Cited by 180Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and PsychopathologyPsychotherapy Techniques and Applications

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Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice

Norton, Peter J., Paulus, Daniel J.·2016·Behavior Therapy

DOI 10.1016/j.beth.2015.07.002

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Abstract

Mental health professionals have long been concerned with describing and proscribing a structure around the myriad variations of psychological and emotional distress that are deemed to be disordered. This has frequently been characterized as a conflict between so-called "lumpers" and "splitters"-those who advocate broad categorizations based on overarching commonalities versus those who endeavor toward a highly refined structure emphasizing unique characteristics. Many would argue that with the era of the modern Diagnostic and Statistical Manual of Mental Disorders (DSM-III to DSM-5), a splitting ideology has been dominant despite re-emerging concerns that some groups of diagnoses, particularly disorders of anxiety and other emotions, may be more similar than different. As a result of such concerns, transdiagnostic or unified models of psychopathology have burgeoned. In this review, we describe the work of Barlow, Allen, and Choate (2004), whose invited paper "Toward a Unified Treatment for Emotional Disorders" reignited transdiagnostic perspectives of emotional disorders. We provide an update on the scientific models and evidence-based treatments that have followed in the wake of this 2004 publication, including key areas for future study in the advancement of transdiagnostic and unified treatment of emotional disorders.

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“…affectivity was not signiﬁcantly re-lated to the likelihood of subsequently attaining a degree, although researchers have claimed that negative affectivity puts individuals at risk of functioning poorly in psychological and social domains (Norton and Paulus 2016; Watson and Naragon-3 Gainey 2014).”
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“Moreover, IU is considered a trans-therapeutic mechanism of change in treatment (McEvoy & Erceg-Hurn, 2015; Norton & Paulus, 2016; Stevens et al., 2018), and evidence about the effectiveness of transdiagnostic psychological treatments targeting IU is growing (Mofrad et al., 2020; Oglesby et al.,…”
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Emotion Regulation Among Adolescents With Pediatric Depression As a Function of Anxiety Comorbidity
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“Promising results have been reported regarding the development (55, 56, 57) and effectiveness of transdiagnosticbehavioral therapy for children and adolescents with comorbid depression and anxiety (symptoms or disorder) (58).”
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Validating the Factor Structure of the Hindi Version of the Difficulties in Emotion Regulation Scale
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“To account for such tendencies, various processes have been proposed as transdiagnostic mechanisms for emotional disorder (see Norton & Paulus, 2016 for review): emotion regulation (Campbell-Sills & Barlow, 2007), anxiety sensitivity (Naragon-Gainey, 2010), distress tolerance (Zvolensky, Vujanovic,…”
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Treatment of post-traumatic stress disorder and substance use disorder in adults with a history of adverse childhood experiences: A systematic review of psychological interventions
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“On the other hand, anxiety can be a risk factor for depression or SSD.[10] The Netherlands Study of Depression and Anxiety was conducted on 2008 individuals consisting of 1367 patients with a depressive disorder Access this article online Website: www.advbiores.net DOI: 10.4103/abr.abr_111_19 Quick Response Code: This…”
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Purging Anxiety: A Case Study of Transdignostic CBT for a Complex Fear of Vomiting (Emetophobia)
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“The sample also had comparable rates of depression, which is commonly comorbid with anxiety(32) with growing support for a common pathology of anxiety and depression.(33) Second, a CFA model (Fig.”
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Transdiagnostic cognitive behavioral therapy for the treatment of emotional disorders: A preliminary open trial
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Latent Profiles of Suicide Risk in University Students: a Multidimensional Model Integrating sleep, mood, interpersonal, and Behavioral Factors
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Quality of Life Outcomes Following Transdiagnostic Group Cognitive-Behavioral Therapy for Anxiety
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“The malleability of IU in various pathologies highlights the importance of its treatment by deploying a protocol compared to the mere focus on specific disorder features (McEvoy and Erceg-Hurn, 2016; Norton and Paulus, 2016).”
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“When treating multiple psychopathologies, unified treatment protocols that emphasize IU are more effective (McEvoy & Erceg-Hurn, 2016; Norton & Paulus, 2016).”
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“…as those presented in Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association [APA], 2013) and previous iterations, they better fit within the more inclusive classification of emotional disorders (Barlow, Allen, & Choate, 2004; Norton & Paulus, 2016, 2017).”
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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
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Authors: Norton, P. J., & Paulus, D. J.
Affiliations: Monash University (AU)
University of Houston (US)
Corresponding author: Norton, Peter J.
ORCID: Norton, Peter J.
Paulus, Daniel J.
Venue: Behavior Therapy
Publisher: Elsevier BV
Published: 2016-11
Volume: 47
Issue: 6
Pages: 854-868
ISSN: 0005-7894 (ISSN-L)
DOI: 10.1016/j.beth.2015.07.002
OpenAlex: W1129151716
Semantic Scholar: 3d5f4e6770d6f465c2ab691a5395b4b659bb5251
Cited by: 180
References: 175
Citations by year: 2026: 11 · 2025: 13 · 2024: 14 · 2023: 21 · 2022: 19 · 2021: 19 · 2020: 23 · 2019: 13 · 2018: 14 · 2017: 21 · 2016: 10
FWCI: 2.02
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
doi.org/10.15223/policy-017 (stm-asf)
doi.org/10.15223/policy-037 (stm-asf)
doi.org/10.15223/policy-012 (stm-asf)
doi.org/10.15223/policy-029 (stm-asf)
doi.org/10.15223/policy-004 (stm-asf)
Locations: Behavior Therapy (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords: transdiagnostic model, emotional disorders, anxiety disorders, psychopathology, diagnostic classification, evidence-based treatment
MeSH terms: Anxiety, Anxiety Disorders, Behavior Therapy, Emotions, Humans, Models, Psychological, Mood Disorders, Diagnostic and Statistical Manual of Mental Disorders

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Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice

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