000161832 001__ 161832
000161832 005__ 20251017144554.0
000161832 0247_ $$2doi$$a10.1016/j.jad.2025.119537
000161832 0248_ $$2sideral$$a144468
000161832 037__ $$aART-2025-144468
000161832 041__ $$aeng
000161832 100__ $$aJiménez-Orenga, Noelia
000161832 245__ $$aTransdiagnostic psychological interventions for emotional disorders: A comprehensive meta-analysis
000161832 260__ $$c2025
000161832 5060_ $$aAccess copy available to the general public$$fUnrestricted
000161832 5203_ $$aPrevious meta-analyses have integrated evidence on the effects of transdiagnostic interventions for depression and anxiety symptoms. Nevertheless, no recent study covers all types of transdiagnostic interventions administered through a wide range of delivery formats, and targeting participants with different emotional disorders (i.e., mixed samples with different anxiety disorders or mixed depression/anxiety symptomatology). We used the most recent available searches (1st January 2024) of the Metapsy meta-analytic project of randomized trials on psychotherapy for depression and anxiety to identify studies comparing an intervention targeting at least two emotional disorders with a control group (waitlist, usual care, other non-active control). We conducted random-effects meta-analyses of 94 trials (108 comparisons between a psychotherapy and a control group) with 12,443 patients (who have at least a principal diagnosis of anxiety and/or unipolar depressive disorder, or a score above a cut-off point on an anxiety or depression validated self-report scale), to examine the effects on depression and anxiety symptomatology at post-treatment. The overall effect size of the pooled outcomes of depression and anxiety was g = 0.59 (95 % CI 0.50–0.68), with high heterogeneity (I2 = 78.88; 95 % CI 74.8–82.3) and a broad prediction interval (−0.18–1.37). The effects remained comparable after a series of sensitivity analyses, including multilevel analyses, exclusion of outliers, adjustment for risk of bias, and adjustment for publication bias. The results were also comparable for depression and anxiety symptoms when considered separately (effect sizes ranged from g = 0.54 to 0.61). However, when considering the impact on anxiety symptoms in studies focusing exclusively on participants with several anxiety disorders, the effects were somewhat larger (g = 0.87). A significantly higher risk of study dropout was found in the intervention conditions compared to the control groups. Transdiagnostic interventions are probably effective at post-treatment for adults with depression and/or anxiety.
000161832 536__ $$9info:eu-repo/grantAgreement/EC/HORIZON EUROPE/101061648/EU/ Dismantling, REdialing, personalizing, and implementing task SHIFTing psychosocial interventions to treat and prevent common mental disorders in low-resource settings /RE-SHIFT
000161832 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttps://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
000161832 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000161832 700__ $$aMiguel, Clara
000161832 700__ $$0(orcid)0000-0002-3749-3756$$aGonzález-Robles, Alberto$$uUniversidad de Zaragoza
000161832 700__ $$aFernández-Álvarez, Javier
000161832 700__ $$aGrimaldos, Jorge
000161832 700__ $$aBretón-López, Juana
000161832 700__ $$aBotella, Cristina
000161832 700__ $$aCuijpers, Pim
000161832 700__ $$aGarcía-Palacios, Azucena
000161832 700__ $$aPapola, Davide
000161832 700__ $$aQuero, Soledad
000161832 700__ $$aRiper, Heleen
000161832 700__ $$0(orcid)0000-0003-4398-4014$$aDíaz-García, Amanda$$uUniversidad de Zaragoza
000161832 7102_ $$14009$$2680$$aUniversidad de Zaragoza$$bDpto. Psicología y Sociología$$cÁrea Person.Eval.Trat.Psicoló.
000161832 773__ $$g388 (2025), 119537 [16 pp.]$$pJ. affect. disord.$$tJournal of Affective Disorders$$x0165-0327
000161832 8564_ $$s1181617$$uhttps://zaguan.unizar.es/record/161832/files/texto_completo.pdf$$yVersión publicada
000161832 8564_ $$s2332450$$uhttps://zaguan.unizar.es/record/161832/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000161832 909CO $$ooai:zaguan.unizar.es:161832$$particulos$$pdriver
000161832 951__ $$a2025-10-17-14:12:38
000161832 980__ $$aARTICLE