Current Definitions of “Transdiagnostic” in Treatment Development: A Search for Consensus

Sauer‐Zavala, Shannon; Gutner, Cassidy A.; Farchione, Todd J.; Boettcher, Hannah T.; Bullis, Jacqueline R.; Barlow, David H.

doi:10.1016/j.beth.2016.09.004

Cited by 275 publications

(222 citation statements)

References 68 publications

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“…Thus, we have moved toward conceptualizing CBT4CBT as a set of cognitive control strategies, each focused on a different aspect of impaired control over behavior. In so doing, we are also moving toward a more transdiagnostic model of CBT (Sauer-Zavala et al, 2017), which recognizes that individuals with substance use disorders typically have a range of psychiatric and psychosocial problems (Hasin, Stinson, Ogburn, & Grant, 2007; McLellan, Cacciola, Alterman, Rikoon, & Carise, 2006; Rounsaville et al, 1991). As they are often more concerned with these other problems than their substance use, this broader conception of CBT may broaden its appeal and applicability.…”

Section: Cbt In the Next Thirty Yearsmentioning

confidence: 99%

Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.

Carroll¹,

Kiluk²

2017

Psychology of Addictive Behaviors

163

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Cognitive behavioral therapy (CBT) approaches have among the highest level of empirical support for the treatment of drug and alcohol use disorders. As Psychology of Addictive Behaviors marks its 30th anniversary, we review the evolution of CBT for the addictions through the lens of the Stage Model of Behavioral Therapies Development. The large evidence base from Stage II randomized clinical trials indicates a modest effect size with evidence of relatively durable effects, but limited diffusion in clinical practice, as is the case for most empirically validated approaches for mental health and addictive disorders. Technology may provide a means for CBT interventions to circumvent the ‘implementation cliff’ in Stages 3–5 by offering a flexible, low-cost, standardized means of disseminating CBT in a range of novel settings and populations. Moreover, returning to Stage 1 to reconnect clinical applications of CBT to recent developments in cognitive science and neuroscience holds great promise for accelerating understanding of mechanisms of action. It is critical that CBT not be considered as a static intervention, but rather one that constantly evolves and is refined through the Stage model until the field achieves a maximally powerful intervention that addresses core features of the addictions.

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Section: Cbt In the Next Thirty Yearsmentioning

confidence: 99%

Cognitive behavioral interventions for alcohol and drug use disorders: Through the stage model and back again.

Carroll¹,

Kiluk²

2017

Psychology of Addictive Behaviors

163

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“…In accordance with the burgeoning research cutting across psychiatric diagnoses, there has been an increase in the use of the label “transdiagnostic.” Perhaps due to this rapid growth, the definition of the concept has not been applied clearly and consistently across studies, making it difficult to synthesize research and clearly distinguish boundaries between different types of transdiagnostic approaches [19••]. For the purposes of this paper, we defined transdiagnostic treatments as those that specifically target psychological processes or core vulnerabilities that have been observed to contribute to the development and maintenance of classes of disorders [20].…”

Section: Transdiagnostic Approachmentioning

confidence: 99%

“…For the purposes of this paper, we defined transdiagnostic treatments as those that specifically target psychological processes or core vulnerabilities that have been observed to contribute to the development and maintenance of classes of disorders [20]. The construction of transdiagnostic interventions can occur through three distinct processes resulting in three defined categories: modular/common elements, universally applied therapeutic, and mechanistically transdiagnostic [19••]. These categories may be viewed as successive approximations towards a protocol that is more in line with the National Institute of Health Research Domain Criteria [RDoC; [21]]; as we move from the modular/common elements approach to the mechanistically transdiagnostic approach, the methodologies become incrementally more unified and move further away from diagnostic categories.…”

Section: Transdiagnostic Approachmentioning

confidence: 99%

“…To do so, we begin with a discussion of the transdiagnostic approach. Because a full review of the transdiagnostic literature is beyond the scope of this paper, we focus on the framework for transdiagnostic treatments proposed by Zavala and colleagues [19••]. Next, we review the literature on the transdiagnostic approach as applied to trauma-related disorders so far and how it may be applied going forward.…”

Section: Introductionmentioning

confidence: 99%

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Emergence of Transdiagnostic Treatments for PTSD and Posttraumatic Distress

Gutner

Galovski

Bovin

et al. 2016

Curr Psychiatry Rep

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Both theoretical and empirical findings have demonstrated similarities across diagnoses, leading to a growing interest in transdiagnostic interventions. Most of the evidence supporting transdiagnostic treatment has accumulated for depression, anxiety, and eating disorders, with minimal attention given to posttraumatic stress disorder and other reactions to traumatic stressors. Although single-diagnosis protocols are effective for posttraumatic stress disorder (PTSD) and other trauma-related disorders, in principle, transdiagnostic approaches may have beneficial applications within a traumatized population. This paper defines different types of transdiagnostic treatments, reviews transdiagnostic approaches used in related disorders, and discusses their applicability to PTSD. Examples are drawn from existing transdiagnostic treatments in order to provide a framework for the application of such interventions to the field of traumatic stress. Implications for implementation and dissemination are also discussed.

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“…In patients/clients with anxiety disorders, the associated depression, for example, often improves with treatment and, if not, is directly addressed where possible. A recent attempt to obtain clarity and consensus considered that the term 'transdiagnostic' also refers to three distinct categories of treatment approaches: universally applied therapeutic principles such as mindfulness, empirically based modular strategies or 'common elements' treatment, and targeting shared mechanisms across classes of disorders (Sauer-Zavala et al, 2017).…”

Section: Is Mental Contamination 'Transdiagnostic'?mentioning

confidence: 99%