What does a 'transdiagnostic approach have to offer the treatment of anxiety disorders?

British Journal of Clinical Psychology

Volumn 49, Issue 4, 2010, Pages 491-505

  McManus, Freda ^a   Shafran, Roz ^b   Cooper, Zafra ^a  

^a UNIVERSITY OF OXFORD   (United Kingdom)

^b UNIVERSITY OF READING   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ANXIETY DISORDER; CLASSIFICATION; COGNITIVE THERAPY; COMORBIDITY; EVIDENCE BASED MEDICINE; HUMAN; METHODOLOGY; OUTCOME ASSESSMENT; PSYCHOLOGICAL ASPECT; REVIEW;

ANXIETY DISORDERS; COGNITIVE THERAPY; COMORBIDITY; EVIDENCE-BASED MEDICINE; HUMANS; OUTCOME ASSESSMENT (HEALTH CARE);

EID: 78049387084     PISSN: 01446657     EISSN: None     Source Type: Journal    
DOI: 10.1348/014466509X476567     Document Type: Article

References (82)

1. Addis, M. E., Hatgis, C, Cardemil, E., Jacob, K., Krasnow, A. D., & Mansfield, A. (2006). Effectiveness of cognitive-behavioral treatment for panic disorder versus treatment as usual in a managed care setting: 2-year follow-up. Journal of Consulting and Clinical Psychology, 74, 377-385.
2. Addis, M. E., Hatgis, C., Krasnow, A. D., Jacob, K., Bourne, L., & Mansfield, A. (2004). Effectiveness of cognitive behavioral treatment for panic disorder versus treatment as usual in a managed care setting. Journal of Consulting and Clinical Psychology, 72, 625-635.
3. Allen, L. B., Ehrenreich, J. T., & Barlow, D. H. (2005). A unified treatment for emotional disorders: Applications with adults and adolescents. Japanese Journal of Behavior Therapy, 31, 3-31.
4. American Psychiatric Association [APA] (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
5. Arntz, A., Rauner, M., & Van den Hout, M. (1995). 'If I feel anxious, then it must be dangerous' ex-consequentia reasoning in inferring danger in anxiety disorders. Behavior Research and Therapy, 33, 917-925.
6. Bandelow, B., Zohar, J., Hollander, E., Kasper, S., & Moller, H. J. (2002). World federation of societies of biological psychiatry guidelines for the pharmacological treatment of anxiety, obsessive-compulsive and posttraumatic stress disorders. World Journal of Biological Psychiatry, 3, 171-199.
7. Bar-Hiam, Y., Lamy, D., Pergamin, L., Bakermans-Kranenburg, M. J., & Van Ijzendoorn, M. H. (2007). Threat-related attentional bias in anxious and non-anxious individuals: A meta-analytic study. Psychological Bulletin, 133, 1-24.
8. Barlow, D. H. (1986). Behavioral conception and treatment of panic. Psychopharmacologic Bulletin, 22, 802-806.
9. Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Towards a uniied treatment for emotional disorders. Behavior Therapy, 35, 205-230.
10. Barlow, D. H., & Craske, M. G. (2000). Mastery of your anxiety and panic II. Albany, NY: Graywind Publications.
11. Barlow, D. H., Gorman, J. M., Shear, M. K., & Woods, S. W. (2000). Cognitive-behavioral therapy, imipramine, or their combination for panic disorder: A randomized controlled trial. Journal of the American Medical Association, 283, 2529-2536.
12. Beck, A. T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.
13. Borkovec, T. D., Abel, J. L., & Newman, H. (1995). Effects of psychotherapy on comorbid conditions in generalized anxiety disorder. Journal of Consulting and Clinical Psychology, 63, 479-483.
14. Brown, T. A., Antony, M. M., & Barlow, D. H. (1995). Diagnostic comorbidity in panic disordereffect on treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology, 63, 408-418.
15. Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110, 585-599.
16. Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). 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, 179-192.
17. Butler, A. C, Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analyses. Clinical Psychology Review, 26, 17-31.
18. Clark, D. M. (1986). A cognitive approach to panic. Behavior Research Therapy, 24, 461-470.
19. Clark, D. M., Ehlers, A., Hackmann, A., McManus, F., Fennell, M., Grey, N., et al. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 568-578.
20. Clark, D. M., Salkovskis, P. M., Hackmann, A., Middleton, H., Anastasiades, P., & Gelder, M. (1994). A comparison of cognitive therapy, applied relaxation and imipramine in treatment of panic disorder. British Journal of Psychiatry, 164, 759-769.
21. Corominas, A., Guerrero, T., & Vallejo, J. (2002). Residual symptoms and comorbidity in panic disorder. European Psychiatry, 17, 399-406.
22. Craske, M. G. (1999). Anxiety disorders: Psychological approaches to theory and treatment. Boulder, CO: Westview Press.
23. Craske, M. G. (2004). Cognitive behavioral treatment of anxiety disorders. Unpublished manual for therapists.
24. Craske, M. G., Farchione, T. J., Allen, L. B., Barrios, V, Stoyanova, M., & Rose, R. (2006). Cognitive behavioral therapy for panic disorder and comorbidity: More of the same or less of more? Behavior Research and Therapy, 45, 1095-1109.
25. Ehlers, A., & Breuer, P. (1996). How good are patients with panic disorder at perceiving their heartbeats? Biological Psychology, 42, 165-182.
26. Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behavior Research and Therapy, 38, 319-345. (Pubitemid 30089697)
27. Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., & Fennell, M. (2005). Cognitive therapy for post-traumatic stress disorder: Development and evaluation. Behavior Research and Therapy, 43, 3-31.
28. Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., Fennell, M., Herbert, C., et al. (2003). A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Archives of General Psychiatry, 60, 1024-1032.
29. Ehrenreich, J. T., Goldstein, C. M., Wright, L. R., & Barlow, D. H. (2009). Development of a unified protocol for the treatment of emotional disorders in youth. Child and Family Behavior Therapy, 31, 20-37.
30. Ellard, K. K., Fairholme, C. P, Boisseau, C. L., Farchione, T., & Barlow, D. H. (2010). Unified protocol for the transdiagnostic treatment of emotional disorders: Protocol development and initial outcome data. Cognitive and Behavioral Practice, 17(1), 88-101. doi:10.1016/j.cbpra.2009.06.002
31. Erickson, D. H. (2003). Group cognitive-behavioral therapy for heterogeneous anxiety disorders. Cognitive Behavior Therapy, 32, 179-186.
32. Erwin, B. A., Heimberg, R. G., Juster, H., & Mindlin, M. (2002). Comorbid anxiety and mood disorders among persons with social anxiety disorder. Behavior Research and Therapy, 40, 19-35.
33. Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: A meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. American Journal of Psychiatry, 164, 1476-1488.
34. Eysenck, H. J., & Rachman, S. (1965). The causes and cures of neuroses. London: Routledge.
35. Fairburn, C. G., Cooper, Z., Doll, H. A., O'Connor, M. E., Bohn, K., Hawker, D. M., et al. (2009). Transdiagnostic cognitive behaviour therapy for patients with eating disorders: A two site trial with 60 week follow-up. American Journal of Psychiatry, 166, 266-267.
36. Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behavior therapy for eating disorders: A 'transdiagnostic' theory and treatment. Behavior Research and Therapy, 41, 509-528.
37. First, M. B. (2005). Mutuallyexclusive versus co-occurring diagnostic categories: The challenge of diagnostic comorbidity. Psychopathology, 38, 206-210.
38. Garcia, M. S. (2004). Effectiveness of cognitive-behavioral group therapy in patients with anxiety disorders. Psychology in Spain, 8, 89-97.
39. Goisman, R. M, Goldenberg, I., Vasile, R. G., & Keller, M. B. (1995). Comorbidity of anxiety disorders in a multicentre anxiety study. Comprehensive Psychiatry, 36, 303-311.
40. Goisman, R. M., Warsaw, M. G., & Keller, M. B. (1999). Psychosocial treatment prescriptions for generalized anxiety disorder, panic disorder and social phobia, 1991-1996. American Journal of Psychiatry, 156, 1819-1821.
41. Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive-behavioral processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford: Oxford University Press.
42. Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (2004). Acceptance and commitment therapy: An experimental approach to behavior change. New York: Guilford Press.
43. Heimberg, R. G., Liebowitz, M. R., Hope, D. A., Schneier, F. R., Holt, C. S., Welkowitz, L. A., et al. (1998). Cognitive behavioral group therapy vs phenelzine therapy for social phobia: 12 week outcome. Archives of General Psychiatry, 55, 1133-1141.
44. Hettema, J. M., Prescott, C. A., Myers, J. M., Neale, M. C., & Kendler, K. S. (2005). The structure of genetic and environmental risk factors for anxiety disorders in men and women. Archives of General Psychiatry, 62, 182-189.
45. Hirsch, C., & Mathews, A. (2000). Impaired positive inferential bias in social phobia. Journal of Abnormal Psychology, 109, 705-712.
46. Huppert, J. D., Moser, J. S., Gershuny, B. S., Riggs, D. S., Spokas, M., Filip, J., et al (2005). The relationship between obsessive-compulsive and posttraumatic stress symptoms in clinical and non-clinical samples. Journal of Anxiety Disorders, 19, 127-136.
47. Keller, M. B. (2002). The long-term clinical course of generalized anxiety disorder. Journal of Clinical Psychiatry, 63(Suppl. 8), 11-16.
48. Kessler, R. C., Berglund, P., Demler, O., Jin, R., Merikangas, K. R., & Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593-602. (Pubitemid 40973434)
49. Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-Month DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 617-627. (Pubitemid 40973437)
50. Labrecque, J., Dugas, M. J., Marchand, A., & Letarte, A. (2006). Cognitive-behavioral therapy for comorbid generalized anxiety disorder and panic disorder with agoraphobia. Behavior Modification, 30, 383-410.
51. Labrecque, J., Marchand, A., Dugas, M. J., & Letarte, A. (2007). Eficacy of cognitive-behavioral therapy for comorbid panic disorder with agoraphobia and generalized anxiety disorder. Behavior Modification, 31(5), 616-637.
52. Mansell, W., Harvey, A., Watkins, E., & Shafran, R. (2009). Conceptual foundations of the transdiagnostic approach to CBT. Journal of Cognitive Psychotherapy: An International Quarterly, 231, 13-27.
53. Mathews, A., Richards, A., & Eysenck, M. (1989). Interpretation of homophones related to threat in anxiety states. Journal of Abnormal Psychology, 98, 31-34.
54. McEvoy, P. M., & Nathan, P. (2007). Effectiveness of cognitive behavior therapy for diagnostically heterogeneous groups: A benchmarking study. Journal of Consulting and Clinical Psychology, 75(2), 344-350.
55. McEvoy, P. M., Nathan, P., & Norton, P.J. (2009). Efficacy of transdiagnostic treatments: A review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy: An International Quarterly, 23, 20-33.
56. McLaughlin, T., Geissler, E. C., & Wan, G. J. (2003). Comorbidities and associated treatment charges in patients with anxiety disorders. Pharmacotherapy, 23, 1251-1256.
57. Moses, E. B., & Barlow, D. H. (2006). A new uniied treatment approach for emotional disorder based on emotion science. Current Directions in Psychological Science, 15, 146-150.
58. Nathan, P. E., & Gorman, J. M. (2002). A guide to treatments that work (2nd ed.). New York: Oxford University Press.
59. National Institute for Clinical Excellence [NICE] (2004). Anxiety: Management of anxiety (panic disorder, with or without agoraphobia and generalized anxiety disorder) in adults in primary, secondary and community care. Clinical Guideline No. 22. London: Author. Retrieved from www.nice.org.uk
60. National Institute for Clinical Excellence [NICE] (2005a). Obsessive-compulsive disorder: Core interventions in the treatment of obsessive-compulsive disorder and body dysmorphic disorder. Clinical Guideline No. 31. London: Author. Retrieved from www.nice.org.uk
61. National Institute for Clinical Excellence [NICE] (2005b). Post-traumatic stress disorder: The management of PTSD in adults and children in primary and secondary care. Clinical Guideline No. 26. London: Author. Retrieved from www.nice.org.uk
62. Norton, P. J. (2006). Towards a clinically oriented model of anxiety disorders. Cognitive Behavior Therapy, 35, 88-105.
63. Norton, P J. (2008). An open trial of a transdiagnostic cognitive-behavioral group therapy for anxiety disorder. Behavior Therapy, 39(3), 242-250.
64. Norton, P. J., & Hope, D. A. (2005). Preliminary evaluation of a broad-spectrum cognitive- behavioral group therapy for anxiety. Journal of Behavior Therapy and Experimental Psychiatry, 36, 79-97.
65. Norton, P. J., & Philipp, L. M. (2008). Transdiagnostic approaches to the treatment of anxiety disorders: A quantitative review. Psychotherapy: Theory, Research, Practice and Training, 45, 214-226.
66. Ost, L. G. (2008). Efficacy of the third wave of behavioral therapies: A systematic review and meta-analyses. Behavior Research and Therapy, 46, 296-321.
67. Rachman, S. (1991). A psychological approach to the study of comorbidity. Clinical Psychology Review, 11, 461-464.
68. Rachman, S. (2002). A cognitive theory of compulsive checking. Behavior Research Therapy, 40, 625-639.
69. Randall, C. L., Thomas, S., & Thevos, A. K. (2001). Concurrent alcoholism and social anxiety disorder: A first step toward developing effective treatments. Alcoholism, Clinical and Experimental Research, 25, 210-220.
70. Rice, D. P., & Miller, L. S. (1998). Health economics and cost implications of anxiety and other mental disorders in the United States. British Journal of Psychiatry, 173, 4-9.
71. Rodriguez, B. F., Weisberg, R. B., Pagano, M. E., Machan, J. T., Culpepper, L., & Keller, M. B. (2004). Frequency and patterns of psychiatric comorbidity in a sample of primary care patients with anxiety disorders. Comprehensive Psychiatry, 45, 129-137.
72. Roth, A., & Fonagy, P. (2005). What works for whom? (2nd ed.). London: Guilford Press.
73. Saarni, S. I., Suvisaari, J., Sintonen, H., Pirkola, S., Koskinen, S., Aromaa, A., etal. (2007). Impact of psychiatric disorders on health-related quality of life: General population survey. British Journal of Psychiatry, 190, 326-332.
74. Salkovskis, P. (Ed.), (1996). Frontiers of cognitive psychology (chap. 3, pp. 48-96). New York:Guilford Press.
75. Schnurr, P. P., Friedman, M. J., Engel, C. C., Foa, E. B., Shea, M. T., Chow, B. K., et al. (2007). Cognitive behavioral therapy for posttraumatic stress disorder in women: A randomized controlled trial. Journal of the American Medical Association, 297, 820-830.
76. Schut, A. J., Castonguay, L. G., & Borkovec, T. D. (2001). Compulsive checking behaviors in generalized anxiety disorder. Journal of Clinical Psychology, 57, 705-715.
77. Segal, Z. V, Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Publications.
78. Shafran, R., McManus, F., & Lee, M. (2008). A case of anxiety disorder not otherwise specified: A transdiagnostic approach. International Journal of Cognitive Therapy, 1, 256-265.
79. Torres, A. R., Dedomenico, A. M., Crepaldi, A. L., & Miguel, E. C. (2004). Obsessive-compulsive symptoms in patients with panic disorder. Comprehensive Psychiatry, 45, 219-224.
80. Tsao, J. C. I., Mystkowski, J. L., Zucker, B. G., & Craske, M. G. (2002). Effects of cognitive behavioral therapy for panic disorder on comorbid conditions: Replication and extension. Behavior Therapy, 33, 493-509.
81. Tsao, J. C. I., Mystkowski, J. L., Zucker, B. G., & Craske, M. G. (2005). Impact of cognitive-behavioral therapy for panic disorder on comorbidity: A controlled investigation. Behavior Research and Therapy, 43, 959-970.
82. Uren, T. H., Szabo, M., & Lovibond, P. F. (2004). Probability and cost estimates for social and physical outcomes in social phobia and panic disorder. Journal of Anxiety Disorders, 18, 481-498.