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Effectiveness of Transdiagnostic Cognitive Behaviour Therapy for Anxiety and Depression in Adults: A Systematic Review and Meta-analysis

Published online by Cambridge University Press:  15 June 2016

Philip Andersen Open the ORCID record for Philip Andersen [Opens in a new window] ,
Paul Toner ,
Martin Bland  and
Dean McMillan
Philip Andersen
Affiliation:
University of York, UK
Paul Toner
Affiliation:
University of York, UK
Martin Bland
Affiliation:
University of York, UK
Dean McMillan*
Affiliation:
University of York, and Hull York Medical School, UK
*
Correspondence to Dean McMillan, Hull York Medical School and Department of Health Sciences, Room ARC/205, University of York, York YO10 5DD, UK. E-mail: dean.mcmillan@york.ac.uk
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Abstract

Background: Transdiagnostic Cognitive Behaviour Therapy (CBT) seeks to identify core cognitive-behavioural processes hypothesized to be important across a range of disorders and to develop a treatment that targets these. This contrasts with standard CBT approaches that are disorder-specific. Proponents of transdiagnostic CBT suggest that it may offer advantages over disorder-specific CBT, but little is known about the effectiveness of this approach. Aims: The review aimed to summarize trial-based clinical and cost-effectiveness data on transdiagnostic CBT for anxiety and depression. Method: A systematic review of electronic databases, including peer-reviewed and grey literature sources, was conducted (n = 1167 unique citations). Results: Eight trials were eligible for inclusion in the review. There was evidence of an effect for transdiagnostic CBT when compared to a control condition. There were no differences between transdiagnostic CBT and active treatments in two studies. We found no evidence of cost-effectiveness data. Conclusions: Quality assessment of the primary studies indicated a number of methodological concerns that may serve to inflate the observed effects of transdiagnostic approaches. Although there are positive signs of the value of transdiagnostic CBT, there is as yet insufficient evidence to recommend its use in place of disorder-specific CBT.

Keywords

Transdiagnosticcognitive behaviour therapysystematic reviewmeta-analysismethodological qualityevidence-base
Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 44 , Issue 6 , November 2016 , pp. 673 - 690
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

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