roles that IU and the underlying 'fear of the unknown' play in the development, maintenance, and treatment of a broad array of emotional disorders have been explored more recently. This introduction provides a brief overview of the contributions to the special issue, which (a) summarize our current state of knowledge, (b) describe innovative methods for assessing and increasing our understanding IU within the context of various emotions and emotional disorders, (c) investigate associations between IU and therapeutic change, and (d) propose future research directions.

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Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

Luo

McAloon

2020

Depression and Anxiety

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Cognitive‐behavioral therapy (CBT) is regarded as an effective treatment for anxiety disorders in childhood. Researchers have begun to investigate potential mechanisms of change that drive these positive outcomes, including shifts in cognitions, behavior, and affect. However, few studies have established the mediational effects of these factors as a proxy for establishing mechanistic change. This meta‐analysis attempts to synthesize the literature on potential mechanisms of change in CBT for childhood anxiety and investigates the mediational effects of these factors on treatment outcomes. Seventeen studies met the inclusion criteria. Across studies, five potential mediators were identified: externalizing difficulties, negative self‐talk, coping, fear, and depression. Results indicated that CBT was effective in improving outcomes on all potential mediators, except for fear. Mediational analyses showed that externalizing difficulties, negative self‐talk, coping, and depression mediated anxiety following treatment. Fear did not mediate the relationship. Implications for future mechanisms of change research are proposed.

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Intolerance of uncertainty and transdiagnostic group cognitive behavioral therapy for anxiety

Cited by 65 publications

References 39 publications

Transdiagnostic psychiatry: a systematic review

Transdiagnostic psychiatry: a systematic review

The wonder and angst of exploring the unknown: Introduction to the special issue on intolerance of uncertainty

Potential mechanisms of change in cognitive behavioral therapy for childhood anxiety: A meta‐analysis

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