Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: Initial randomized controlled trial

Chu, Brian C.; Crocco, Sofia Talbott; Esseling, Petra; Areizaga, Margaret J.; Lindner, Alison M.; Skriner, Laura C.

doi:10.1016/j.brat.2015.11.005

Cited by 112 publications

(77 citation statements)

References 67 publications

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“…Consistent with previous trials, overall gains were maintained between postintervention and follow‐up (Chu et al., ; Ehrenreich‐May et al., ). Approximately one‐third of children in the treatment group showed minor improvement in clinical severity according to clinician judgment between the end of the intervention and at 10‐week follow‐up, while 20% showed a mild worsening.…”

Section: Discussionsupporting

confidence: 85%

“…With appropriate modifications, tCBT may also be applicable to a variety of developmental levels (Ehrenreich‐May et al., ). Recent randomized trials of group‐ and individually‐ provided tCBT with adolescents without ASD have demonstrated improvements on clinician‐rated adolescent anxiety, overall symptom severity, and in the number of primary and secondary psychiatric diagnoses, when compared to waitlist (Chu et al., ; Ehrenreich‐May et al., ). The few randomized trials that compare the use of tCBT to diagnostic‐specific CBT indicate equivalence between treatment types in adults without ASD in addressing symptoms of depression, generalized anxiety disorder, separation anxiety disorder, and panic disorder (Pearl & Norton, ).…”

Section: Introductionmentioning

confidence: 99%

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A randomized waitlist‐controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism

Weiss

Thomson

Riosa

et al. 2018

Child Psychology Psychiatry

113

105

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BackgroundMental health problems are common among individuals with autism spectrum disorder (ASD), and difficulties with emotion regulation processes may underlie these issues. Cognitive behavior therapy (CBT) is considered an efficacious treatment for anxiety in children with ASD. Additional research is needed to examine the efficacy of a transdiagnostic treatment approach, whereby the same treatment can be applied to multiple emotional problems, beyond solely anxiety. The purpose of the present study was to examine the efficacy of a manualized and individually delivered 10‐session, transdiagnostic CBT intervention, aimed at improving emotion regulation and mental health difficulties in children with ASD.MethodsSixty‐eight children (M age = 9.75, SD = 1.27) and their parents participated in the study, randomly allocated to either a treatment immediate (n = 35) or waitlist control condition (n = 33) (ISRCTN #67079741). Parent‐, child‐, and clinician‐reported measures of emotion regulation and mental health were administered at baseline, postintervention/postwaitlist, and at 10‐week follow‐up.ResultsChildren in the treatment immediate condition demonstrated significant improvements on measures of emotion regulation (i.e., emotionality, emotion regulation abilities with social skills) and aspects of psychopathology (i.e., a composite measure of internalizing and externalizing symptoms, adaptive behaviors) compared to those in the waitlist control condition. Treatment gains were maintained at follow‐up.ConclusionsThis study is the first transdiagnostic CBT efficacy trial for children with ASD. Additional investigations are needed to further establish its relative efficacy compared to more traditional models of CBT for children with ASD and other neurodevelopmental conditions.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

A randomized waitlist‐controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism

Weiss

Thomson

Riosa

et al. 2018

Child Psychology Psychiatry

113

105

View full text Add to dashboard Cite

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“…Only the study by Chu et al . () attained a maximum score for reporting side effects, with neither of the other two RCTs discussing this.…”

Section: Resultsmentioning

confidence: 95%

“…Two of the included RCTs measured depression outcomes using two continuous measures of depression (Chu et al ., : CDRS‐R, Center for Epidemiologic Studies Depression Scale [CES‐D]; McCauley et al ., : CDRS‐R, Short Mood and Feelings Questionnaire [SMFQ]), whilst the third reported on three (Stark, : CDRS‐R, Children's Depression Inventory [CDI], Children's Depression Scale [CDS]). A forest plot was produced to provide a graphical display of these study outcomes (Figure ).…”

Section: Resultsmentioning

confidence: 99%

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

et al. 2017

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PurposeDepression is currently the leading cause of illness and disability in young people. Evidence suggests that behavioural activation (BA) is an effective treatment for depression in adults but less research focuses on its application with young people. This review therefore examined whether BA is effective in the treatment of depression in young people.MethodsA systematic review (International Prospective Register of Systematic Reviews reference: CRD42015020453), following Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, was conducted to examine studies that had explored behavioural interventions for young people with depression. The electronic databases searched included the Cochrane Library, EMBASE, MEDLINE, CINAHL Plus, PsychINFO, and Scopus. A meta‐analysis employing a generic inverse variance, random‐effects model was conducted on the included randomized controlled trials (RCTs) to examine whether there were overall effects of BA on the Children's Depression Rating Scale – Revised.ResultsTen studies met inclusion criteria: three RCTs and seven within‐participant designs (total n = 170). The review showed that BA may be effective in the treatment of depression in young people. The Cochrane risk of bias tool and the Moncrieff scale used to assess the quality of the included studies revealed a variety of limitations within each.ConclusionsDespite demonstrating that BA may be effective in the treatment of depression in young people, the review indicated a number of methodological problems in the included studies meaning that the results and conclusions should be treated with caution. Furthermore, the paucity of studies in this area highlights the need for further research.Practitioner points Currently BA is included within National Institute for Health and Clinical Excellence (NICE, 2009) guidelines as an evidence‐based treatment for depression in adults with extensive research supporting its effectiveness. It is important to investigate whether it may also be effective in treating young people.Included studies reported reductions in depression scores across a range of measures following BA.BA may be an effective treatment of depression in young people.

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“…Entre ellos se destaca la aplicación de programas basados en abordajes transdiagnósticos (Bullis et al, 2015;Chu et al, 2016;Espejo et al, 2016;Farchione et al, 2012;García-Escalera, Chorot, Valiente, Reales y Sandín, 2016;Mullin et al, 2015). La terapia cognitivo conductual transdiagnóstica (TCC-T) sostiene que existen procesos cognitivos y conductuales diferentes responsables de ciertos síntomas compartidos por diversos trastornos psicológicos que comparten aspectos comunes en las áreas cognitivas, conductuales y/o emocionales (García-Escalera et al, 2016;Sandín et al, 2012) y que podrían explicar su mantenimiento (Egan, Wade, y Shafran, 2012;Mansell, Harvey, Watkins y Shafran, 2008).…”

Section: Introductionunclassified

Aplicación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionales en población argentina

Grill¹,

Castañeiras

Fasciglione³

2017

RPPC

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Abstract:The aim of this uncontrolled trial was to analyze the effectiveness of Barlow's Unifi ed Protocol (2011) group application in adult patients with emotional disorders of the anxious-depressive spectrum. This trial study was based on a non-control design that included pre-and post-treatment measures. The intervention was performed with 23 patients who met diagnostic criteria for panic attack, agoraphobia, social phobia, generalized anxiety disorder, unspecifi ed anxiety disorder and major depression and attended an average of 14 sessions. The results showed a signifi cant reduction in the symptoms of anxiety and depression, and the diffi culties in the emotional regulation in the patients, also an increase of the positive emotions, the personal strength and functional improvement. These data provide evidence on the effectiveness of the transdiagnostic approach for emotional disorders in Argentina.Keywords: Uncontrolled trial; Unifi ed Protocol; transdiagnostic; anxiety; depression, adults.Resumen: El objetivo de este ensayo no controlado fue analizar la efectividad de la aplicación en formato grupal del Protocolo Unifi cado de Barlow et al. (2011) a pacientes adultos con trastornos emocionales del espectro ansioso-depresivo. Este ensayo clínico se basó en un diseño sin grupo control que incluyó medidas pre y post-tratamiento. La intervención se realizó con 23 pacientes que cumplieron criterios diagnósticos de diversos trastornos incluyendo ataque de pánico, agorafobia, fobia social, trastorno de ansiedad generalizada, trastorno de ansiedad no especifi cado y depresión mayor y que asistieron a un promedio de 14 sesiones. Los resultados mostraron una reducción signifi cativa de los síntomas de ansiedad y depresión y de las difi cultades en la regulación emocional en los pacientes así como un aumento de las emociones positivas, la fortaleza personal y mejoría funcional. Estos datos aportan evidencia sobre la efectividad del abordaje transdiagnóstico para trastornos emocionales en Argentina.

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Transdiagnostic group behavioral activation and exposure therapy for youth anxiety and depression: Initial randomized controlled trial

Cited by 112 publications

References 67 publications

A randomized waitlist‐controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism

A randomized waitlist‐controlled trial of cognitive behavior therapy to improve emotion regulation in children with autism

Is behavioural activation effective in the treatment of depression in young people? A systematic review and meta‐analysis

Aplicación grupal del Protocolo Unificado para el tratamiento transdiagnóstico de los trastornos emocionales en población argentina

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