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Effects of a Brief Transdiagnostic Cognitive Behavioural Group Therapy on Disorder Specific Symptoms

  • Hafrún Kristjánsdóttir (a1), Baldur Heiðar Sigurðsson (a2), Paul Salkovskis (a3), Engilbert Sigurðsson (a4), Magnús Blöndahl Sighvatsson (a5) and Jón Friðrik Sigurðsson (a6)...

Abstract

Background: In recent years, cognitive behavioural group therapies (CBGT) have been increasingly deployed as a strategy to increase the efficiency and cost-effectiveness in treatment of common mental health problems. The vast majority of these therapies are disorder specific, but in the last few years there has been growing interest in transdiagnostic CBGT. Aims: The aim of this study was twofold: to evaluate the treatment effects of transdiagnostic CBGT on disorder specific symptoms and what (if any) differences would be observed in the treatment effects with regard to general as opposed to disorder specific symptoms measured pre- and post-treatment. Method: The participants were 233 adult patients diagnosed with depression and/or anxiety disorders. They underwent a 6-week transdiagnostic CBGT. To compare treatment effects on general and disorder specific symptoms, raw scores on all measures were converted to standardized scores. Results: Pre–post differences were significant and there was no evidence that treatment was differentially effective for general and disorder specific symptoms. Effect sizes ranged from medium to large. Conclusion: The 6-week transdiagnostic CBGT is feasible for a wide range of mood and anxiety disorders. The results indicate that low-intensity transdiagnostic group therapies may have similar effects on both general and disorder specific symptoms.

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Corresponding author

Correspondence to Hafrún Kristjánsdóttir, University of Iceland/Reykjavík University, Menntavegur 1, Reykjavík, Iceland. E-mail: hafrunkr@ru.is

References

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Arch, J. J., Ayers, C. R., Baker, A., Almklov, E., Dean, D. J. and Craske, M. G. (2013). Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders. Behavioural Research and Therapy, 5, 185196. doi: 10.1016/j.brat.2013.01.003
Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L. Allen, L. B. and Ehrenreich-May, J. (2011). The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide. New York, NY: Oxford University Press.
Beck, A. T. (2005). The current state of cognitive therapy. A 40-year retrospective. Archives of General Psychiatry, 62, 953959.
Butler, A. C., Chapman, J. E., Forman, E. M. and Beck, A. T. (2006). The empirical status of cognitive behavioural therapy: a review of meta-analyses. Clinical Psychology Review, 26, 1731.
Clark, D. M., Layard, R., Smithies, R., Richards, D. A., Suckling, R. and Wright, B. (2009). Improving access to psychological therapy: initial evaluation of two UK demonstration sites. Behaviour Research and Therapy, 47, 910920. https://doi.org/10.1016/j.brat.2009.07.010
Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P. and Gelder, M. (1994). A comparison of cognitive therapy, applied relaxation and imipramine in the treatment of panic disorder. British Journal of Psychiatry: Journal of Mental Science, 164, 759769.
Ejeby, K., Savitskij, R., Öst, L. G., Ekbom, A., Brandt, L., Ramnerö, J., Marie, A. and Backlund, L. G. (2014). Randomized controlled trial of transdiagnostic group treatments for primary care patients with common mental disorders. Family Practice, 31, 273280. doi: 10.1093/fampra/cmu006
Evans, C., Connell, J., Barkham, M., Margison, F., McGrath, G. and Mellor-Clark, J. (2002). Towards a standardised brief outcome measure: psychometric properties and utility. British Journal of Psychiatry, 180, 5160.
Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Bohn, K., Hawker, D. M. and Palmer, R. L. (2009). Transdiagnostic cognitive-behavioural therapy for patients with eating disorders: a two-site trial with 60-week follow-up. American Journal of Psychiatry, 166, 311319.
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., Gallagher, M. W. and Barlow, D. H. (2012). The unified protocol for the transdiagnostic treatment of emotional disorders: a randomized controlled trial. Behavior Therapy, 3, 666678.
Gros, D. F., Szafranski, D. D. and Shead, S. D. (2017). A real world dissemination and implementation of Transdiagostic Behavior Therapy (TBT) for veterans with affective disorders. Journal of Anxiety Disorders, 46, 7277. https://doi.org/10.1016/j.janxdis.2016.04.010
Harvey, A., Watkins, E., Mansell, W. and Shafran, R. (2004). Cognitive Behavioural Processes Across Psychological Disorders – A Transdiagnostic Approach to Research and Treatment. Oxford: Oxford University Press.
Hooke, G. R. and Page, A. C. (2002). Predicting outcomes of group cognitive behavior therapy for patients with affective and neurotic disorders. Behavior Modification, 26, 648658. doi: 10.1177/014544502236655
Jónsdóttir, S. and Smári, J. (2000). Measuring obsessions without worry. Scandinavian Journal of Behaviour Therapy, 29, 4956.
Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 127.
Kristjánsdóttir, H., Salkovskis, P. M., Sigurðsson, B. H., Sigurðsson, E., Agnarsdóttir, A. and Sigurðsson, J. F. (2016). Transdiagnostic cognitive behavioural therapy: an open trial in a cohort of primary care patients and the impact of comorbidity. Nordic Journal of Psychiatry, 70, 215223. doi: 10.3109/08039488.2015.1081404
Kristjánsdóttir, H., Sigurðsson, B. H., Salkovskis, P. M., Ólason, D., Sigurðsson, E., Evans, C., Gylfadóttir, E. D. and Sigurðsson, J. F. (2015). Evaluation of the psychometric properties of the Icelandic version of the Clinical Outcomes in Routine Evaluation-Outcome Measure, its transdiagnostic utility and cross-cultural validation. Clinical Psychology and Psychotherapy, 22, 6474. doi: 10.1002/cpp.1874
Ito, M., Horikoshi, M., Kato, N., Oe, Y., Fujisato, H., Nakjima, S. et al. (2016). Transdiagnostic and transcultural: pilot study of unified protocol for depressive and anxiety disorders in Japan. Behavior Therapy, 47, 416430.
Liebowitz, M. R. (1987). Social phobia. Modern Problems in Pharmacopsychiatry, 22, 141173.
Lecrubier, Y., Sheehan, D. V., Weiler, E., Amorim, P., Bonora, I. and Harnett, K. (1997). The Mini International Neuropsychiatric Interview (MINI). A short diagnostic structured interview: reliability and validity according to the CIDI. European Journal of Psychiatry, 12, 224231.
Manning, J. J., Hooke, G. R., Tannenbaum, D. A., Blythe, T. H. and Clarke, T. M. (1994). Intensive cognitive-behaviour group therapy for diagnostically heterogeneous groups of patients with psychiatric disorder. Australian and New Zealand Journal of Psychiatry, 28, 667674. doi: 10.1080/00048679409080790
McEvoy, P. M. and Nathan, P. (2007). Effectiveness of cognitive behavior therapy for diagnostically heterogeneous groups: a benchmarking study. Journal of Consulting and Clinical Psychology, 75, 344350. doi: 10.1037/0022-006X.75.2.344
McEvoy, P. M., Nathan, P. and Norton, P. J. (2009). Efficacy of transdiagnostic treatments: a review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 2033.
Meyer, T. J., Miller, M. L., Metsger, R. L. and Borkovec, T. D. (1990). Developmental validation of Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487496.
Norton, P. J. (2012). Group Cognitive-Behavioral Therapy of Anxiety: A Transdiagnostic Manual. New York: Guilford Press.
Norton, P. J. and Barrera, T. J. (2012).Transdiagnostic versus diagnosis-specific cbt for anxiety disorders: a preliminary randomized controlled noninferiority trial. Depression and Anxiety, 29, 874882. doi: 10.1002/da.21974
Norton, P. J. and Philipp, L. M. (2008). Transdiagnostic approaches to the treatment of anxiety disorders: a quantitative review. Psychotherapy, Theory, Research, Practice and Training, 45, 214226.
Pálsdóttir, V. E. (2007). Réttmæti sjálfsmatskvarðans Patient Health Questionnaire (PHQ) gagnvart geðgreiningarviðtalinu Mini International Neuropsychiatric Interview (MINI) við að greina geðraskanir hjá heilsugæslusjúklingum. Cand. Psych. dissertation, University of Iceland.
Riccardi, C. J., Korte, K. J. and Schmidt, N. B. (2017). False safety behavior elimination therapy: a randomized study of a brief individual transdiagnostic treatment for anxiety disorders. Journal of Anxiety Disorder, 45, 3545.
Schröder, J., Jelinek, L. and Mortiz, S. (2017). A randomized controlled trail of transdiagnostic internet intervention for individuals with panic and phobias – one size fits all. Journal of Behavior Therapy and Experimental Psychiatry, 54, 1724.
Sheehan, D. V., Lecrubier, Y., Sheehan, K. H., Amorim, P., Janavs, J., Weiller, E. et al. (1998). Mini International Neuropsychiatric Interview. Journal of Clinical Psychiatry, 59, suppl 20, 2233; quiz 34–57.
Schmidt, N. B., Buckner, J. D., Pusser, A., Woolaway-Bickel, K. and Preston, J. L. (2012). Randomized controlled trial of false safety behavior elimination therapy (F-SET): a unified cognitive behavioral treatment for anxiety psychopathology. Behavior Therapy, 43, 518532.
Serfaty, M. A., Haworth, D., Blanchard, M., Buszewicz, M., Murad, S. and King, M. (2009). Clinical effectiveness of individual cognitive behavioral therapy of depressed older people in primary care: a randomized controlled trial. Archives of General Psychiatry, 66, 13321340. doi: 10.1001/archgenpsychiatry.2009.165
Sighvatsson, M., Kristjánsdóttir, H., Sigurðsson, E. and Sigurðsson, J. F. (2011). Gagnsemi hugrænnar atferlismeðferðar við lyndis- og kvíðaröskunum hjá fullorðnum. Læknablađiđ, 97, 613619.
Sigurðsson, B. H. (2008). Samanburður á geðrgreiningarivðtölum og tveimur sjálfsmatskvörðum: MINI, CIDI, PHQ og DASS. Cand. Psych. Dissertation, University of Iceland.
Spitzer, R. L., Kroenke, K., Williams, J. B. W. and Löwe, B. (2006). A brief measure for assessing generalized anxiety disorder. Archives of Internal Medicine, 166, 10921097.
Spitzer, R. L., Kroenke, K. and Williams, J. B. W. (2001). The PHQ-9 validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606613.
Titov, N., Andrews, G., Johnston, L., Robinson, E. and Spence, J. (2010). Transdiagnostic internet treatment for anxiety disorders: a randomized controlled trial. Behaviour Research and Therapy, 48, 890899. doi: 10.1016/j.brat.2010.05.014
Titov, N., Dear, B. F., Staples, L. G., Terides, M. D., Karin, E., Sheehan, J. et al. (2015). Disorder-specific versus transdiagnostic and clinician-guded versus self-guided treatment for major depressive disorder and comordid anxiety diserders: a randomized controlled trail. Journal of Anxiety Disorders, 35, 88102.
Wuthrich, V. M. and Rapee, R. M. (2013). Randomised controlled trial of group cognitive behavioural therapy for comorbid anxiety and depression in older adults. Behaviour Research and Therapy, 51, 779786. doi: 10.1016/j.brat.2013.09.0

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Effects of a Brief Transdiagnostic Cognitive Behavioural Group Therapy on Disorder Specific Symptoms

  • Hafrún Kristjánsdóttir (a1), Baldur Heiðar Sigurðsson (a2), Paul Salkovskis (a3), Engilbert Sigurðsson (a4), Magnús Blöndahl Sighvatsson (a5) and Jón Friðrik Sigurðsson (a6)...

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Effects of a Brief Transdiagnostic Cognitive Behavioural Group Therapy on Disorder Specific Symptoms

  • Hafrún Kristjánsdóttir (a1), Baldur Heiðar Sigurðsson (a2), Paul Salkovskis (a3), Engilbert Sigurðsson (a4), Magnús Blöndahl Sighvatsson (a5) and Jón Friðrik Sigurðsson (a6)...
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