A SMART approach to personalized care: preliminary data on how to select and sequence skills in transdiagnostic CBT

References

• American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.
   Google Scholar
• Bandelow, B., & Michaelis, S. (2015). Epidemiology of anxiety disorders in the twenty-first century. Dialogues in Clinical Neuroscience, 17(3), 327–335. https://doi.org/10.31887/DCNS.2015.17.3/bbandelow
   PubMed Web of Science ®Google Scholar
• Barlow, D. H., Ellard, K. K., Sauer-Zavala, S., Bullis, J. R., & Carl, J. R. (2014). The origins of neuroticism. Perspectives on Psychological Science, 9(5), 481–496. https://doi.org/10.1177/1745691614544528
   Web of Science ®Google Scholar
• Barlow, D. H., Sauer-Zavala, S., Farchione, T., Murray Latin, H., Ellard, K. K., Bullis, J. R., Bentley, K. H., Boettcher, H. T., & Cassiello-Robbins, C. (2018). Unified protocol for the transdiagnostic treatment of emotional disorders. Oxford University Press.
   Google Scholar
• Bentley, K. H., Gallagher, M. W., Carl, J. R., & Barlow, D. H. (2014). Development and validation of the overall depression severity and impairment scale. Psychological Assessment, 26(3), 815–830. https://doi.org/10.1037/a0036216
   PubMed Web of Science ®Google Scholar
• Bentley, K. H., Sauer-Zavala, S., Cassiello-Robbins, C. F., Conklin, L. R., Vento, S., & Homer, D. (2017). Treating suicidal thoughts and behaviors within an emotional disorders framework: Acceptability and feasibility of the unified protocol in an inpatient setting. Behavior Modification, 41(4), 529–557. https://doi.org/10.1177/0145445516689661
   PubMed Web of Science ®Google Scholar
• Boswell, J. F., Farchione, T. J., Sauer-Zavala, S., Murray, H. W., Fortune, M. R., & Barlow, D. H. (2013). Anxiety sensitivity and interoceptive exposure: A transdiagnostic construct and change strategy. Behavior Therapy, 44(3), 417–431. https://doi.org/10.1016/j.beth.2013.03.006
   PubMed Web of Science ®Google Scholar
• Bullis, J. R., Boettcher, H., Sauer‐Zavala, S., Farchione, T. J., & Barlow, D. H. (2019). What is an emotional disorder? A transdiagnostic mechanistic definition with implications for assessment, treatment, and prevention. Clinical Psychology (New York, N.Y.), 26(2), E12278–N/a. https://doi.org/10.1111/cpsp.12288
   Google Scholar
• Cassiello-Robbins, C., Southward, M. W., Tirpak, J. W., & Sauer-Zavala, S. (2020). A systematic review of unified protocol applications with adult populations: Facilitating widespread dissemination via adaptability. Clinical Psychology Review, 78, 101852. https://doi.org/10.1016/j.cpr.2020.101852
   PubMed Web of Science ®Google Scholar
• Chadwick, P., Hember, M., Symes, J., Peters, E., Kuipers, E., & Dagnan, D. (2008). Responding mindfully to unpleasant thoughts and images: Reliability and validity of the Southampton mindfulness questionnaire (SMQ). The British Journal of Clinical Psychology, 47(Pt 4), 451–455. https://doi.org/10.1348/014466508X314891
   PubMedGoogle Scholar
• Cheavens, J. S., Strunk, D. R., Lazarus, S. A., & Goldstein, L. A. (2012). The compensation and capitalization models: A test of two approaches to individualizing the treatment of depression. Behaviour Research and Therapy, 50(11), 699–706. https://doi.org/10.1016/j.brat.2012.08.002
   PubMed Web of Science ®Google Scholar
• Chorpita, B. F., Daleiden, E. L., & Weisz, J. R. (2005). Identifying and selecting the common elements of evidence based interventions: A distillation and matching model. Mental Health Services Research, 7(1), 5–20. https://doi.org/10.1007/s11020-005-1962-6
   PubMedGoogle Scholar
• Collins, L. M., Murphy, S. A., & Strecher, V. (2007). The multiphase optimization strategy (MOST) and the sequential multiple assignment randomized trial (SMART): New methods for more potent eHealth interventions. American Journal of Preventive Medicine, 32(5), S112–S118. https://doi.org/10.1016/j.amepre.2007.01.022
   PubMed Web of Science ®Google Scholar
• Craske, M. G., & Barlow, D. H. (2006). Mastery of your anxiety and worry: Workbook. Oxford University Press.
   Google Scholar
• Eustis, E. H., Ernst, S., Sutton, K., & Battle, C. (2019). Innovations in the treatment of perinatal expression: The role of yoga and physical activity interventions during pregnancy and postpartum. Current Psychiatry Reports, 21(12), 133. https://doi.org/10.1007/s11920-019-1121-1
   PubMed Web of Science ®Google Scholar
• Fisher, A. J., Bosley, H. G., Fernandez, K. C., Reeves, J. W., Soyster, P. D., Diamond, A. E., & Barkin, J. (2019). Open trial of a personalized modular treatment for mood and anxiety. Behaviour Research and Therapy, 116, 69–79. https://doi.org/10.1016/j.brat.2019.01.010
   PubMed Web of Science ®Google Scholar
• Fisher, A. J., & Boswell, J. F. (2016). Enhancing the personalization of psychotherapy with dynamic assessment and modeling. Assessment, 23(4), 496–506. https://doi.org/10.1177/1073191116638735
   PubMed Web of Science ®Google Scholar
• Gámez, W., Chmielewski, M., Kotov, R., Ruggero, C., & Watson, D. (2011). Development of a measure of experiential avoidance: The multidimensional experiential avoidance questionnaire. Psychological Assessment, 23(3), 692–713. https://doi.org/10.1037/a0023242
   PubMed Web of Science ®Google Scholar
• Garfield, S. L. (1994). Psychotherapy: Then and now. Clinical Psychology & Psychotherapy, 1(2), 63–68. https://doi.org/10.1002/cpp.5640010202
   Web of Science ®Google Scholar
• Hansen, N. B., Lambert, M. J., & Forman, E. M. (2002). The psychotherapy dose‐response effect and its implications for treatment delivery services. Clinical Psychology, 9(3), 329–343. https://doi.org/10.1093/clipsy.9.3.329
   Google Scholar
• Harnett, P., O’Donovan, A., & Lambert, M. J. (2010). The dose response relationship in psychotherapy: Implications for social policy. Clinical Psychologist, 14(2), 39–44. https://doi.org/10.1080/13284207.2010.500309
   Web of Science ®Google Scholar
• Hofmann, S. G., & Smits, J. A. J. (2008). Cognitive-behavioral therapy for adult anxiety disorders: A meta-analysis of randomized placebo-controlled trials. The Journal of Clinical Psychiatry, 69(4), 621–632. https://doi.org/10.4088/JCP.v69n0415
   PubMed Web of Science ®Google Scholar
• Kennedy, S. M., Lanier, H., Salloum, A., Ehrenreich-May, J., & Storch, E. A. (2021). Development and implementation of a transdiagnostic, stepped-care approach to treating emotional disorders in children via telehealth. Cognitive and Behavioral Practice, 28(3), 350–363. https://doi.org/10.1016/j.cbpra.2020.06.001
   Web of Science ®Google Scholar
• Kessler, R. C., Nelson, C. B., McGonagle, K. A., Liu, J., Swartz, M., & Blazer, D. G. (1996). Comorbidity of DSM–III–R major depressive disorder in the general population: Results from the US National Comorbidity Survey. British Journal of Psychiatry, 168(S30), 17–30. https://doi.org/10.1192/S0007125000298371
   Web of Science ®Google Scholar
• Kessler, R. C., Stein, M. B., & Berglund, P. (1998). Social phobia subtypes in the National Comorbidity Survey. American Journal of Psychiatry, 155(5), 613–619. https://doi.org/10.1176/ajp.155.5.613
   PubMed Web of Science ®Google Scholar
• Krippendorff, K. (2004). Reliability in content analysis. Human Communication Research, 30(3), 411–433. https://doi.org/10.1111/j.1468-2958.2004.tb00738.x
   Web of Science ®Google Scholar
• Lafit, G., Adolf, J. K., Dejonckheere, E., Myin-Germeys, I., Viechtbauer, W., & Ceulemans, E. (2021). Selection of the number of participants in intensive longitudinal studies: A user-friendly Shiny app and tutorial to perform power analysis in multilevel regression models that account for temporal dependencies. Advances in Methods and Practices in Psychological Science, 4(1), 1–24. Advance online publication. https://doi.org/10.1177/2515245920978738
   Google Scholar
• McHugh, R. K., Murray, H. W., & Barlow, D. H. (2009). Balancing fidelity and adaptation in the dissemination of empirically-supported treatments: The promise of transdiagnostic interventions. Behaviour Research and Therapy, 47(11), 946–953. https://doi.org/10.1016/j.brat.2009.07.005
   PubMed Web of Science ®Google Scholar
• Norman, S. B., Cissell, S. H., Means‐Christensen, A. J., & Stein, M. B. (2006). Development and validation of an overall anxiety severity and impairment scale (OASIS). Depression and Anxiety, 23(4), 245–249. https://doi.org/10.1002/da.20182
   PubMed Web of Science ®Google Scholar
• Payne, L., Ellard, K. K., Farchione, T. J., Fairholme, C., & Barlow, D. H. (2014). Emotional disorders: A unified, transdiagnostic approach. In D. H. Barlow (Ed.), Clinical handbook of psychological disorders (pp. 237–274). Guilford Press.
   Google Scholar
• R Core Team. (2019). R: A language and environment for statistical computing. (Version 3.6.1). [Computer software]. https://www.r-project.org/
   Google Scholar
• Reiss, S., Peterson, R. A., Gursky, D. M., & McNally, R. J. (1986). Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behaviour Research and Therapy, 24(1), 1–8. https://doi.org/10.1016/0005-7967(86)90143-9
   PubMed Web of Science ®Google Scholar
• Rimes, K. A., & Chalder, T. (2010). The beliefs about emotions scale: Validity, reliability and sensitivity to change. Journal of Psychosomatic Research, 68(3), 285–292. https://doi.org/10.1016/j.jpsychores.2009.09.014
   PubMed Web of Science ®Google Scholar
• Sakiris, N., & Berle, D. (2019). A systematic review and meta-analysis of the unified protocol as a transdiagnostic emotion regulation based intervention. Clinical Psychology Review, 72, 101751. https://doi.org/10.1016/j.cpr.2019.101751
   PubMed Web of Science ®Google Scholar
• Sauer-Zavala, S., Boswell, J. F., Gallagher, M. W., Bentley, K. H., Ametaj, A., & Barlow, D. H. (2012). The role of negative affectivity and negative reactivity to emotions in predicting outcomes in the unified protocol for the transdiagnostic treatment of emotional disorders. Behaviour Research and Therapy, 50(9), 551–557. https://doi.org/10.1016/j.brat.2012.05.005
   PubMed Web of Science ®Google Scholar
• Sauer-Zavala, S., Cassiello-Robbins, C., Ametaj, A. A., Wilner, J. G., & Pagan, D. (2019). Transdiagnostic treatment personalization: The feasibility of ordering unified protocol modules according to patient strengths and weaknesses. Behavior Modification, 43(4), 518–543. https://doi.org/10.1177/0145445518774914
   PubMed Web of Science ®Google Scholar
• Sauer-Zavala, S., Cassiello-Robbins, C., Conklin, L., Bullis, J. R., Thompson-Hollands, J., & Kennedy, K. (2017). Isolating the unique effects of the unified protocol treatment modules using single-case experimental design. Behavior Modification, 40(2), 286–307. https://doi.org/10.1177/0145445516673827
   Google Scholar
• Sauer-Zavala, S., Cassiello-Robbins, C., Woods, B. K., Wilner Tirpak, J. W., Curerri, A., & Rassaby, M. (2020). Countering emotional behaviors in the treatment of borderline personality disorder. Personality Disorders: Theory, Research, and Treatment, 11(5), 328–338. h ttps:// d oi.o rg10.10 37/per000 0379
   Web of Science ®Google Scholar
• Sauer-Zavala, S., Gutner, C. A., Farchione, T. J., Boettcher, H. T., Bullis, J. R., & Barlow, D. H. (2017). Current definitions of “transdiagnostic” in treatment development: A search for consensus. Behavior Therapy, 48(1), 128–138. https://doi.org/10.1016/j.beth.2016.09.004
   PubMed Web of Science ®Google Scholar
• Sauer-Zavala, S., Southward, M. W., & Semcho, S. A. (2022). Integrating and differentiating personality and psychopathology in cognitive behavioral therapy. Journal of Personality, 90(1), 89–102. Advance online publication. https://doi.org/10.1111/jopy.12602.
   PubMed Web of Science ®Google Scholar
• Southward, M. W., Cassiello-Robbins, C., Zelkowitz, R. L., & Rosenthal, M. Z. (2020). Navigating the new landscape of value-based care: An example of increasing access, improving quality, and reducing costs using the unified protocol. The Behavior Therapist, 43(4), 134–137. https://doi.org/10.31234/osf.io/rvbzn
   Google Scholar
• Tolin, D. F., Gilliam, C., Wootton, B. M., Bowe, W., Bragdon, L. B., Davis, E., Hannan, S. E., Steinman, S. A., Worden, B., & Hallion, L. S. (2018). Psychometric properties of a structured diagnostic interview for DSM-5 anxiety, mood, and obsessive-compulsive and related disorders. Assessment, 25(1), 3–13. https://doi.org/10.1177/1073191116638410
   PubMed Web of Science ®Google Scholar
• Tulbure, B. T., Rusu, A., Sava, F. A., Sălăgean, N., & Farchione, T. J. (2018). A web-based transdiagnostic intervention for affective and mood disorders: Randomized controlled trial. JMIR Mental Health, 5(2), E36. https://doi.org/10.2196/mental.8901
   PubMed Web of Science ®Google Scholar
• Van Straten, A., Geraedts, A., Verdonck-de Leeuw, I., Andersson, G., & Cuijpers, P. (2010). Psychological treatment of depressive symptoms in patients with medical disorders: A meta-analysis. Journal of Psychosomatic Research, 69(1), 23–32. https://doi.org/10.1016/j.jpsychores.2010.01.019
   PubMed Web of Science ®Google Scholar
• Weinberger, A. H., Gbedemah, M., Martinez, A. M., Nash, D., Galea, S., & Goodwin, R. D. (2017). Trends in depression prevalence in the USA from 2005 to 2015: Widening disparities in vulnerable groups. Psychological Medicine, 48(8), 1308–1315. https://doi.org/10.1017/S0033291717002781
   PubMed Web of Science ®Google Scholar
• Weisz, J. R., Chorpita, B. F., Palinkas, L. A., Schoenwald, S. J., Miranda, J., Bearman, S. K., Daleidan, E. L., Ugueto, A. M., Ho, A., Martin, J., Gray, J., Alleyne, A., Langer, D. A., Southam-Gerow, M. A., & Gibbons, R. D., & the Research Network on Youth Mental Health. (2012). Testing standard and modular designs for psychotherapy treating depression, anxiety, and conduct problems in youth: A randomized effectiveness trial. Archives of General Psychiatry, 69(3), 274–282. https://doi.org/10.1001/archgenpsychiatry.2011.147
   PubMed Web of Science ®Google Scholar