Practitioner Review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches

Marchette, Lauren Krumholz; Weisz, John R.

doi:10.1111/jcpp.12747

Cited by 156Psychotherapy Techniques and ApplicationsChild and Adolescent Psychosocial and Emotional DevelopmentPersonality Disorders and Psychopathology

Practitioner Review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches

Marchette, Lauren Krumholz, Weisz, John R.·2017·Journal of Child Psychology and Psychiatry

DOI 10.1111/jcpp.12747

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Abstract

Background: Psychotherapy for children and adolescents (herein, ‘youths’) has grown more precise and focused over the decades, shifting toward empirically supported treatments standardized via therapist manuals. The manuals have increasingly emphasized precise targeting of single disorders or problems, or homogenous clusters. These focal treatments represent a valuable advance, with intervention benefit documented in hundreds of studies. However, relatively few of these treatments are widely used in everyday clinical practice, and their level of benefit may not be ideal, particularly in practice contexts and when compared to usual clinical care. Thesis: These limitations may be due, in part, to a mismatch between focal treatment design and the young people treated in real‐world clinical care, who are diagnostically heterogeneous, and very frequently present with comorbidity. Improved fit may be achieved via transdiagnostic treatment approaches designed to address multiple disorders and problems, if these approaches can retain the benefits of manualization and the substantive clinical strength that has generated empirical support to date. Scope: Here we review the evolution of empirically‐based youth psychotherapy from focal treatment manuals toward transdiagnostic approaches, and we describe and illustrate three transdiagnostic treatment strategies: (a) a core dysfunction approach, (b) a common elements and modular design approach, and (c) a principle‐guided approach. Clinical applications: We complement research findings with a clinical perspective based on our use of manual‐guided transdiagnostic intervention in clinical care settings, and we propose directions for research and practice.

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Transdiagnostic interventions may be more efficacious in the treatment of comorbid disorders and in preventing future mental health conditions.
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Foy, J. M., Green, C. M., Earls, M. F., COMMITTEE ON PSYCHOSOCIAL ASPECTS OF CHILD AND FAMILY HEALTH, M. H. L. W. G., Lavin, A., Askew, G. L., Baum, R., Berger-Jenkins, E., Gambon, T. B., Nasir, A. A., et al. (2019) · Pediatrics · doi:10.1542/peds.2019-2757 · Cited by 221 · see citing works
Improving mental health services: a 50-year journey from randomized experiments to artificial intelligence and precision mental health
Bickman, L. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01065-8 · Cited by 184 · see citing works
Annual Research Review: The state of autism intervention science: progress, target psychological and biological mechanisms and future prospects
Green, J., & Garg, S. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12892 · Cited by 127 · see citing works
Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low‐ and middle‐income countries: a review of reviews
Divan, G., Bhavnani, S., Leadbitter, K., Ellis, C., Dasgupta, J., Abubakar, A. A., Elsabbagh, M., Hamdani, S. U., Servili, C., Patel, V., et al. (2021) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13404 · Cited by 129 · see citing works
The efficacy of psychological interventions for the prevention and treatment of mental health disorders in university students: A systematic review and meta-analysis
Barnett, P., Arundell, L.-L., Saunders, R., Matthews, H., & Pilling, S. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.10.060 · Cited by 111 · see citing works
“P” and “DP:” Examining symptom-level bifactor models of psychopathology and dysregulation in clinically referred children and adolescents
Haltigan, J. D., Aitken, M., Skilling, T., Henderson, J., Hawke, L., Battaglia, M., Strauss, J., Szatmari, P., & Andrade, B. F. (2018) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2018.03.010 · Cited by 73 · see citing works
Predictors of burnout among community therapists in the sustainment phase of a system-driven implementation of multiple evidence-based practices in children’s mental health.
Kim, J. J., Brookman-Frazee, L. I., Gellatly, R., Stadnick, N. A., Barnett, M. L., & Lau, A. S. (2018) · Professional Psychology Research and Practice · doi:10.1037/pro0000182 · Cited by 79 · see citing works
Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis
Mattingley, S., Youssef, G. J., Manning, V., Graeme, L., & Hall, K. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.12.126 · Cited by 65 · see citing works
Fidelity vs. flexibility in the implementation of psychotherapies: time to move on
Fonagy, P., & Luyten, P. (2019) · World Psychiatry · doi:10.1002/wps.20657 · Cited by 56 · see citing works
Narrative Review: Impairing Emotional Outbursts: What They Are and What We Should Do About Them
Carlson, G. A., Singh, M. K., Amaya-Jackson, L. M., Benton, T. D., Althoff, R. R., Bellonci, C., Bostic, J. Q., Chua, J. D., Findling, R. L., Galanter, C. A., et al. (2022) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2022.03.014 · Cited by 58 · see citing works
Development and Application of an Innovative Transdiagnostic Treatment Approach for Pediatric Irritability
Hawks, J. L., Kennedy, S. M., Holzman, J. B. W., & Ehrenreich–May, J. (2020) · Behavior Therapy · doi:10.1016/j.beth.2019.07.004 · Cited by 55 · see citing works
Transdiagnostic treatment approaches for greater public health impact: Implementing principles of evidence‐based mental health interventions
Martin, P., Murray, L. K., Darnell, D., & Dorsey, S. (2018) · Clinical Psychology: Science and Practice · doi:10.1111/cpsp.12270 · Cited by 53 · see citing works
What’s known about implementing co-located paediatric integrated care: a scoping review
Platt, R. E., Spencer, A. E., Burkey, M. D., Vidal, C., Polk, S., Bettencourt, A. F., Jain, S., Stratton, J., & Wissow, L. S. (2018) · International Review of Psychiatry · doi:10.1080/09540261.2018.1563530 · Cited by 43 · see citing works
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents
Halliday, E. R., & Ehrenreich, J. T. (2020) · Neuromethods · doi:10.1007/978-1-0716-0700-8_13 · Cited by 41 · see citing works
The structure of emotion regulation strategies in adolescence: Differential links to internalizing and externalizing problems
Brinke, L., Menting, A., Schuiringa, H., Zeman, J. L., & Deković, M. (2020) · Social development (Oxford. Print) · doi:10.1111/sode.12496 · Cited by 40 · see citing works
Research review: Effects of parenting programs for children's conduct problems on children's emotional problems – a network meta‐analysis
Kjøbli, J., Meléndez‐Torres, G. J., Gardner, F. E. M., Backhaus, S., Linnerud, S., & Leijten, P. H. O. (2022) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13697 · Cited by 39 · see citing works
Changes in Risk Factors During the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents.
Sherman, J. A., & Ehrenreich-May, J. (2020) · Behavior Therapy · doi:10.1016/j.beth.2019.12.002 · Cited by 37 · see citing works
An ARFID case report combining family-based treatment with the unified protocol for Transdiagnostic treatment of emotional disorders in children
Eckhardt, S., Martell, C., Lowe, K. D., Grange, D. L., & Ehrenreich, J. T. (2019) · Journal of Eating Disorders · doi:10.1186/s40337-019-0267-x · Cited by 38 · see citing works
Childhood Antisocial Behavior: A Neurodevelopmental Problem
van Goozen, S. H. M., Langley, K., & Hobson, C. W. (2022) · Annual Review of Psychology · doi:10.1146/annurev-psych-052621-045243 · Cited by 43 · see citing works
Co-occurrence, stability and manifestation of child and adolescent mental health problems: a latent transition analysis
Göbel, K., Ortelbach, N., Cohrdes, C., Baumgarten, F., Meyrose, A., Ravens‐Sieberer, U., & Scheithauer, H. (2022) · BMC Psychology · doi:10.1186/s40359-022-00969-4 · Cited by 36 · see citing works
EMDR Therapy as a Transdiagnostic Psychotherapy
Dominguez, S. K. (2023) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780192898357.013.18 · Cited by 32 · see citing works
Optimising Evidence-Based Psychological Treatment for the Mental Health Needs of Children with Epilepsy: Principles and Methods
Shafran, R., Bennett, S. D., Coughtrey, A. E., Welch, A., Walji, F., Cross, J. H., Heyman, I., Sibelli, A., Smith, J. S., Ross, J., et al. (2020) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-019-00310-3 · Cited by 30 · see citing works
The Efficacy of Parent Training Interventions for Disruptive Behavior Disorders in Treating Untargeted Comorbid Internalizing Symptoms in Children and Adolescents: A Systematic Review
Zarakoviti, E., Shafran, R., Papadimitriou, D., & Bennett, S. D. (2021) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-021-00349-1 · Cited by 29 · see citing works
The effectiveness of a low-intensity problem-solving intervention for common adolescent mental health problems in New Delhi, India: protocol for a school-based, individually randomized controlled trial with an embedded stepped-wedge, cluster randomized controlled recruitment trial
Parikh, R., Michelson, D., Malik, K., Shinde, S., Weiss, H. A., Hoogendoorn, A. W., Ruwaard, J., Krishna, M., Sharma, R., Bhat, B., et al. (2019) · Trials · doi:10.1186/s13063-019-3573-3 · Cited by 28 · see citing works
Developing the universal unified prevention program for diverse disorders for school-aged children
Ishikawa, S., Kishida, K., Oka, T., Saito, A., Shimotsu, S., Watanabe, N., Sasamori, H., & Kamio, Y. (2019) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-019-0303-2 · Cited by 25 · see citing works
Transdiagnostic trajectories of irritability and oppositional, depression and anxiety problems from preschool to early adolescence
Ezpeleta, L., Penelo, E., Navarro, J. B., de la Osa, N., & Trepat, E. (2020) · Behaviour Research and Therapy · doi:10.1016/j.brat.2020.103727 · Cited by 24 · see citing works
Policy Recommendations to Promote Integrated Mental Health Care for Children and Youth
Wissow, L. S., Platt, R. E., & Sarvet, B. D. (2020) · Academic Pediatrics · doi:10.1016/j.acap.2020.08.014 · Cited by 24 · see citing works
Transdiagnostic psychosocial interventions to promote mental health in forcibly displaced persons: a systematic review and meta-analysis
Schäfer, S. K., Kunzler, A. M., Lindner, S., Broll, J., Stoll, M., Stoffers-Winterling, J. M., & Lieb, K. (2023) · European Journal of Psychotraumatology · doi:10.1080/20008066.2023.2196762 · Cited by 23 · see citing works
Evidence Base Update on the Assessment of Irritability, Anger, and Aggression in Youth
Evans, S. C., Karlovich, A. R., Khurana, S., Edelman, A., Buza, B., Riddle, W., & Sosa, D. L. (2024) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2023.2292041 · Cited by 28 · see citing works
A Second and Third Look at FIRST: Testing Adaptations of A Principle-Guided Youth Psychotherapy
Cho, E., Bearman, S. K., Woo, R., Weisz, J. R., & Hawley, K. M. (2020) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2020.1796678 · Cited by 22 · see citing works
Self-citation
Middle childhood attachment‐based family therapy: Theory and model description
Vlierberghe, L. V., Diamond, G. S., & Bosmans, G. (2023) · Family Process · doi:10.1111/famp.12887 · Cited by 22 · see citing works
Mediation of 6‐year mid‐childhood follow‐up outcomes after pre‐school social communication (PACT) therapy for autistic children: randomised controlled trial
Carruthers, S., Pickles, A. R., Charman, T., McConachie, H., Couteur, A. S. L., Slonims, V., Howlin, P., Collum, R., Salomone, E., Tobin, H. R. S., et al. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13798 · Cited by 25 · see citing works
Has improved treatment contributed to the declining rate of transition to psychosis in ultra-high-risk cohorts?
Formica, M., Phillips, L., Hartmann, J., Yung, A. R., Wood, S. J., Lin, A. P., Amminger, G. P., McGorry, P. D., & Nelson, B. (2020) · Schizophrenia Research · doi:10.1016/j.schres.2020.04.028 · Cited by 22 · see citing works
The Evaluation of Boost Camp: A Universal School-Based Prevention Program Targeting Adolescent Emotion Regulation Skills
Volkaert, B., Wante, L., Loeys, T., Boelens, E., & Braet, C. (2021) · School Mental Health · doi:10.1007/s12310-021-09478-y · Cited by 23 · see citing works
Under the hood: lay counsellor element use in a modular multi-problem transdiagnostic intervention in lower resource countries
Murray, L. K., Haroz, E. E., Pullmann, M. D., Dorsey, S., Kane, J. C., Augustinavicius, J., Lee, C., & Bolton, P. A. (2019) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x18000144 · Cited by 20 · see citing works
Neuroticism as an underlying construct in youth emotional disorders
Tonarely, N. A., Sherman, J. A., Grossman, R. A., Shaw, A. M., & Ehrenreich, J. T. (2020) · Bulletin of the Menninger Clinic · doi:10.1521/bumc.2020.84.3.214 · Cited by 19 · see citing works
Common Practice Elements in Treatment Programs for Adolescents with Externalizing and Internalizing Problems: A Meta-Analysis
Kvamme, L. S., Keleş, S., Nes, R. B., Vaskinn, L., Waaler, P. M., Wentzel‐Larsen, T., & Kjøbli, J. (2022) · Residential Treatment for Children & Youth · doi:10.1080/0886571x.2022.2111397 · Cited by 19 · see citing works
Why do depression, conduct, and hyperactivity symptoms co-occur across adolescence? The role of stable and dynamic genetic and environmental influences
Waszczuk, M. A., Zavos, H. M. S., & Eley, T. C. (2020) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-020-01515-6 · Cited by 19 · see citing works
An Emotion Regulation and Impulse Control (ERIC) Intervention for Vulnerable Young People: A Multi-Sectoral Pilot Study
Hall, K., Youssef, G., Simpson, A., Sloan, E., Graeme, L., Perry, N., Moulding, R., Baker, A. L., Beck, A. K., & Staiger, P. K. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.554100 · Cited by 17 · see citing works
“Transdiagnostic approaches, therefore, offer a pragmatic and parsimonious response to complexity and facilitate the translation of evidence-based protocols into practice (Barlow et al., 2004; Brown and Barlow, 2009; Mitchell, 2011; Bearman and Weisz, 2015; Norton and Paulus, 2015; Marchette and Weisz, 2017).”
Background
Echolalia from a transdiagnostic perspective
McFayden, T., Kennison, S., & Bowers, J. M. (2022) · Autism & Developmental Language Impairments · doi:10.1177/23969415221140464 · Cited by 13 · see citing works
Brief, parent-led, transdiagnostic cognitive-behavioral teletherapy for youth with emotional problems related to the COVID-19 pandemic
Guzick, A. G., Leong, A. W., Dickinson, E. M., Schneider, S. C., Zopatti, K., Manis, J., Meinert, A. C., Barth, A. M., Perez, M., Campo, D. M., et al. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.01.034 · Cited by 16 · see citing works
The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders among Japanese Children: A Pilot Study
Fujisato, H., Kato, N., Namatame, H., Ito, M., Usami, M., Nomura, T., Ninomiya, S., & Horikoshi, M. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.731819 · Cited by 17 · see citing works
Practitioners' Use and Evaluation of Transdiagnostic Youth Psychotherapy Years After Training and Consultation Have Ended
Thomassin, K., Marchette, L. K., & Weisz, J. R. (2019) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-019-00962-x · Cited by 17 · see citing works
Self-citation
Targeting Comorbid Anxiety and Depression Using the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Adolescents
Sherman, J. A., Tonarely, N. A., & Ehrenreich-May, J. (2018) · Clinical Case Studies · doi:10.1177/1534650117753671 · Cited by 16 · see citing works
Translating and Implementing Evidence-Based Mental Health Services in Child Welfare
Mersky, J. P., Topitzes, J., Janczewski, C. E., Lee, C. P., McGaughey, G., & McNeil, C. B. (2020) · Administration and Policy in Mental Health and Mental Health Services Research · doi:10.1007/s10488-020-01011-8 · Cited by 16 · see citing works
Modular Psychotherapy Outcomes for Youth With Different Latent Profiles of Irritability and Emotion Dysregulation
Evans, S. C., Wei, M. A., Harmon, S. L., & Weisz, J. R. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.618455 · Cited by 15 · see citing works
Self-citation
Retrospective cohort study of a novel acceptance and commitment therapy group intervention for adolescents implemented in integrated primary care
O'Dell, S. M., Hosterman, S. J., Hostutler, C. A., Nordberg, C., Klinger, T., Petts, R. A., Whitehead, M. R., Faulkner, S. A., Garcia, A., & Massura, C. A. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.03.009 · Cited by 15 · see citing works
Research Review: The internalizing paradox – youth anxiety and depression symptoms, psychotherapy outcomes, and implications for research and practice
Weisz, J. R., Fitzpatrick, O. M., Venturo‐Conerly, K. E., Sternberg, A., Steinberg, J. S., & Ng, M. Y. (2023) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.13820 · Cited by 14 · see citing works
Self-citation
Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial
Vliek, L., Overbeek, G. J., & de Castro, B. O. (2019) · PLoS ONE · doi:10.1371/journal.pone.0225504 · Cited by 14 · see citing works
Cognitive behavioral therapy for childhood anxiety disorders: What happens to comorbid mood and behavioral disorders? A systematic review.
Mahdi, M., Jhawar, S., Bennett, S., & Shafran, R. (2019) · Journal of Affective Disorders · doi:10.1016/j.jad.2019.03.041 · Cited by 17 · see citing works
The effect of executive function on health related quality of life in children with self-limited epilepsy with centrotemporal spikes
Zanaboni, M. P., Pasca, L., Bergamoni, S., Bova, S. M., Celario, M., Freri, E., Grumi, S., Filippini, M., Leonardi, V., Micheletti, S., et al. (2024) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2023.109607 · Cited by 12 · see citing works
Secret Agent Society: A Randomized Controlled Trial of a Transdiagnostic Youth Social Skills Group Treatment
Temkin, A. B., Beaumont, R. B., Wkya, K., Hariton, J. R., Flye, B. L., Sheridan, E., Miranda, A., Vela, J., Zendegui, E., Schild, J. S., et al. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00919-z · Cited by 13 · see citing works
Unique associations between conditioned cognitive and physiological threat responses and facets of anxiety symptomatology in youth
Klein, Z., Abend, R., Shmuel, S., & Shechner, T. (2022) · Biological Psychology · doi:10.1016/j.biopsycho.2022.108314 · Cited by 12 · see citing works
Youth Top Problems and Early Treatment Response to the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents
Milgram, L., Tonarely, N. A., & Ehrenreich, J. T. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-021-01151-4 · Cited by 11 · see citing works
Cognitive behavioral therapy for pediatric obsessive-compulsive disorder delivered via internet videoconferencing: a manualized sensor-assisted feasibility approach
Klein, C. S., Alt, A. K., Pascher, A., Kühnhausen, J., Seizer, L., Ilg, W., Thierfelder, A., Primbs, J., Menth, M., Barth, G. M., et al. (2024) · Child and Adolescent Psychiatry and Mental Health · doi:10.1186/s13034-024-00844-7 · Cited by 11 · see citing works
The effectiveness and cost-effectiveness of Acceptance and Commitment Therapy as a transdiagnostic intervention for transitional-age youth: study protocol of a randomized controlled trial
Keulen, J., Matthijssen, D., Schraven, J., Deković, M., & Bodden, D. H. M. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-04535-z · Cited by 11 · see citing works
Treatment Refractory Internalizing Behaviour Across Disorders: An Aetiological Model for Severe Emotion Dysregulation in Adolescence
Herpers, P. C. M., Neumann, J. E. C., & Staal, W. (2020) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-01036-y · Cited by 11 · see citing works
Basic science and treatment innovation
Green, J. (2017) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12797 · Cited by 11 · see citing works
Deconstructing “Risk” in Youth Mentoring Programs: How Environmental Stressors and Presenting Challenges Shape Mentoring Relationship Outcomes
Poon, C. Y. S., Herrera, C., Jarjoura, R., McQuillin, S. D., Keller, T. E., & Rhodes, J. E. (2022) · The Journal of Early Adolescence · doi:10.1177/02724316221078833 · Cited by 10 · see citing works
Multiple needs and multiple treatments. What's a clinician to do? Update on the psychosocial treatment of disruptive behaviours in childhood
Andrade, B. F., Aitken, M., Brodkin, S., & Sawrikar, V. (2022) · Current Opinion in Psychiatry · doi:10.1097/yco.0000000000000823 · Cited by 10 · see citing works
Developing a hope-focused intervention to prevent mental health problems and improve social outcomes for young women who are not in education, employment, or training (NEET): A qualitative co-design study in deprived coastal communities in South-East England
Berry, C., Fountain, J., Forbes, L. J. L., Bogen‐Johnston, L., Thomson, A. C., Zylko, Y., Tunks, A., Hotham, S., & Michelson, D. (2024) · PLoS ONE · doi:10.1371/journal.pone.0304470 · Cited by 9 · see citing works
Is the Unified Protocol for Children Effective for the Transdiagnostic Treatment of Children’s Emotional Disorders? A Randomized Controlled Trial
Caiado, B., Guiomar, R. N. R. M., Gomes-Pereira, B., Góis, A. C., de Sousa, B. C., Canavarro, M. C., Ehrenreich, J. T., & Moreira, H. (2024) · Behavior Therapy · doi:10.1016/j.beth.2024.09.002 · Cited by 10 · see citing works
Online Transdiagnostic Emotion Regulation Treatment for Adolescents With Mental Health Problems
Sjöblom, K., Frankenstein, K., Klintwall, L., Nilbrink, J., Zetterqvist, M., Hesser, H., Hedman‐Lagerlöf, E., Gross, J. J., Hellner, C., Bellander, M., et al. (2025) · JAMA Network Open · doi:10.1001/jamanetworkopen.2025.14871 · Cited by 11 · see citing works
Multistakeholder Perspectives on Interventions to Support Youth During Mental Health Boarding
Brady, R. E., Ivany, A. S., Nagarajan, M. K., Acquilano, S. C., Craig, J. T., House, S. A., Mudge, L. A., & Leyenaar, J. K. (2022) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2022.10.004 · Cited by 9 · see citing works
Principle-Guided Psychotherapy for Children and Adolescents (FIRST): study protocol for a randomized controlled effectiveness trial in outpatient clinics
Bailin, A., Cho, E., Sternberg, A., Evans, S. C., Hollinsaid, N. L., Bearman, S. K., & Weisz, J. R. (2023) · Trials · doi:10.1186/s13063-023-07717-y · Cited by 8 · see citing works
Self-citation
Behavioral Activation as a Principle-Based Treatment: Developments from a Multi-Site Collaboration to Advance Adolescent Depression Treatment
Jenness, J. L., DeLonga, K., Lewandowski, R. E., Spiro, C. N., Crowe, K., Martell, C. R., Towbin, K. E., Stringaris, A. K., & McCauley, E. (2022) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2022.2042871 · Cited by 8 · see citing works
Brief Digital Interventions: An Implementation-Sensitive Approach to Addressing School Mental Health Needs of Youth with Mild and Emerging Mental Health Difficulties
Cwinn, E., Barry, E. A., Weisz, J. R., Bailin, A., Fitzpatrick, O. M., Venturo‐Conerly, K. E., & Crooks, C. V. (2022) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2022-026 · Cited by 8 · see citing works
Self-citation
Transdiagnostic therapeutic approaches: A global perspective
Murray, L. K., Metz, K. L., & Callaway, K. L. (2019) · Elsevier eBooks · doi:10.1016/b978-0-12-814932-4.00002-1 · Cited by 15 · see citing works
Are the Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents as Effective for OCD as for Anxiety and Depression?
Milgram, L., Bigler, M. E., Halliday, E. R., Timpano, K. R., & Ehrenreich, J. T. (2025) · Children · doi:10.3390/children12040529 · Cited by 7 · see citing works
Comorbidity and temporal associations between mental disorders among college students in the world mental health international college student initiative
Roest, A. M., de Vries, Y. A., Pozuelo, J. R., Petukhova, M. V., Lee, S., Sampson, N. A., Albor, Y., AlHadi, A. N., Alonso, J., Al-Saud, N. K., et al. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116605 · Cited by 7 · see citing works
Together and beyond: A systematic review on characteristics and efficacy of transdiagnostic psychotherapeutic group-based interventions for children and adolescents
Bähr, C., Phan, D., Murawska, N., Gerber, J., Jordan, A., Hoffmann, K., & Calvano, C. (2025) · Clinical Psychology Review · doi:10.1016/j.cpr.2025.102642 · Cited by 8 · see citing works
Preliminary Findings for Group Transdiagnostic Behavior Therapy for Affective Disorders Among Youths
Grös, D. F., Merrifield, C., Hewitt, J., Elcock, A., Rowa, K., & McCabe, R. E. (2020) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.20200003 · Cited by 7 · see citing works
Editorial perspective: Treatment of complex maltreatment – beyond the NICE guideline? Manuals, muddles or modules
Bentovim, A., Vizard, E., & Gray, J. (2018) · Child and Adolescent Mental Health · doi:10.1111/camh.12280 · Cited by 7 · see citing works
The Efficacy of Mentalization-Based Treatment for Children With Internalizing and Externalizing Problems: A Randomized Controlled Trial
Halfon, S., Beşiroğlu, B., Ozer, P. B., Epözdemir, Ş., Aydın, G. İ., Koç, H. B., Sözüer, B., Özsoy, Ö., Tulum, O., Tülü, S., et al. (2024) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2024.12.006 · Cited by 8 · see citing works
Maximizing the Quality and Reporting Standards of Autism Intervention Science
LaPoint, S., Klein, C. B., Sandbank, M. P., Bottema‐Beutel, K., Fletcher‐Watson, S., Divan, G., Dimitriou, D., Anagnostou, E. A., Andersen, M. E., Binns, A. V., et al. (2025) · Autism Research · doi:10.1002/aur.70126 · Cited by 6 · see citing works
TRATAMIENTOS PSICOLÓGICOS PERSONALIZADOS: ORIENTACIONES CLÍNICAS
Muela, A., UPV-EHU, U. D. P. V., Méndez, E. S., & UPV-EHU, U. D. P. V. (2019) · Papeles del Psicólogo - Psychologist Papers · doi:10.23923/pap.psicol2020.2915 · Cited by 6 · see citing works
“Walk a mile in my shoes”. Mentalising ability in patients with eating disorders – literature review „Przejdź milę w moich butach”. Umiejętność mentalizacji u pacjentów z anoreksją i bulimią – przegląd literatury
Kordynska, K., Kostecka, B., & Kucharska, K. (2019) · Neuropsychiatria i Neuropsychologia · doi:10.5114/nan.2019.87728 · Cited by 3 · see citing works
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Untitled work
(2014) · Cited by 125 · see citing works
Child and adolescent psychotherapy
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Self-citation

Authors: Marchette, L. K., & Weisz, J. R.
Affiliations: Cambridge Health Alliance (US)
Harvard University (US)
Corresponding author: Marchette, Lauren Krumholz
ORCID: Weisz, John R.
Venue: Journal of Child Psychology and Psychiatry
Publisher: Wiley
Published: 2017-05-26
Volume: 58
Issue: 9
Pages: 970-984
ISSN: 0021-9630 (ISSN-L)
1469-7610
DOI: 10.1111/jcpp.12747
OpenAlex: W2619311678
Cited by: 156
References: 76
Citations by year: 2026: 12 · 2025: 20 · 2024: 22 · 2023: 14 · 2022: 20 · 2021: 21 · 2020: 18 · 2019: 15 · 2018: 12 · 2017: 2
FWCI: 1.97
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: Journal of Child Psychology and Psychiatry (publishedVersion)
PubMed (publishedVersion)
Funders: Institute of Education Sciences
U.S. Department of Education
Topics: Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords: adolescent psychotherapy, transdiagnostic approach, empirically supported treatments, manualized treatment, comorbidities, common elements, clinical practice implementation, children and adolescents
MeSH terms: Adolescent, Mental Disorders, Child, Humans, Psychotherapy, Practice Guidelines as Topic

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Practitioner Review: Empirical evolution of youth psychotherapy toward transdiagnostic approaches

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