Dataset Information

Acceptability of a transdiagnostic behavior therapy in veterans with affective disorders.

ABSTRACT: Transdiagnostic behavior therapy (TBT) has been found to lead to significant reductions in affective disorder symptoms. However, patient satisfaction and treatment fit for TBT have not been examined. Within a sample of veterans, the current study examined the acceptability of TBT in comparison to brief behavioral activation (BA) for depression. Results found individuals in the TBT condition (compared to BA) were more satisfied with therapy, F(1, 48) = 6.68, p = .013. In addition, they were more likely to say that they would recommend this treatment to a friend, F(1, 48) = 3.76, p = .058, and that the TBT treatment helped them more effectively deal with problems, F(1, 48) = 3.29, p = .076, although these effects were significant at trend level. Individuals in the TBT condition (compared to BA) completed significantly more homework, F(1, 65) = 4.95, p = .030, and were more engaged in their homework, F(1, 65) = 3.98, p = .050. These findings are the first of their kind and suggest high patient satisfaction and homework completion/participation in participants completing TBT. These results are promising and suggest the continued dissemination and implementation of transdiagnostic treatments. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

SUBMITTER: Shapiro MO

PROVIDER: S-EPMC10037346 | biostudies-literature | 2021 Nov

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Acceptability of a transdiagnostic behavior therapy in veterans with affective disorders.

Shapiro Mary O MO Gros Daniel F DF

Psychological services 20200716 4

Transdiagnostic behavior therapy (TBT) has been found to lead to significant reductions in affective disorder symptoms. However, patient satisfaction and treatment fit for TBT have not been examined. Within a sample of veterans, the current study examined the acceptability of TBT in comparison to brief behavioral activation (BA) for depression. Results found individuals in the TBT condition (compared to BA) were more satisfied with therapy, <i>F</i>(1, 48) = 6.68, <i>p</i> = .013. In addition, t ...[more]

PMID: 32673037

Similar Datasets

Project description:BackgroundResearch increasingly supports a transdiagnostic conceptualization of emotional disorders (ie applying the same underlying treatment principles across mental disorders, without tailoring the protocol to specific diagnoses), and many international researchers are currently investigating this issue.ObjectiveThe aim of this study was to evaluate the efficacy and acceptability of a Web-based transdiagnostic program using a sample of Romanian adults diagnosed with anxiety and/or depression.MethodsVolunteer participants registered for the study and completed a series of online self-report measures. Participants who fulfilled basic inclusion criteria on these measures were contacted for a telephone diagnostic interview using the Structural Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, 4th Edition Axis I Disorders (SCID-I). Enrolled participants were randomized to either the active treatment group (N=69) or the wait-list control group (N=36) using a 2:1 ratio. The transdiagnostic treatment was based on the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP; Barlow et al, 2011) that addresses common underlying mechanisms of anxiety and depression. Participants randomized to the active treatment condition received 10 weeks of Web-based treatment based on the UP. Throughout treatment, graduate students in clinical psychology provided guidance that consisted of asynchronous written communication on a secure Web platform. After the intervention, participants in both study conditions were invited to complete a set of self-report measures and a postintervention SCID-I interview conducted by a different team of graduate students blinded to participants' group and diagnostic status. Six months later, participants in the active treatment group were invited to complete an online follow-up assessment.ResultsDuring the intervention, active treatment participants completed on average 19 homework assignments (SD 12.10), and we collected data from 79.0% (83/105) at postintervention and 51% (35/69) at follow-up for self-report measures. Postintervention SCID-I interviews were collected from 77.1% (81/105) participants. Relative to the wait-list control group, the transdiagnostic intervention yielded overall medium to large effect sizes for the primary outcome measures (within-group Hedges g=0.52-1.34 and between-group g=0.39-0.86), and also for anxiety sensitivity (g=0.80), symptom interference (g=0.48), and quality of life (g=0.38). Significant within-groups effects only were reported for the active treatment group on Panic Disorder Severity Scale-Self Report (PDSS-SR, g=0.58-0.65) and Yale-Brown Obsessive Compulsive Scale (Y-BOCS, g=0.52-0.58).ConclusionsInsignificant between-group differences for the Y-BOCS and PDSS-SR could be explained by the small number of participants with the associated primary diagnostic (eg, only 3 participants with obsessive compulsive disorder) by the choice of outcome measure (PDSS-SR was not rated among the evidence-based measures) and by the fact that these disorders may be more difficult to treat. However, the overall results suggest that the transdiagnostic intervention tested in this study represents an effective treatment option that may prove easier to disseminate through the use of Web-based delivery systems.Trial registrationClinicalTrials.gov CT02739607; https://clinicaltrials.gov/ct2/show/study/NCT02739607 (Archived by WebCite at http://www.webcitation.org/6yY1VeYIZ).

Dataset Information

Acceptability of a transdiagnostic behavior therapy in veterans with affective disorders.

Publications

Acceptability of a transdiagnostic behavior therapy in veterans with affective disorders.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets