Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice

Norton, Peter J.; Paulus, Daniel J.

doi:10.1016/j.beth.2015.07.002

Cited by 140 publications

(95 citation statements)

References 133 publications

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“…Thus, in contrast with Reinholt and Krogh, our fi ndings are consistent with the extent literature which suggests that transdiagnostic CBT can tolerate high levels of comorbidity (anxiety and/or depression) without losing effi cacy in the treatment of emotional disorders (Norton et al, 2013;Paulus, Talkovsky, Heggeness, & Norton, 2015). In line with the suggestions of Norton and Paulus (2015), we may conclude that the presence of a depressive disorder and/or an anxiety disorder has no adverse impact on treatment outcome, supporting the hypothesis that patients with only an anxiety disorder do not differ in response to treatment from patients with anxiety and comorbid depression.…”

Section: Summary Of Evidencesupporting

confidence: 89%

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-Escalera¹,

Chorot²,

Valiente³

et al. 2017

RPPC

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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 effi cacy. In contrast with previous reviews, only studies employing transdiagnostic theory-based protocols were included. A total of 48 studies reporting on 6291 participants were identifi ed. Treatment effi cacy 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 signifi cant differences between T-CBT and disorder-specifi c CBT were found. Overall, results support the effi cacy of T-CBT for emotional disorders.Keywords: Transdiagnostic; cognitive-behavioral therapy; anxiety; depression; internalizing disorders; meta-analysis. Efi cacia de la terapia cognitivo conductual transdiagnóstica en el tratamiento de la ansiedad y la depresión en adultos, niños y adolescentes: Un meta-análisisResumen: 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 efi cacia. A diferencia de los meta-análisis previos, sólo se incluyeron los estudios que emplearon protocolos basados explícitamente en el enfoque transdiagnóstico. Se identifi caron 48 estudios que informaron sobre 6291 participantes. La efi cacia 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 signifi cativas entre la TCC-T y la TCC para trastornos específi cos. En general, los resultados apoyan la efi cacia de la TCC-T para los trastornos emocionales.

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Section: Summary Of Evidencesupporting

confidence: 89%

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-Escalera¹,

Chorot²,

Valiente³

et al. 2017

RPPC

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“…First, prevalence of anxiety disorders in the current study (19.5%) parallels the rate found in previous primary samples, highlighting the prevalence of anxiety among Latinos in primary care. The sample also had comparable rates of depression, which is commonly comorbid with anxiety with growing support for a common pathology of anxiety and depression . Second, a CFA model (Fig.…”

Section: Discussionmentioning

confidence: 97%

Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care

et al. 2017

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“…Future research should continue to evaluate hierarchical models of psychopathology, including IU Watson, 2005), considering recent theoretical developments. Norton and Paulus (2015) assert that hierarchical conceptualizations can aid in identifying transdiagnostic processes with incremental explanatory power beyond higher-order factors like neuroticism or negative affect. Using a meta-analytic approach, Hong and Cheung (2015) examined the overlap among a range of vulnerabilities and found a lack of support for symptom specificity.…”

Section: What Is Unknown?mentioning

confidence: 99%

Intolerance of uncertainty in emotional disorders: What uncertainties remain?

Shihata

McEvoy

Mullan

et al. 2016

Journal of Anxiety Disorders

238

189

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The current paper presents a future research agenda for intolerance of uncertainty (IU), which is a transdiagnostic risk and maintaining factor for emotional disorders. In light of the accumulating interest and promising research on IU, it is timely to emphasize the theoretical and therapeutic significance of IU, as well as to highlight what remains unknown about IU across areas such as development, assessment, behavior, and relationships to emotional disorders. The present paper was designed to provide a synthesis of what is known and unknown about IU, and, in doing so, proposes broad and novel directions for future research to address the remaining uncertainties in the literature.Keywords: intolerance of uncertainty, review, emotional disorders, transdiagnostic, disorder-specific, research agenda WHAT UNCERTAINTIES REMAIN? 3 Intolerance of Uncertainty in Emotional Disorders: What Uncertainties Remain?The current paper briefly reviews what is known about intolerance of uncertainty (IU) before highlighting what remains unknown. Due to rapidly increasing interest and research focus on IU, culminating in the current special issue, a review is both timely and necessary to set a future research agenda. This paper will review IU with respect to conceptual foundations and definitional issues, development, assessment, behavioral consequences, associations to threat and risk, other cognitive vulnerability factors, emotional disorders, as well as clinical applications.Within each of these domains, what is currently known will first be briefly reviewed followed by what remains unknown. The major contribution of the current paper is the description of future research avenues to address the known unknowns. Conceptual Foundations of Intolerance of Uncertainty What is known?Models of psychopathology posit that uncertainty is a central feature in anxiety-related experience (Carleton, 2016) and the incapacity to endure unknowns appears to be a robust vulnerability factor associated with a range of psychological disorders (Grupe & Nitschke, 2013;Hong & Cheung, 2015). IU was originally defined as a broad construct that reflects "cognitive, emotional, and behavioral reactions to uncertainty in everyday life situations" (Freeston, Rhéaume, Letarte, Dugas, & Ladouceur, 1994, p. 792). Freeston and colleagues (1994) speculated that people with IU may engage in worry to increase their sense of certainty and control when faced with ambiguity. The definition of IU evolved as research on IU shifted from an initial focus on generalized anxiety disorder (GAD) to other disorders. A revised and broader definition described IU as a predisposition to negatively perceive and respond to uncertain information and situations irrespective of its probability and outcomes (Ladouceur, Blais, WHAT UNCERTAINTIES REMAIN? 4 Freeston, & Dugas, 1998;Ladouceur, Gosselin, & Dugas, 2000). IU has also been conceptualized as a cognitive filter and as the excessive tendency to perceive and interpret negative events as unacceptable (Buhr & Dugas...

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Toward a Unified Treatment for Emotional Disorders: Update on the Science and Practice

Cited by 140 publications

References 133 publications

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

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

Emotion dysregulation as a mechanism linking anxiety and hazardous drinking among Latinos in primary care

Intolerance of uncertainty in emotional disorders: What uncertainties remain?

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