Norton Peter J, Roberge Pasquale
School of Psychological Sciences, Monash University, 18 Innovation Walk, Clayton Campus, Clayton, Victoria 3800 Australia.
Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, 3001, 12th Avenue North, Sherbrooke, Québec J1H 5N4 Canada.
Psychiatr Clin North Am. 2017 Dec;40(4):675-687. doi: 10.1016/j.psc.2017.08.003. Epub 2017 Sep 19.
Transdiagnostic cognitive-behavioral (CBT) therapy is a modified form of CBT designed to be applicable with patients across the range of anxiety and related emotional disorders. Based on emerging genetic, neurologic, developmental, cognitive, and behavioral science, transdiagnostic CBT may alleviate barriers to dissemination and accessibility by providing a single treatment approach across diagnoses. Data from clinical trials and metaanalyses suggest treatment efficacy that is comparable with traditional CBT approaches, with possibly superior efficacy among patients with multiple comorbid anxiety and emotional diagnoses. Limitations in the evidence base and remaining areas for future research are discussed.
跨诊断认知行为疗法（CBT）是CBT的一种改良形式，旨在适用于患有各种焦虑症及相关情绪障碍的患者。基于新兴的遗传学、神经学、发育学、认知学和行为科学，跨诊断CBT通过提供一种适用于所有诊断的单一治疗方法，可能会消除传播和可及性方面的障碍。来自临床试验和荟萃分析的数据表明，其治疗效果与传统CBT方法相当，对于患有多种共病焦虑和情绪诊断的患者，其疗效可能更优。本文还讨论了证据基础的局限性以及未来研究的剩余领域。
