Transdiagnostic group CBT for anxiety disorders: the unified protocol in mental health services
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Transdiagnostic group CBT for anxiety disorders : the unified protocol in mental health services. / Reinholt, Nina; Aharoni, Ruth; Winding, Clas; Rosenberg, Nicole; Rosenbaum, Bent; Arnfred, Sidse.
In: Cognitive Behaviour Therapy, Vol. 46, No. 1, 01.2017, p. 29-43.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Transdiagnostic group CBT for anxiety disorders
T2 - the unified protocol in mental health services
AU - Reinholt, Nina
AU - Aharoni, Ruth
AU - Winding, Clas
AU - Rosenberg, Nicole
AU - Rosenbaum, Bent
AU - Arnfred, Sidse
PY - 2017/1
Y1 - 2017/1
N2 - Comorbidity among the anxiety disorders is common and may negatively impact treatment outcome. Potentially, transdiagnostic cognitive-behavioral treatments (CBT) deal more effectively with comorbidity than standard CBT. The present study tested the effectiveness of The Unified Protocol (UP) applied to Mental Health Services. Pre-post-treatment effects were examined for psychiatric outpatients with anxiety disorders receiving UP treatment in groups. Forty-seven patients (mean-age = 34.1 (SD = 9.92), 77% females) with a principal diagnosis of anxiety were included. We found significant and clinically meaningful changes in the primary outcomes Clinical Global Impression Severity Scale (CGI-S; d = 1.36), Hamilton Anxiety Scale (HARS; d = .71), and WHO-5 Well-being Index (WHO-5; d = .54). Also, comorbid depressive symptoms and levels of positive and negative affect changed significantly after treatment. Patients with high levels of comorbidity profited as much as patients with less comorbidity; however, these patients had higher scores after treatment due to higher symptom burden at onset. Patients with comorbid depression profited more from treatment than patients without comorbid depression. The treatment effects found in the present study correspond to treatment effects of other TCBT studies, other UP group studies, and effectiveness studies on standard CBT for outpatients. The results indicate that the UP can be successfully applied to a MHS group setting, demonstrating positive effects on anxiety and depressive symptoms for even highly comorbid cases.
AB - Comorbidity among the anxiety disorders is common and may negatively impact treatment outcome. Potentially, transdiagnostic cognitive-behavioral treatments (CBT) deal more effectively with comorbidity than standard CBT. The present study tested the effectiveness of The Unified Protocol (UP) applied to Mental Health Services. Pre-post-treatment effects were examined for psychiatric outpatients with anxiety disorders receiving UP treatment in groups. Forty-seven patients (mean-age = 34.1 (SD = 9.92), 77% females) with a principal diagnosis of anxiety were included. We found significant and clinically meaningful changes in the primary outcomes Clinical Global Impression Severity Scale (CGI-S; d = 1.36), Hamilton Anxiety Scale (HARS; d = .71), and WHO-5 Well-being Index (WHO-5; d = .54). Also, comorbid depressive symptoms and levels of positive and negative affect changed significantly after treatment. Patients with high levels of comorbidity profited as much as patients with less comorbidity; however, these patients had higher scores after treatment due to higher symptom burden at onset. Patients with comorbid depression profited more from treatment than patients without comorbid depression. The treatment effects found in the present study correspond to treatment effects of other TCBT studies, other UP group studies, and effectiveness studies on standard CBT for outpatients. The results indicate that the UP can be successfully applied to a MHS group setting, demonstrating positive effects on anxiety and depressive symptoms for even highly comorbid cases.
KW - Adult
KW - Affect
KW - Anxiety Disorders/epidemiology
KW - Cognitive Therapy
KW - Comorbidity
KW - Denmark/epidemiology
KW - Depression/epidemiology
KW - Female
KW - Humans
KW - Male
KW - Psychotherapy, Group
KW - Single-Blind Method
KW - Treatment Outcome
KW - Young Adult
U2 - 10.1080/16506073.2016.1227360
DO - 10.1080/16506073.2016.1227360
M3 - Journal article
C2 - 27705086
VL - 46
SP - 29
EP - 43
JO - Cognitive Behaviour Therapy
JF - Cognitive Behaviour Therapy
SN - 1650-6073
IS - 1
ER -
ID: 193667595