Unified Protocol Transdiagnostic Treatment in Group Format: A Preliminary Investigation With Anxious Individuals

Laposa, Judith M.; Mancuso, Enza; Abraham, Gaby; Loli-Dano, Laura

doi:10.1177/0145445516667664

Cited by 58Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Disorders and PsychopathologyPsychotherapy Techniques and Applications

Unified Protocol Transdiagnostic Treatment in Group Format: A Preliminary Investigation With Anxious Individuals

Laposa, Judith M., Mancuso, Enza, Abraham, Gaby, Loli-Dano, Laura·2017·Behavior Modification

DOI 10.1177/0145445516667664

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Abstract

Barlow et al. published the unified protocol (UP) for transdiagnostic treatment of emotional disorders, focusing on common pathological factors across a variety of diagnoses. The limited UP research to date suggests that this treatment may be particularly useful for anxiety disorders. However, it has largely been evaluated only in individual treatment format. The current study examined the effectiveness of the UP treatment in a group format, with individuals with comorbid anxiety disorder symptoms. Twenty-six individuals with clinically significant anxiety symptoms in at least two of the following areas, social anxiety, worry, or panic, participated in a 14-week manualized group treatment using the UP. Significant decreases were found on general anxiety, worry, social anxiety, panic, depression, and negative affect, and increases on positive affect. The UP may hold promise for a transdiagnostic group treatment of comorbid anxiety symptoms, but further examination of this treatment is warranted.

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Separation anxiety
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Unified Protocol for Treatment of Depression
Bentley, K. H., Conklin, L. R., Boswell, J. F., Shapero, B. G., & Olesnycky, O. S. (2018) · Springer eBooks · doi:10.1007/978-3-319-97241-1_12
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The Effectiveness of Transdiagnostic Treatment Program on Clinical Symptoms and Emotion Regulation in Girls Adolescents with Premenstrual Syndrome
Ghasemzadeh, S., Naghsh, Z., & Fesharaki, M. G. (2022) · Iranian Journal of Public Health · doi:10.18502/ijph.v51i6.9694
“Moreover, the effectiveness of TTP in decreasing the symptoms of depression and anxiety were evaluated (26-29).”
MethodResult
Comparison of the Effectiveness of Transdiagnostic Treatment and Management of Burnout on Emotional Experience towards Spouse in Married Women
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Investigation the Effectiveness of Transdiagnostic Training Package Based on Acceptance and Commitment Therapy and Emotion-Focused Therapy on Psychological Security and Hope for Life of Cancer Patients
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Application of the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in a Group Format for Adults: A Scoping Review Protocol
Kajiwara, M., Kato, N., Nishiuchi, M., Fujisato, H., Kaneko, K., Kuga, H., & Ito, M. (2025) · Behavioral Sciences · doi:10.3390/bs15030389
“…patients per therapist, the experience and training of therapists, the number of sessions, and implementation times are reported to vary based on local circumstances, culture, and region (Bullis et al., 2014; Corpas et al., 2022; Laposa et al., 2017; Osma et al., 2015; Reinholt et al., 2017, 2022).”
Efficacy of schema mode therapy on obsessive symptoms, distress tolerance and guilt of patients with obsessive-compulsive: A single subject study
koushikolaei, A. G., Davoudi, I., Neysi, A., & Omidian, M. (2024) · Journal of Psychological Science · doi:10.61186/jps.23.142.51
Effect of unified transdiagnostic treatment on negative affect, anxiety, and difficulties in emotional regulation in obese children: A randomized controlled trial
Amani, S., Abadi, N. B. L., Esfahan, M. M., Arani, A. M., Kianimoghadam, A. S., & Rostami, M. (2025) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_35_25
“Also, the findings are consistent with the results obtained from Judith M. Laposa et al .’s [49] study, which shows that this intervention has led to a significant reduction in general anxiety, worry, social anxiety, and panic.”
Additional file 2 of Transdiagnostic treatment of emotional disorders in people with multiple sclerosis: randomized controlled trial
نظری, ن., Sadeghi, M., pour, E. G., & Mirzaeefar, D. (2020) · Figshare · doi:10.6084/m9.figshare.13174051
Additional file 1 of Transdiagnostic treatment of emotional disorders in people with multiple sclerosis: randomized controlled trial
نظری, ن., Sadeghi, M., pour, E. G., & Mirzaeefar, D. (2020) · Figshare · doi:10.6084/m9.figshare.13174045
Additional file 1 of Transdiagnostic treatment of emotional disorders for women with multiple sclerosis: a randomized controlled trial
Nazari, N., Aligholipour, A., & Sadeghi, M. (2020) · Figshare · doi:10.6084/m9.figshare.13173884
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The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Preliminary Exploration of Effectiveness for Group Delivery
Bullis, J. R., Sauer-Zavala, S., Bentley, K. H., Thompson-Hollands, J., Carl, J. R., & Barlow, D. H. (2015) · Behavior Modification · doi:10.1177/0145445514553094 · Cited by 161 · see citing works
Group Treatment Applications of the Unified Protocol
Bullis, J. R., Bentley, K. H., & Kennedy, K. (2017) · Oxford University Press eBooks · doi:10.1093/med-psych/9780190255541.003.0015 · Cited by 3 · see citing works
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: A Randomized Controlled Trial
Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Thompson-Hollands, J., Carl, J. R., Gallagher, M. W., & Barlow, D. H. (2012) · Behavior Therapy · doi:10.1016/j.beth.2012.01.001 · Cited by 746 · see citing works
Evaluation of a unified protocol transdiagnostic group for treatment of anxiety and depression
McPhail, L., & Ferguson, M. (2022) · Clinical Psychology Forum · doi:10.53841/bpscpf.2022.1.352.9
Transdiagnostic Treatment of Anxiety Disorders in a Group Format Based on the Principles of the Unified Protocol: a Preliminary Intensive Measurement Examination of Process and Outcome
Kivity, Y., Sela, M. S., Yariv, A., Koubi, M., Saad, A., Fennig, S., & Bloch, Y. (2019) · International Journal of Cognitive Therapy · doi:10.1007/s41811-019-00059-1 · Cited by 6 · see citing works

Authors: Laposa, J. M., Mancuso, E., Abraham, G., & Loli-Dano, L.
Affiliations: Centre for Addiction and Mental Health (CA)
Corresponding author: Laposa, Judith M.
ORCID: Laposa, Judith M.
Venue: Behavior Modification
Publisher: SAGE Publications
Published: 2016-09-21
Volume: 41
Issue: 2
Pages: 253-268
ISSN: 0145-4455 (ISSN-L)
1552-4167
DOI: 10.1177/0145445516667664
OpenAlex: W2507896389
Cited by: 58
References: 38
Citations by year: 2026: 2 · 2025: 2 · 2024: 8 · 2023: 12 · 2022: 5 · 2021: 9 · 2020: 9 · 2019: 6 · 2018: 5
FWCI: 5.22
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Behavior Modification (publishedVersion)
PubMed (publishedVersion)
Funders: Centre for Addiction and Mental Health
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: Unified Protocol, transdiagnostic treatment, group therapy, anxiety disorders, social anxiety, worry, panic, depression, negative affect, positive affect, manualized treatment
MeSH terms: Adult, Anxiety Disorders, Clinical Protocols, Humans, Psychotherapy, Group, Outcome Assessment, Health Care

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Unified Protocol Transdiagnostic Treatment in Group Format: A Preliminary Investigation With Anxious Individuals

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