Efficacy of transdiagnostic cognitive-behavioral therapy for anxiety and depression in adults, children and adolescents: A meta-analysis

Forfatter(e)

Garcia-Escalera, J. Chorot, P. Valiente, R. M. Reales, J. M. Sandin, B.

År

2016

DOI

10.5944/rppc.vol.21.num.3.2016.17811

Sider

147-175

Kategori(er)

Depresjon og nedstemthet (inkl. både vansker og lidelse) Angst og engstelighet (inkl. både vansker og lidelse) Tvangsforstyrrelser (OCD) Traumatiske belastninger/stress (PTSD)

Tiltakstype(r)

Kognitiv atferdsterapi, atferdsterapi og kognitiv terapi

Abstract

This meta-analysis examined the effect of transdiagnostic cognitive-behavioral therapy (T-CBT) in adults, children, and adolescents with emotional disorders, exploring the effects of possible moderator variables on efficacy.

In contrast with previous reviews, only studies employing transdiagnostic theory-based protocols were included.

A total of 48 studies reporting on 6291 participants were identified. Treatment efficacy was examined using a random effects model and taking into account pre- and post-treatment data.

Results within the adult population showed large overall effect sizes on anxiety (randomized controlled trials [RCTs]: g = 0.80; Uncontrolled studies: g = 1.02) and depression (RCTs: g = 0.72; Uncontrolled studies: g = 1.08) that were stable at follow up.

Preliminary analysis with children and adolescents showed medium effect sizes on anxiety (g = 0.45) and depression (g = 0.50).

No significant differences between T-CBT and disorder-specific CBT were found. Overall, results support the efficacy of T-CBT for emotional disorders.