Hague, B., Scott, S. and Kellett, S. (2015) Transdiagnostic CBT treatment of co-morbid anxiety and depression in an older adult: Single case experimental design. Behavioural and Cognitive Psychotherapy, 43 (1). pp. 119-124. ISSN 1352-4658
Abstract
Background: Despite the prevalence of co-morbid anxiety and depression in older adults, evaluation of suitable clinical models is rare. Aims: This study tested the acceptability and effectiveness of a transdiagnostic approach to treating co-morbid anxiety and depression in an older adults in a routine clinical setting. Method: In an A/B single case experimental design, a patient completed five daily ideographic measures of anxiety and depression across baseline and treatment and the HADS at five time points over time, including 3-month follow-up. The 8-session treatment was transdiagnostic CBT informed by the Unified Protocol. Results: All sessions were attended. Significant baseline-treatment improvements were found for daily structure, mood, confidence and worry, with large associated effect sizes. The HADS showed that the patient met recovery criteria by the end of treatment, with some evidence of anxious relapse at follow-up. Conclusion: Transdiagnostic CBT offers promise as a treatment approach to mixed anxiety and depression in older adults. The model needs to be further tested using more rigorous and suitably powered methodologies.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2014 Cambridge University Press. This is an author produced version of a paper subsequently published in Behavioural and Cognitive Psychotherapy. Article available under the terms of the CC-BY-NC-ND license (https://creativecommons.org/licenses/by-nc-nd/4.0/). |
Keywords: | Unified protocol; single case experimental design; older adults |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 25 Jul 2016 14:28 |
Last Modified: | 04 May 2020 14:04 |
Published Version: | http://dx.doi.org/10.1017/S1352465814000411 |
Status: | Published |
Publisher: | Cambridge University Press |
Refereed: | Yes |
Identification Number: | 10.1017/S1352465814000411 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:102720 |