Depression, anxiety, and personal recovery outcomes after group vs individual transdiagnostic therapy: a brief report

Sci Rep. 2024 Feb 28;14(1):4855. doi: 10.1038/s41598-024-55093-7.

Abstract

Unified Protocol for Transdiagnostic Treatment of Emotional Disorders (UP) is an evidence-informed treatment utilizing Cognitive Behavioural Therapy (CBT) treatment principles. UP has demonstrated promising treatment effects comparable to single disorder protocol across several mental disorders. Its impact on personal recovery in anxiety and depression has not been examined. This study compares clinical and personal recovery outcomes of UP treatment for depression and anxiety disorders when delivered in a group vs. individual format. Retrospective chart review of outcomes was conducted for outpatients receiving 12-week individual (n = 65) and group (n = 62) UP treatment in a specialized psychiatric hospital. Descriptive and repeated measures ANOVA analyses were conducted on outcomes on Overall Depression Severity and Impairment Scale, Overall Anxiety Severity and Impairment Scale, Recovery Assessment Scale administered pre and post treatment. On average, participants in both group and individual UP treatment showed improvements in anxiety, depression, and recovery scores. Greater proportion of group participants showed improvements on two interpersonal-focused domains of personal recovery. Results indicate group UP treatment is comparably effective compared to individual UP in improving clinical and recovery outcomes, and treatment modality affects the degree of personal recovery. Overall findings offer important clinical promise of UP treatment as a transdiagnostic treatment option for individuals with anxiety and depression.

Keywords: Anxiety; CBT; Depression; Personal recovery; Transdiagnostic; Unified protocol.

MeSH terms

  • Anxiety Disorders / psychology
  • Anxiety Disorders / therapy
  • Anxiety* / therapy
  • Depression* / psychology
  • Depression* / therapy
  • Humans
  • Retrospective Studies
  • Treatment Outcome