Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-05-19T06:31:57.688Z Has data issue: false hasContentIssue false

A transdiagnostic cognitive behaviour therapy-based intervention in a secondary-care mental health service

Published online by Cambridge University Press:  11 March 2016

Emily Garner*
Affiliation:
Department of Psychology, University of Bath, Claverton Down, Bath, UK
Chris Gillmore
Affiliation:
Avon and Wiltshire Mental Health Partnership NHS Trust, Bath NHS House, Bath, UK
Claire Lomax
Affiliation:
Department of Psychology, Newcastle University, Newcastle upon Tyne, UK
*
*Author for correspondence: Dr E. Garner, Department of Psychology, University of Bath, Claverton Down, Bath BA2 7AY, UK (email: emilygarner@nhs.net).

Abstract

Due to the growing evidence base supporting the hypothesis of common processes across different mental health problems, transdiagnostic interventions are receiving increased research attention. Transdiagnostic approaches have the potential to produce better outcomes, to reduce waiting times and to increase cost-effectiveness in stretched mental health services. Research into transdiagnostic cognitive behaviour therapy (CBT) in group format has demonstrated positive results in participants with anxiety disorders, with some studies extending the inclusion criteria to secondary and comorbid symptoms. This study evaluates a transdiagnostic CBT-based intervention, delivered by a secondary-care mental health team and includes participants with a range of diagnoses typical of this population. The real-world setting and lack of exclusion criteria based upon diagnosis provides an ecologically valid evaluation of a transdiagnostic CBT-based intervention. The results suggest that the intervention was associated with reductions in self-reported symptomatology and improvements in social functioning of individuals who attended in a secondary-care mental health service.

Type
Practice article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Recommended follow-up reading

Newby, JM, McKinnon, A, Kuyken, W, Gilbody, S, Dalgleish, T (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review 40, 91110.Google Scholar
Norton, PJ, Paulus, DJ (in press). Toward a unified treatment for emotional disorders: update on the science and practice. Behavior Therapy.Google Scholar

References

Barkham, M, Bewick, B, Mullin, T, Gilbody, S, Connell, J, Cahill, J, Mellor-Clark, J, Richards, D, Unsworth, G, Evans, C (2013). The CORE-10: a short measure of psychological distress for routine use in the psychological therapies. Counselling and Psychotherapy Research 13, 313.Google Scholar
Barlow, DH, Allen, LB, Choate, ML (2004). Toward a unified treatment for emotional disorders. Behavior Therapy 35, 205230.Google Scholar
Carey, TA, Tai, SJ, Stiles, WB (2013). Effective and efficient: using patient-led appointment scheduling in routine mental health practice in remote Australia. Professional Psychology: Research and Practice 44, 405.CrossRefGoogle Scholar
Clark, DA (2009). Cognitive behavioral therapy for anxiety and depression: possibilities and limitations of a transdiagnostic perspective. Cognitive Behaviour Therapy 38 (Suppl. 1), 2934.CrossRefGoogle ScholarPubMed
Connell, J, Barkham, M (2007). CORE-10 User Manual, version 1.1. CORE System Trust, CORE Information Management Systems.Google Scholar
Larsen-Barr, MT, Glynn Owens, R (2013). Transdiagnostic support and education can reduce anxiety in people diagnosed with schizophrenia spectrum disorders. Psychosis 5, 197199.Google Scholar
Mansell, W, Harvey, A, Watkins, ER, Shafran, R (2008). Cognitive behavioral processes across psychological disorder: a review of the utility and validity of the transdiagnostic approach. International Journal of Cognitive Therapy 1, 181191.Google Scholar
Mundt, JC, Marks, IM, Shear, MK, Greist, JM (2002). The Work and Social Adjustment Scale: a simple measure of impairment in functioning. British Journal of Psychiatry 180, 461464.Google Scholar
Newby, JM, McKinnon, A, Kuyken, W, Gilbody, S, Dalgleish, T (2015). Systematic review and meta-analysis of transdiagnostic psychological treatments for anxiety and depressive disorders in adulthood. Clinical Psychology Review 40, 91110.Google Scholar
NICE (2004). Eating disorders: core interventions in the treatment and management of anorexia, bulimia and related eating disorders. London: National Institute for Health and Care Excellence.Google Scholar
NICE (2009). Depression: the treatment and management of depression in adults (update). London: National Institute for Health and Care Excellence.Google Scholar
NICE (2011). Generalised anxiety disorder and panic disorder (with or without agoraphobia) in adults. London: National Institute for Health and Care Excellence.Google Scholar
NICE (2013). Schizophrenia: the NICE guideline on core interventions in the treatment and management of schizophrenia in primary and secondary care. London: National Institute for Health and Care Excellence.Google Scholar
Norton, PJ, Paulus, DJ (in press). Toward a unified treatment for emotional disorders: update on the science and practice. Behavior Therapy.Google Scholar
Norton, PJ, Philipp, LM (2008). Transdiagnostic approaches to the treatment of anxiety disorders: a quantitative review. Psychotherapy 45, 214226.Google Scholar
Wolfensberger, W, Tullman, S (1982). A brief outline of the principle of normalization. Rehabilitation Psychology 27, 131.Google Scholar
Submit a response

Comments

No Comments have been published for this article.