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fbtwitterlinkedinvimeoflicker grey 14rssslideshare1
McManus, F.; Clark, G.; Muse, Kate; Shafran, R.
Publisher: Cambridge University Press
Languages: English
Types: Article
Subjects: BF
Background. Patients with anxiety disorder diagnoses commonly have more than one anxiety diagnosis. While cognitive-behavioral interventions have proven efficacy in treating single anxiety disorder diagnoses, there has been little investigation of their efficacy in treating cooccurring anxiety disorders.\ud \ud Aims. To evaluate the efficacy of a transdiagnostic cognitive-behavioral intervention for treating\ud co-occurring anxiety disorders.\ud \ud Methods. An A-B single case study design (N = 6) was used to evaluate the efficacy of a 12 to 13 session modular transdiagnostic cognitive-behavioral intervention for treating co-occurring anxiety disorders across patients with at least two of the following diagnoses: GAD, Social\ud Phobia, Panic Disorder and/or OCD.\ud \ud Results. Five of the six participants completed treatment. At post-treatment assessment the five treatment completers achieved diagnostic and symptomatic change with three participants being diagnosis free. All participants who completed treatment no longer met criteria for any\ud DSM-IV-TR Axis-I diagnosis at the three-month follow-up assessment, and demonstrated reliable and clinically-significant improvements in symptoms. Across the participants, statistically significant improvements from pre- to post-intervention were found on measures of anxiety,\ud depression and general well-being, and all improvements were maintained at three-month follow-up.\ud \ud Conclusions. Results suggest that transdiagnostic cognitive behavioral interventions can be of benefit to patients with co-occurring anxiety disorders.
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    • FIGURE 2 & 3 INSERTED ABOUT HERE American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
    • Arch, J. J., Ayers, C. R., Baker, A., Almklov, E., Dean, D. J., & Craske, M. G. (2013). Randomized clinical trial of adapted mindfulness-based stress reduction versus group cognitive behavioral therapy for heterogeneous anxiety disorders. Behaviour research and therapy, 51, 185-196.
    • Baker, T. B., McFall, R. M., & Shoham, V. (2009). Current status and future prospects of clinical psychology: Toward a scientifically principled approach to mental and behavioral health care. Psychological Science in the Public Interest, 9, 67-103.
    • Barlow, D. H., Allen, L. B., & Choate, M. L. (2004). Towards a unified treatment for emotional disorders. Behavior Therapy, 35, 205-230.
    • Barlow, D. H., & Hersen, M. (1984). Single case experimental designs: Strategies for studying behavior change (2nd ed.). Boston, MA: Allyn and Bacon.
    • Beck, A. T., Epstein, N., Brown, G., & Steer, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893-897.
    • Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. San Antonio, TX: Psychological Corporation.
    • Borckardt, J. J., Nash, M. R., Murphy, M. D., Moore, M., Shaw, D., & O'Neil, P. (2008). Clinical practice as natural laboratory for psychotherapy research: a guide to case-based time-series analysis. American psychologist, 63, 77.
    • 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.
    • Bruce, S. E., Yonkers, K. A., Otto, M. W., Eisen, J. L., Weisberg, R. B., Pagano, M., Shea, T., & Keller, M. B. (2005). Influence of psychiatric comorbidity on recovery and recurrence in Generalized Anxiety Disorder, Social Phobia, and Panic Disorder: A 12-Year prospective study. American Journal of Psychiatry, 162, 1179-1187.
    • Clark, D. M., Hackmann, A., McManus, F., Fennell, M., Gray, N., Waddington, L., & Wild, J. (2006). Cognitive therapy versus exposure and applied relaxation in social phobia: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 74, 568- 578.
    • Clark, D. M. (2004). Developing new treatments: On the interplay between theories, experimental science and clinical innovation. Behaviour Research and Therapy, 42, 1089-1104.
    • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316- 336.
    • Cox, B. J., Cohen, E., Direnfeld, D. M., & Swinson, R. P. (1996). Does the Beck Anxiety Inventory measure anything beyond panic attack symptoms? Behaviour Research and Therapy, 34, 949-954.
    • Craske, M. G. (2012). Transdiagnostic treatment for anxiety and depression. Depression and Anxiety, 9. 749-753.
    • Craske, M., Farchione, T. J., Allen, L. B., Barrios, V., Stoyanova, M., & Rose, R. (2007) Cognitive behavioral therapy for panic disorder and comorbidity: More of the same or less of more? Behavior Research and Therapy 45, 1095-1109.
    • Ehlers, A., Clark, D. M., Hackmann, A., McManus, F., Fennell, M., Herbert, C., & Mayou, R. (2003). A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessment as early interventions for PTSD. Archives of General Psychiatry, 60, 1024-1032.
    • Evans, C., Margison, F. & Barkham, M. (1998). The contribution of reliable and clinically significant change methods to evidence-based mental health. Evidence Based Mental Health 1, 70-72.
    • Evans, C., Mellor-Clark, J., Margison, F., Barkham, M., Audin, K., Connel, J., & Mcgrath, G. (2000). CORE: Clinical Outcomes in Routine Evaluation, Journal of Mental Health, 9, 247-255.
    • Fairburn, C. G., Cooper, Z., & Shafran, R. (2003). Cognitive behaviour therapy for eating disorders: a "transdiagnostic" theory and treatment. Behaviour Research and Therapy, 41, 509-528.
    • Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L. Thompson-Hollands, J., Carl, J. R. Gallagher, M.W., & Barlow, D. H. (2012). Unified protocol for transdiagnostic treatment of emotional disorders: A randomized controlled trial. Behavior Therapy, 43, 666 - 678.
    • First, M. B., Spitzer, R.L., Gibbon, M., Benjamin, A. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I)- Clinician Version. Washington, DC; American Psychiatric Publishing.
    • Foa, E. B., Huppert, J. D., Leiberg, S., Langner, R., Kichic, R., & Hajcak, G. (2002). The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment, 14, 485-496.
    • Harvey, A., Watkins, E., Mansell, W., & Shafran, R. (2004). Cognitive behavioural processes across psychological disorders: A transdiagnostic approach to research and treatment. Oxford: Oxford University Press.
    • Hofmann, S. G., & Smits, J. A. J. (2008). Cognitive-behavioural therapy for adult anxiety disorders: A metaanalysis of randomized placebo controlled trials. Journal of Clinical Psychiatry, 69, 621-632.
    • Houck, P. R., Spiegel, D. A., Shear, M. K., Rucci, P. (2002). Reliability of the self-report version of the PDSS-SR. Depression and Anxiety, 15,183-185.
    • Jacobson, N. S., & Traux, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research. Behavior Therapy, 17, 305-308.
    • Johnston, L., Titov, N., Andrews, G., Dear, B. F., & Spence, J. (2013). Comorbidity and internetdelivered transdiagnostic cognitive behavioural therapy for anxiety disorders. Cognitive behaviour therapy, 42, 180-192.
    • Kessler, R. C., Chiu, W. T., Delmer, 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, 617-27.
    • Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID I) and Axis II Disorders (SCID II). Clinical Psychology and Psychotherapy, 18, 75-79.
    • 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, 344-350.
    • McManus, F., & Shafran, R. (2014).Transdiagnostic Approaches for Anxiety Disorders. Chapter 7 in A. Whittington & N. Grey (Eds.) How to Become a More Effective CBT Therapist Mastering Metacompetence in Clinical Practice. Wiley Blackwell.
    • Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28, 487- 495.
    • NICE. (2013). Social anxiety disorder: recognition, assessment and treatment of social anxiety disorder (Clinical Guideline 159). London, United Kingdom: National Institute for Clinical Excellence. Retrieved from www.nice.org.uk
    • Norton, P. J., Barrera, R. L., Mathew, A. R., Chamberlain, L. D., Szafranski, D. D., Reddy, R., & Smith, A. H. (2013). Effect of transdiagnostic CBT for anxiety disorders on comorbid diagnosis. Depression and Anxiety, 30, 168-173.
    • Parsonson, B. S., & Baer, D. M. (1992). The visual analysis of data, and current research into the stimuli controlling it. In T. R. Kratochwill & J. R. Levin (Eds.), Single-case research design and analysis: New directions for psychology and education. (pp. 15- 40). Hillsdale, NJ: Lawrence Erlbaum Associates.
    • Shafran, R., Clark, D. M., Fairburn, C. G., Arntz, A., Barlow, D. H., Ehlers, A., Freestone, M., Garety, P.A., Hollon, S.D., Ost, L.G., Salkovskis, P.M., Williams, J.M.G., & Wilson, G. T. (2009). Mind the gap: Improving the dissemination of CBT. Behaviour Research and Therapy, 47, 902-909.
    • Shafran, R., McManus, F., Cooper, Z., & Clark, G. (2008). A transdiagnostic approach to the understanding and treatment of anxiety disorders: Treatment protocol. Unpublished manuscript.
    • Stobie, B., Taylor, T., Quigley, A., Ewing, S., & Salkovskis, P.M. (2007). “Content May Vary,”: A Study of Treatment Histories of OCD Patients, Behavioural and Cognitive Psychotherapy, 35, 273-282.
    • Turner, S. M., Beidel, D. C., Dancu, C. V., & Stanley, M. A. (1989). An empirically derived inventory to measure social fears and anxiety: The Social Phobia and Anxiety Inventory. Psychological Assessment, 1, 35-40.
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