Transdiagnostic cognitive behavioral therapy based on unified protocol: new approach to emotional disorders
Abstract
One of the new and evidence-based interventions recently developed to address psychological disorders is the unified protocol for transdiagnostic treatment of emotional disorders. The protocol was designed using transdiagnostic theories emphasizing the commonalities between disorders. The present work aimed to provide an overview of the unified protocol by reviewing the theories and studies carried out in this area.
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Diagnosis-specific cognitive-behavioral approaches have limitations, such as insufficient attention to comorbidities, multiple underlying theories, multiple treatment protocols, limited access to the most effective treatment, and difficulty in specialist training.
“However, these approaches have limitations, such as insufficient attention to comorbidities, multiple underlying theories for each specific diagnosis, multiple treatment protocols, patients’ limited access to the most effective treatment, and the difficulty involved in specialist training [21, 28].”
Cites
Development and validation of brief measures of positive and negative affect: The PANAS scales.
Watson, D., Clark, L. A., & Tellegen, A. (1988) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.54.6.1063 · Cited by 32,433 · see citing works
Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005) · Archives of General Psychiatry · doi:10.1001/archpsyc.62.6.617 · Cited by 12,052 · see citing works
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications.
Clark, L., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037//0021-843x.100.3.316 · Cited by 4,616 · see citing works
Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications
Clark, L. A., & Watson, D. (1991) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.100.3.316 · Cited by 4,601 · see citing works
The Efficacy of Cognitive Behavioral Therapy: A Review of Meta-analyses
Hofmann, S. G., Asnaani, A., Vonk, I. J. J., Sawyer, A. T., & Fang, A. (2012) · Cognitive Therapy and Research · doi:10.1007/s10608-012-9476-1 · Cited by 3,445 · cited 1× · see citing works
“…Over the last few decades, diagnosis-specific cognitive-behavioral approaches have been recognized as evidence-based approaches for a range of disorders, especially emotional disorders, and several meta-analyses have demonstrated their efficacy (Butler et al., 2006; Hofmann et al., 2012).”
The empirical status of cognitive-behavioral therapy: A review of meta-analyses
Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006) · Clinical Psychology Review · doi:10.1016/j.cpr.2005.07.003 · Cited by 3,215 · see citing works
The classification of child psychopathology: A review and analysis of empirical efforts.
Achenbach, T. M., & EDELBROCK, C. S. (1978) · Psychological Bulletin · doi:10.1037/0033-2909.85.6.1275 · Cited by 1,521 · 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
Carleton, R. N. (2012) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.82 · Cited by 599 · cited 2× · see citing works
“, 2014), intolerance of uncertainty (Carleton, 2012), anxiety sensitivity (Deacon and Abramowitz, 2006), emotion regulation (Aldao, 2012), experiential avoidance (Spinhoven et al.”
Toward a unified treatment for emotional disorders - republished Article
Barlow, D. H., Allen, L. B., & Choate, M. L. (2016) · Behavior Therapy · doi:10.1016/j.beth.2016.11.005 · Cited by 536 · see citing works
Ellard, K. K., Fairholme, C. P., Boisseau, C. L., Farchione, T. J., & Barlow, D. H. (2010) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2009.06.002 · Cited by 523 · see citing works
Intolerance of Uncertainty: A Common Factor in the Treatment of Emotional Disorders
Boswell, J. F., Thompson-Hollands, J., Farchione, T. J., & Barlow, D. H. (2013) · Journal of Clinical Psychology · doi:10.1002/jclp.21965 · Cited by 495 · cited 4× · see citing works
“Boswell et al. (2012) reviewed the readiness to change as a moderating factor of outcomes in the UP.”
InfluentialBarlow, D. H., Ellard, K. K., Sauer-Zavala, S., Bullis, J. R., & Carl, J. R. (2014) · Perspectives on Psychological Science · doi:10.1177/1745691614544528 · Cited by 491 · see citing works
McEvoy, P. M., Nathan, P., & Norton, P. J. (2009) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.23.1.20 · Cited by 346 · see citing works
Westra, H. A., Arkowitz, H., & Dozois, D. J. A. (2009) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2009.07.014 · Cited by 283 · see citing works
A Longitudinal Study of Experiential Avoidance in Emotional Disorders
Spinhoven, P., Drost, J., de Rooij, M., van Hemert, A. M., & Penninx, B. W. (2014) · Behavior Therapy · doi:10.1016/j.beth.2014.07.001 · Cited by 241 · see citing works
Perceived Control and Vulnerability to Anxiety Disorders: A Meta-analytic Review
Gallagher, M. W., Bentley, K. H., & Barlow, D. H. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9624-x · Cited by 237 · cited 3× · see citing works
“Various factors have been identified so far such as perceived control (Gallagher et al., 2014), intolerance of uncertainty (Carleton, 2012), anxiety sensitivity (Deacon and Abramowitz, 2006), emotion regulation (Aldao, 2012), experiential avoidance (Spinhoven et al., 2014), and negative repetitive…”
Anxiety sensitivity and interoceptive exposure: A transdiagnostic construct and change strategy
Boswell, J. F., Farchione, T. J., Sauer-Zavala, S., Murray, H. W., Fortune, M. R., & Barlow, D. H. (2013) · Behavior Therapy · doi:10.1016/j.beth.2013.03.006 · Cited by 232 · see citing works
Anxiety sensitivity and its dimensions across the anxiety disorders
Deacon, B., & Abramowitz, J. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2006.01.003 · Cited by 216 · see citing works
Ehrenreich-May, J., Rosenfield, D., Queen, A. H., Kennedy, S. M., Remmes, C. S., & Barlow, D. H. (2017) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2016.10.006 · Cited by 208 · see citing works
Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide
Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & Ehrenreich May, J. T. (2010) · doi:10.1093/med:psych/9780199772667.001.0001 · Cited by 208 · see citing works
Development of a Unified Protocol for the Treatment of Emotional Disorders in Youth
Ehrenreich, J. T., Goldstein, C. R., Wright, L. R., & Barlow, D. H. (2009) · Child & Family Behavior Therapy · doi:10.1080/07317100802701228 · Cited by 197 · see citing works
Mansell, W., Harvey, A., Watkins, E. R., & Shafran, R. (2008) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2008.1.3.181 · Cited by 193 · see citing works
Transdiagnostic factors of psychopathology and substance use disorders: a review
Eaton, N. R., Rodriguez-Seijas, C. A., Carragher, N., & Krueger, R. F. (2015) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-1001-2 · Cited by 192 · see citing works
Toward a unified treatment for emotional disorders: Update on the science and practice
Norton, P. J., & Paulus, D. J. (2016) · Behavior Therapy · doi:10.1016/j.beth.2015.07.002 · Cited by 180 · cited 1× · see citing works
“Many studies support the efficacy of this protocol in the treatment of a wide range of emotional disorders (Norton and Paulus, 2016; Pearl and Norton, 2016; Saed et al., 2016).”
Transdiagnostic mechanisms in depression and anxiety: The role of rumination and attentional control
Hsu, K. J., Beard, C., Rifkin, L., Dillon, D. G., Pizzagalli, D. A., & Björgvinsson, T. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.08.008 · Cited by 167 · see citing works
Transdiagnostic Treatment of Bipolar Disorder and Comorbid Anxiety With the Unified Protocol
Ellard, K. K., Deckersbach, T., Sylvia, L. G., Nierenberg, A. A., & Barlow, D. H. (2012) · Behavior Modification · doi:10.1177/0145445512451272 · Cited by 99 · see citing works
Eaton, N. R., Krueger, R. F., & Oltmanns, T. F. (2011) · Psychology and Aging · doi:10.1037/a0024406 · Cited by 97 · see citing works
Eaton, N. R. (2014) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000048 · Cited by 89 · see citing works
Eaton, N. R., Keyes, K. M., Krueger, R. F., Noordhof, A., Skodol, A. E., Markon, K. E., Grant, B. F., & Hasin, D. S. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-012-0595-5 · Cited by 58 · see citing works
Varkovitzky, R. L., Sherrill, A. M., & Reger, G. M. (2018) · Behavior Modification · doi:10.1177/0145445517724539 · Cited by 55 · see citing works
Transdiagnostic Group CBT for Anxiety: Clinical Experience and Practical Advice
Erickson, D. H., Janeck, A. S., & Tallman, K. (2009) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.23.1.34 · Cited by 44 · see citing works
Behavioral activation strategies in cognitive-behavioral therapy for anxiety disorders.
Boswell, J. F., Iles, B. R., Gallagher, M. W., & Farchione, T. J. (2017) · Psychotherapy · doi:10.1037/pst0000119 · Cited by 40 · see citing works
Lopez, M. E., Stoddard, J. A., Noorollah, A., Zerbi, G., Payne, L. A., Hitchcock, C. A., Meier, E. A., Esfahani, A. M., & Ray, D. B. (2015) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2014.06.006 · Cited by 38 · see citing works
Readiness to change as a moderator of outcome in transdiagnostic treatment
Boswell, J. F., Sauer-Zavala, S. E., Gallagher, M. W., Delgado, N., & Barlow, D. H. (2012) · Psychotherapy Research · doi:10.1080/10503307.2012.688884 · Cited by 38 · see citing works
van Dyk, I. S., Rowley, A. M., & Ehrenreich, J. T. (2014) · Journal of Rational-Emotive & Cognitive-Behavior Therapy · doi:10.1007/s10942-014-0185-4 · Cited by 20 · see citing works
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Hsiao, F., Chen, P. L., Ho, C. C., Ho, R., Lai, Y., & Wu, J. (2024) · International Journal of Social and Psychological Aspects of Healthcare · doi:10.51847/jcgvrffqpm · Cited by 34 · see citing works
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- Authors
- Saed, O., & Khakpoor, S.
- Affiliations
- Zanjan University of Medical Sciences (IR)
- Venue
- Asia Pacific Journal of Clinical Trials: Nervous System Diseases
- Publisher
- Medknow
- Published
- 2018
- Volume
- 3
- Issue
- 4
- Pages
- 151
- ISSN
- 2542-3932 (ISSN-L)
- OpenAlex
- W2901636324
- Cited by
- 3
- References
- 35
- Citations by year
- 2024: 2 · 2023: 1
- FWCI
- 0.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Asia Pacific Journal of Clinical Trials Nervous System Diseases (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- 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 cognitive behavioral therapy, emotional disorders, evidence-based interventions
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