EFFECT OF TRANSDIAGNOSTIC CBT FOR ANXIETY DISORDERS ON COMORBID DIAGNOSES: Research Article: Transdiagnostic CBT and Comorbidity
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OBJECTIVE: The present study examines the effectiveness of a 12-week transdiagnostic cognitive-behavioral group in reducing comorbid diagnoses. METHOD: Data from 79 treatment completers (60.8% women; M age = 32.57 years) during three previous trials of transdiagnostic cognitive behavior therapy (CBT) were examined to compare treatment effects between those with and without comorbid diagnoses. Additionally, rates of remission of comorbid diagnoses were compared to published diagnosis-specific CBT trials. RESULTS: Results indicate that a majority of clients (64.6%) had at least one comorbid disorder and that those with comorbid diagnoses had higher primary diagnosis severity scores than did those without comorbid diagnoses. The presence of a comorbid diagnosis at pretreatment was not associated with differential improvement in primary diagnosis severity following treatment. Two-thirds of completers with comorbid diagnoses at pretreatment (66.7%) no longer met criteria for a clinically severe comorbid diagnosis at posttreatment, a rate higher than that associated with most trials of diagnosis-specific CBT for anxiety disorders used as benchmarks. CONCLUSIONS: These results suggest that transdiagnostic cognitive-behavioral group treatment for anxiety may be associated with greater decreases in comorbidity than traditional diagnosis-specific CBT.
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Improvements in one dimension of psychological experiences are associated with improvements in further dimensions of psychological experiences.
“the concept of the transdiagnostic approach (97, 100–109) reflects the observation that improvements in one dimension of psychological experiences are associated with improvements in further dimensions of psychological experiences.”
From Sleep disturbances and psychological well-being among military medical doctors of the Swiss Armed Forces: study protocol, rationale and development of a cross-sectional and longitudinal interventional study (2024) · cites this paper as [105]
The Discussion (page not supplied) reports improvement in primary anxiety diagnoses alongside decreases in comorbid diagnoses after transdiagnostic CBT. That supports the claim’s general direction, but the paper does not establish that improvement in one dimension is associated with improvement in another, or extend the finding to psychological experiences broadly. (LLM, conf=0.83)
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- Authors
- Norton, P. J., Barrera, T. L., Mathew, A. R., Chamberlain, L. D., Szafranski, D. D., Reddy, R., & Smith, A. H.
- Affiliations
- University of Houston (US)
- Department of Psychology; University of Houston; Houston Texas
- Corresponding author
- Norton, Peter J.
- Venue
- Depression and Anxiety
- Publisher
- Hindawi Limited
- Published
- 2012-12-04
- Volume
- 30
- Issue
- 2
- Pages
- 168-173
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1791004779
- Cited by
- 121
- References
- 35
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 8 · 2021: 17 · 2020: 6 · 2019: 6 · 2018: 9 · 2017: 15 · 2016: 9 · 2015: 9 · 2014: 8 · 2013: 1 · 2012: 1
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- NIMH Mentored Research Scientist Development Award (1K01MH073920)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- transdiagnostic cognitive behavioral therapy, anxiety disorders, comorbidities, group therapy, remission, treatment effectiveness, comorbidity reduction
- MeSH terms
- Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Middle Aged, Psychiatric Status Rating Scales, Psychotherapy, Group, Cognitive Behavioral Therapy, Treatment Outcome
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