Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders: Protocol Development and Initial Outcome Data

Cognitive and Behavioral Practice

Volumn 17, Issue 1, 2010, Pages 88-101

  Ellard, Kristen K ^a   Fairholme, Christopher P ^a   Boisseau, Christina L ^a   Farchione, Todd J ^a   Barlow, David H ^a  

^a BOSTON UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

PSYCHOTROPIC AGENT;

AGORAPHOBIA; ANXIETY DISORDER; ARTICLE; BEHAVIOR THERAPY; CLINICAL EFFECTIVENESS; CLINICAL TRIAL; COGNITIVE THERAPY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; EMOTIONAL DISORDER; FOLLOW UP; GENERALIZED ANXIETY DISORDER; HUMAN; MAJOR DEPRESSION; MOOD DISORDER; OBSESSIVE COMPULSIVE DISORDER; PANIC; PATIENT PARTICIPATION; PILOT STUDY; PRIORITY JOURNAL; PSYCHOEDUCATION; PSYCHOLOGIC ASSESSMENT; SOCIAL ADAPTATION; SOCIAL INTERACTION; SOCIAL PHOBIA; TREATMENT OUTCOME;

EID: 77949273972     PISSN: 10777229     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cbpra.2009.06.002     Document Type: Article

References (94)

1. Addis M.E., Wade W.A., and Hatgis C. Barriers to dissemination of evidence-based practices: Addressing practitioners' concerns about manual-based psychotherapies. Clinical Psychology Science and Practice 6 (1999) 430-441
2. Allen L.B., McHugh R.K., and Barlow D.H. Emotional disorders: A unified protocol. In: Barlow D.H. (Ed). Clinical handbook of psychological disorders: A step-by-step treatment manual. 4th ed. (2008), Guilford Press, New York 216-249
3. In: Antony M.M., and Stein M.B. (Eds). Handbook of anxiety disorders (2009), Oxford University Press, New York
4. Arkowitz H., and Westra H.A. Integrating motivation interviewing and cognitive behavioral therapy in the treatment of depression and anxiety. Journal of Cognitive Psychotherapy 4 (2004) 337-350
5. Arkowitz H., Westra H.A., Miller W.R., and Rollnick S. Motivational interviewing in the treatment of psychological problems (2008), Guilford Press, New York
6. Barlow D.H. Clinical handbook of psychological disorders: A step-by-step treatment manual (1985), Guilford Press, New York
7. Barlow D.H. Anxiety and its disorders: The nature and treatment of anxiety and panic (1988), Guilford Press, New York
8. Barlow D.H. Anxiety and its disorders: The nature and treatment of anxiety and panic. 2nd ed. (2002), Guilford Press, New York
9. Barlow D.H., Allen L.B., and Choate M.L. Toward a unified treatment for emotional disorders. Behavior Therapy 35 (2004) 205-230
10. Barlow, D. H., Boisseau, C. L., Ellard, K. K., Fairholme, C. P., & Farchione, T. J. (2008). Unified protocol for the treatment of emotional disorders. Unpublished treatment manual.
11. Barlow D.H., and Cerny J.A. Psychological treatment of panic (1988), Guilford Press, New York
12. Barlow D.H., and Craske M.G. Behavioral treatment of panic disorder. Behavior Therapy 20 (1989) 261-282
13. Barlow D.H., Craske M.G., Cerny J.A., and Klosko J.S. Behavioral treatment of panic disorder. Behavior Therapy 20 (1989) 261-282
14. Beck A.T. Depression: Causes and treatment (1972), University of Pennsylvania Press, Philadelphia
15. Beck A.T., and Clark D.A. An information processing model of anxiety: Automatic and strategic processes. Behaviour Research and Therapy 35 (1997) 49-58
16. Beck A.T., Rush A.J., Shaw B.F., and Emery G. Cognitive therapy of depression (1987), Guilford Press, New York
17. Beck A.T., and Steer R.A. Manual for the Beck Anxiety Inventory (1990), Psychological Corporation, San Antonio, TX
18. Beck A.T., Steer R.A., and Brown G.K. Manual for the Beck Depression Inventory-II (1996), Psychological Corporation, San Antonio, TX
19. Borkovec T.D., Newman M.G., Pincus A.L., and Lytle R. A component analysis of cognitive-behavioral therapy for generalized anxiety disorder and the role of interpersonal problems. Journal of Consulting and Clinical Psychology 70 (2002) 288-298
20. Brown T.A. Temporal and structural relationships among dimensions of temperament and DSM-IV anxiety and mood disorder constructs. Journal of Abnormal Psychology 116 (2007) 313-328
21. Brown T.A., and Barlow D.H. Long-term outcome in cognitive-behavioral treatment of panic disorder: Clinical predictors and alternative strategies for assessment. Journal of Consulting and Clinical Psychology 63 (1995) 754-756
22. Brown T.A., and Barlow D.H. Dimensional versus categorical classification of mental disorders in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders and beyond: Comment on the special section [Special Issue]. Journal of Abnormal Psychology 114 (2005) 551-556
23. Brown, T. A., & Barlow, D. H. (2009). A proposal for a dimensional classification system based on the shared features of the DSM-IV anxiety and mood disorders: Implications for assessment and treatment. Psychological Assessment, 21, 256-271.
24. Brown T.A., Campbell L.A., Lehman C.L., Grisham J.R., and Mancill R.B. Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology 110 (2001) 585-599
25. Brown T.A., Chorpita B.F., and Barlow D.H. Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology 107 (1998) 179-192
26. Brown T.A., DiNardo P.A., Lehman C.L., and Campbell L.A. Reliability of DSM-IV anxiety and mood disorders: Implications for the classification of emotional disorders. Journal of Abnormal Psychology 110 (2001) 49-58
27. Campbell-Sills L., Barlow D.H., Brown T.A., and Hofmann S.G. Acceptability and suppression of negative emotion in anxiety and mood disorders. Emotion 6 (2006) 587-595
28. Chorpita B.F., Viesselman J.O., and Hamilton J. Staying in the clinical ballpark while running the evidence bases. Journal of the American Academy of Child & Adolescent Psychiatry 44 (2005) 1193-1197
29. Cohen J. Eta-squared and partial eta-squared in communication science. Human Communication Research 28 (1973) 473-490
30. Cox B.J., Ross L., Swinson R.P., and Direnfeld D.M. A comparison of social phobia outcome measures in cognitive-behavioral group therapy. Behavior Modification 22 (1998) 285-297
31. Craske M.G. Models and treatment of panic: Behavioral therapy of panic. Journal of Cognitive Psychotherapy 5 (1991) 199-214
32. Craske M.G., and Barlow D.H. Mastery of your anxiety and panic (1989), Graywind Publications, Albany, NY
33. Craske M.G., Barlow D.H., and O'Leary T. Mastery of your anxiety and worry (1992), Graywind/Psychological Corporation, San Antonio, TX
34. Craske M.G., Farchione T.J., Allen L.B., Barrios V., Stoyanova M., and Rose R. Cognitive behavioral therapy for panic disorder and comorbidity: More of the same or less of more?. Behaviour Research and Therapy 45 (2007) 1095-1109
35. Dalgleish T., and Watts F.N. Biases of attention and memory in disorders of anxiety and depression. Clinical Psychology Review 10 (1990) 589-604
36. DiNardo P.A., Brown T.A., and Barlow D.H. Anxiety Disorders Interview Schedule for DSM-IV: Lifetime Version (ADIS-IV-L) (1994), Oxford University Press, New York
37. Erickson D.H., Janeck A.S., and Tallman K. A cognitive-behavioral group for patients with various anxiety disorders. Psychiatric Services 58 (2007) 1205-1211
38. Etkin A., and Wager T.D. Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry 164 (2007) 1476-1488
39. Fairburn C.G., Cooper Z., Doll H.A., O'Connor M.E., Bohn K., Hawker D.M., et al. Transdiagnostic cognitive-behavioral therapy for patients with eating disorders: A two-site trial with 60-week follow-up. American Journal of Psychiatry 166 (2009) 311-319
40. Fairburn C.G., Cooper Z., and Shafran R. Cognitive behaviour therapy for eating disorders: A"transdiagnostic" theory and treatment. Behaviour Research and Therapy 41 (2003) 509-528
41. Fairholme, C. P., Boisseau, C. L., Ellard, K. K., Ehrenreich, J. T., & Barlow, D. H. (2009). Emotions, emotion regulation, and psychological treatment: A unified perspective. In A. Kring & D. Sloan (Eds.), Emotion regulation and psychopathology: A transdiagnostic approach to etiology and treatment (pp. 283-309). New York: Guilford Press.
42. Foa E.B., Kozak M.J., Salkovskis P.M., Coles M.E., and Amir N. The validation of a new obsessive compulsive disorder scale: The Obsessive-Compulsive Inventory. Psychological Assessment 10 (1998) 206-214
43. Goldapple K., Segal Z., Garson C., Lau M., Bieling P., Kennedy S., and Mayberg H. Modulation of cortical-limbic pathways in major depression. Archives of General Psychiatry 61 (2004) 34-41
44. Goodman W.K., Price L.H., Rasmussen S.A., Mazure C., Delgado P., Heninger G.R., and Charney D.S. The Yale-Brown Obsessive Compulsive Scale. I. Development, use, and reliability. Archives of General Psychiatry 46 (1989) 1006-1011
45. Greenberg P.E., Sisitsky T., Kessler R.C., Finkelstein S.N., Berndt E.R., Davidson J.R.T., et al. The economic burden of anxiety disorders in the 1990s. Journal of Clinical Psychiatry 60 (1999) 427-435
46. Gross J.J. Antecedent- and response-focused emotion regulation: Divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology 74 (1998) 224-237
47. Hamilton M. The assessment of anxiety states by rating. British Journal of Medical Psychology 32 (1959) 50-55
48. Hamilton M. A rating scale for depression. Journal of Neurology, Neurosurgery & Psychiatry 23 (1960) 56-61
49. Harvey A.G., Watkins E.R., Mansell W., and Shafran R. Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment (2004), Oxford University Press, Oxford
50. Hoehn-Saric R., Schlund M.W., and Wong S.H.Y. Effects of citalopram on worry and brain activation in patients with generalized anxiety disorder. Psychiatry Research: Neuroimaging 131 (2004) 11-21
51. Houck P.R., Spiegel D.A., Shear K.M., and Rucci P. Reliability of the self-report version of the Panic Disorder, Severity Scale. Depression and Anxiety 15 (2002) 183-185
52. Kessler R.C., Berglund P., Demler O., Jin R., and Walters E.E. Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey replication. Archives of General Psychiatry 62 (2005) 593-602
53. Kessler R.C., Chiu W.T., Demler O., and Walters E. Prevalence, severity, and comorbidity of12-month DSM-IV disorders in the National Comorbidity Survey Replication. Archives of General Psychiatry 62 (2005) 617-627
54. Ladouceur R., Dugas M.J., Freeston M.H., Léger E., Gagnon F., and Thibodeau N. Efficacy of a cognitive-behavioral treatment for generalized anxiety disorder: Evaluation in a controlled clinical trial. Journal of Consulting and Clinical Psychology 68 (2000) 957-964
55. Liverant G.I., Brown T.A., Barlow D.H., and Roemer L. Emotion regulation in unipolar depression: The effects of acceptance and suppression of subjective emotional experience on the intensity and duration of sadness and negative affect. Behaviour Research and Therapy 46 (2008) 1201-1209
56. Lorberbaum J.P., Kose S., Johnson M.R., Arana G.W., Sullivan L.K., et al. Neural correlates of speech anticipatory anxiety in generalized social phobia. Neuroreport 15 (2004) 2701-2705
57. Mansell W., Harvey A., Watkins E., and Shafran R. Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy 23 (2009) 6-19
58. Marks I. Behavioural psychotherapy (1986), John Wright, Bristol, U.K.
59. Matthews A., and MacLeod C. Induced processing biases have causal effects on anxiety. Cognition & Emotion 16 (2002) 331-354
60. Mattick R.P., and Clarke J.C. Development and validation of measures of social phobia, scrutiny fear and social interaction anxiety. Behaviour Research and Therapy 36 (1998) 455-470
61. Mayberg H.S., Liotti M., Brannan S.K., McGinnis S., Mahurin R.K., Jerabek P.A., et al. Reciprocal limbic cortical function and negative mood: Converging PET findings in depression and normal sadness. American Journal of Psychiatry 156 (1999) 675-682
62. McClure E.B., Monk C.S., Nelson E.E., Parrish J.M., Adler A., et al. Abnormal attention modulation of fear circuit function in pediatric generalized anxiety disorder. Archives of General Psychiatry 64 (2007) 97-106
63. McEvoy P.M., and Nathan P. Effectiveness of cognitive behavior therapy for diagnostically heterogenous groups: A benchmarking study. Journal of Consulting and Clinical Psychology 75 (2007) 344-350
64. McLaughlin K.A., Borkovec T.D., and Sibrava N.J. The effects of worry and rumination on affect states and cognitive activity. Behavior Therapy 38 (2007) 23-38
65. Meyer T.J., Miller M.L., Metzger R.L., and Borkovec T.D. Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy 28 (1990) 487-495
66. Mennin D.S., Heimberg R.G., and Turk C.L. Preliminary evidence for an emotion dysregulation model of generalized anxiety disorder. Behaviour Research and Therapy 43 (2005) 1281-1310
67. Miller W.R., and Rollnick S. Motivational interviewing: Preparing people to change addictive behavior (1991), Guilford Press, New York
68. Miller W.R., and Rollnick S. Motivational interviewing: Preparing people for change. 2nd ed. (2002), Guilford Press, New York
69. Mobini S., and Grant A. Clinical implications of attentional bias in anxiety disorders: An integrative literature review. Psychotherapy: Theory, Research, Practice, Training 44 (2007) 450-462
70. Molina S., and Borkovec T.D. The Penn State Worry Questionnaire: Psychometric properties and associated characteristics. In: Davey C.L., and Tallis F. (Eds). Worrying: Perspectives on theory, assessment, and treatment (1994), Wiley, New York
71. Norton P.J., and Hope D.A. Preliminary evaluation of a broad-spectrum cognitive-behavioral group therapy for anxiety. Journal of Behavior Therapy and Experimental Pscychiatry 36 (2005) 79-97
72. Norton P.J., and Philipp L.M. Transdiagnostic approaches to the treatment of anxiety disorders: A quantitative review. Psychotherapy, Theory, Research, Practice, Training 45 (2008) 214-226
73. Norton P.J., and Price E.C. A meta-analytic review of adult cognitive-behavioral treatment outcomes across the anxiety disorders. Journal of Nervous and Mental Disease 195 6 (2007) 521-531
74. Paquette V., Lévesque J., Mensour B., Leroux J.M., Beaudoin G., Bourgouin P., and Beauregard M. Change the mind and you change the brain: Effects of cognitive-behavioral therapy on the neural correlates of spider phobia. Neuroimage 18 (2003) 401-409
75. Phan K.L., Fitzgerald D.A., Nathan P.J., and Tancer M.E. Association between amygdala hyperactivity to harsh faces and severity of social anxiety in generalized social phobia. Biological Psychiatry 59 (2006) 424-429
76. Roemer L., and Orsillo S.M. An open trial of an acceptance-based behavior therapy for generalized anxiety disorder. Behavior Therapy 38 (2007) 72-85
77. Roemer L., Salters K., Raffa S.D., and Orsillo S.M. Fear and avoidance of internal experiences in GAD: Preliminary tests of a conceptual model. Cognitive Therapy and Research 29 (2005) 71-88
78. Rounsaville B.J., Carroll K.M., and Onken L.S. A stage model of behavioral therapies research: Getting started and moving on from stage I. Clinical Psychology Science and Practice 8 (2001) 133-142
79. Segal Z.V., Williams J.M.G., and Teasdale J.D. Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse (2002), Guilford Press, New York
80. Shear M.K., Brown T.A., Sholomskas D.E., Barlow D.H., Gorman J.M., et al. Panic Disorder Severity Scale (PDSS) (1992), Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh
81. Shear M.K., Vander Bilt J., Rucci P., Endicott J., Lydiard B., Otto M.W., et al. Reliability and validity of a structured interview guide for the Hamilton Anxiety Rating Scale (SIGH-A). Depression and Anxiety 13 (2001) 166-178
82. Shin L.M., Wright C.I., Cannistrano P.A., Wedig M.M., McMullin K., Martis B., et al. A functional magnetic resonance imaging study of amygdala and medial prefrontal cortex responses to overtly presented fearful faces in posttraumatic stress disorder. Archives of General Psychiatry 62 (2005) 273-281
83. Siegle G.J., Thompson W., Carter C.S., Steinhauer S.R., and Thase M.E. Increased amygdala and decreased dorsolateral prefrontal BOLD responses in unipolar depression: Related and independent features. Biological Psychiatry 61 (2007) 198-209
84. Smits J.A., and Hoffman S.G. A meta-analytic review of the effects of psychotherapy control conditions for anxiety disorders. Psychological Medicine 39 (2008) 229-239
85. Steer R.A., Ranieri W.F., Beck A.T., and Clark D.A. Further evidence for the validity of the Beck Anxiety Inventory with psychiatric outpatients. Journal of Anxiety Disorders 7 (1993) 195-205
86. Steketee G., Frost R., and Bogart K. The Yale-Brown Obsessive Compulsive Scale: Interview versus self-report. Behaviour Research and Therapy 34 (1996) 675-684
87. Straube T., Glauer M., Dilger S., Mentzel H.J., and Miltner W.H. Effects of cognitive-behavioral therapy on brain activation in specific phobia. Neuroimage 29 (2006) 125-135
88. Tillfors M., Furmark T., Marteinsdottir I., and Fredrikson M. Cerebral blood flow during anticipation of public speaking in social phobia: A PET study. Biological Psychiatry 52 (2002) 1113-1119
89. Tolin D.F., Maltby N., Diefenbach G.J., Hannan S.E., and Worhunsky P. Cognitive-behavioral therapy for medication nonresponders with obsessive-compulsive disorders: A wait-list controlled open trial. Journal of Clinical Psychiatry 65 (2004) 922-931
90. Tull M.T. Extending an anxiety sensitivity model of uncued panic attack frequency and symptom severity: The role of emotion dysregulation. Cognitive Therapy Research 30 (2006) 177-184
91. Watkins E., Moberly N.J., and Moulds M.L. Processing mode causally influences emotional reactivity: Distinct effects of abstract versus concrete construal on emotional response. Emotion 8 (2008) 364-378
92. Watson D., Clark L.A., and Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology 54 (1988) 1063-1070
93. Williams J.B. A structured interview guide for the Hamilton Depression Rating Scale. Archives of General Psychiatry 45 (1988) 742-747
94. Williams L.M., Kemp A.H., Felmingham K., Barton M., Olivieri G., Peduto A., et al. Trauma modulates amygdala and medial prefrontal responses to consciously attended fear. Neuroimage 29 (2006) 347-357