Eficacia de la terapia cognitivo conductual transdiagnóstica en el tratamiento de la ansiedad y la depresión en adultos, niños y adolescentes: Un meta-análisis

García-Escalera, Julia; Chorot, Paloma; Valiente, Rosa M.; Reales, José M.; Sandín, Bonifacio

doi:10.5944/rppc.vol.21.num.3.2016.17811

Cited by 95Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychological Treatments and AssessmentsPsychotherapy Techniques and Applications

Eficacia de la terapia cognitivo conductual transdiagnóstica en el tratamiento de la ansiedad y la depresión en adultos, niños y adolescentes: Un meta-análisis

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García-Escalera, Julia, Chorot, Paloma, Valiente, Rosa M., Reales, José M., Sandín, Bonifacio·2017·Revista de Psicopatología y Psicología Clínica

DOI 10.5944/rppc.vol.21.num.3.2016.17811

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Abstract

This meta-analysis examined the effect of transdiagnostic cognitive-behavioral therapy (T-CBT) in adults, children, and adolescents with emotional disorders, exploring the effects of possible moderator variables on efficacy. In contrast with previous reviews, only studies employing transdiagnostic theory-based protocols were included. A total of 48 studies reporting on 6291 participants were identified. Treatment efficacy was examined using a random effects model and taking into account pre- and post-treatment data. Results within the adult population showed large overall effect sizes on anxiety (randomized controlled trials [RCTs]: g = 0.80; Uncontrolled studies: g = 1.02) and depression (RCTs: g = 0.72; Uncontrolled studies: g = 1.08) that were stable at follow up. Preliminary analysis with children and adolescents showed medium effect sizes on anxiety (g = 0.45) and depression (g = 0.50). No significant differences between T-CBT and disorder-specific CBT were found. Overall, results support the efficacy of T-CBT for emotional disorders.Resumen: Eficacia de la terapia cognitivo conductual transdiagnóstica en el tratamiento de la ansiedad y la depresión en adultos, niños y adolescentes: Un meta-análisis. El presente meta-análisis examina el efecto de la terapia cognitivo conductual transdiagnóstica (TCC-T) en adultos, niños y adolescentes con trastornos emocionales, explorando los efectos de posibles variables moderadoras en su eficacia. A diferencia de los meta-análisis previos, sólo se incluyeron los estudios que emplearon protocolos basados explícitamente en el enfoque transdiagnóstico. Se identificaron 48 estudios que informaron sobre 6291 participantes. La eficacia del tratamiento se examinó utilizando un modelo de efectos aleatorios y teniendo en cuenta los datos pre y post-tratamiento. Los resultados sobre población adulta muestran tamaños del efecto elevados para la ansiedad (ensayos controlados aleatorizados [ECAs]: g = 0.80; Estudios no controlados: g = 1.02) y la depresión (ECAs: g = 0.72; Estudios no controlados: g = 1.08), que permanecieron estables durante el seguimiento. El análisis preliminar con población de niños y adolescentes mostró tamaños del efecto medios en ansiedad (g = 0.45) y depresión (g = 0.50). No encontramos diferencias significativas entre la TCC-T y la TCC para trastornos específicos. En general, los resultados apoyan la eficacia de la TCC-T para los trastornos emocionales.

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The effectiveness of online therapy is currently very well established.
“In addition, the effectiveness of online therapy is currently very well established [37,45,46].”
From What format of treatment do patients with emotional disorders prefer and why? Implications for public mental health settings and policies (2019) · cites this paper as [46]
The Summary of evidence (page not provided) reports larger effect sizes for internet-delivered than face-to-face transdiagnostic CBT for anxiety. But it calls the findings promising, notes possible differences between clinical and subclinical samples, and seeks corroboration from other protocols. That does not establish the effectiveness of online therapy broadly as “very well established.” (LLM, conf=0.87)
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“…can be delivered through online or offline format, and many studies have demonstrated psychotherapy effectiveness regardless of the format (García-Escalera et al., 2016) and, in our case, the UP has also proven to be effective in reducing anxious and depressive symptoms regardless of the…”
Background
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Introduction: Background for Therapists
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About Programs ThatWork
(2021) · doi:10.1093/med-psych/9780197541470.002.0006
Copyright Page
(2021) · doi:10.1093/med-psych/9780197541470.002.0004
Supplemental Content for Session 2
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0002
Supplemental Content for Session 4
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0004
Supplemental Content for Sessions 5 Through 11
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0005
Supplemental Content for Session 1
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0001
Activities
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0007
Supplemental Content for Session 3
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0003
Supplemental Content for the Final Session
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0006
Forms and Worksheets
Weersing, V. R., González, A., & Rozenman, M. S. (2021) · doi:10.1093/med-psych/9780197541470.005.0009
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Terapia cognitivo-conductual en el abordaje de la ansiedad y la depresión en adultos: revisión bibliográfica sistematizada
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Authors: García-Escalera, J., Chorot, P., Valiente, R. M., Reales, J. M., & Sandín, B.
Affiliations: Universidad Nacional de Educación a Distancia (ES)
ORCID: García-Escalera, Julia
Chorot, Paloma
Valiente, Rosa M.
Sandín, Bonifacio
Venue: Revista de Psicopatología y Psicología Clínica
Publisher: UNED - Universidad Nacional de Educacion a Distancia
Published: 2017-01-10
Volume: 21
Issue: 3
Pages: 147
ISSN: 1136-5420 (ISSN-L)
2254-6057
DOI: 10.5944/rppc.vol.21.num.3.2016.17811
OpenAlex: W2590458553
Cited by: 94
References: 109
Citations by year: 2026: 6 · 2025: 1 · 2024: 7 · 2023: 9 · 2022: 5 · 2021: 36 · 2020: 11 · 2019: 10 · 2018: 6 · 2017: 3
FWCI: 10.68
Type: journal article
Language: es
Open access: diamond
doi.org
Licence: cc-by-nc-nd
Locations: Revista de Psicopatología y Psicología Clínica (publishedVersion, cc-by-nc-nd)
Funders: Ministerio de Economía y Competitividad
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 › Psychotherapy Techniques and Applications
Keywords: transdiagnostic cognitive behavioral therapy, anxiety, depression, emotional disorders, children and adolescents, adults, treatment efficacy, treatment moderators

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Eficacia de la terapia cognitivo conductual transdiagnóstica en el tratamiento de la ansiedad y la depresión en adultos, niños y adolescentes: Un meta-análisis

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