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Transdiagnostic CBT Treatment of Co-morbid Anxiety and Depression in an Older Adult: Single Case Experimental Design

Published online by Cambridge University Press:  14 November 2014

Ben Hague ,
Shonagh Scott  and
Stephen Kellett
Ben Hague*
Affiliation:
University of Sheffield, UK
Shonagh Scott
Affiliation:
Sheffield Social and Healthcare NHS Foundation Trust, UK
Stephen Kellett
Affiliation:
Sheffield Social and Healthcare NHS Foundation Trust, and University of Sheffield, UK
*
Reprint requests to Ben Hague, Clinical Psychology Unit, Department of Psychology, University of Sheffield, S10 2TN, UK. E-mail: bhague1@sheffield.ac.uk
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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.

Keywords

Unified protocolsingle case experimental designolder adults
Type
Brief Clinical Report
Information
Behavioural and Cognitive Psychotherapy , Volume 43 , Issue 1 , January 2015 , pp. 119 - 124
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2014 

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