همبودی اختلال‌های اضطرابی و افسردگی: ظهور درمان فراتشخیصی شناختی رفتاری

Comorbidity of anxiety and depression disorders in most epidemiological studies has been reported between 40% and 80%, and these conditions impose many costs directly and indirectly on societies. High comorbidity of these disorders makes the use of specific protocols of cognitive behavioral therapy for these co-occurrence disorders, may not be affordable. Attention to the issue of the comorbidity of anxiety and depression disorders and the response to the challenges posed by it was not possible except through the formulation of strategies that address the issue and the importance of comorbidity both at the theoretical and applied levels, transdiagnostic treatments are prerogatives of this new perspective on the development of a therapeutic protocol. The transdignostic approach is working to resolve the comorbidity therapeutic challenges and concerns by addressing the theoretical nature of comorbidity and addressing the common dimensions of emotional disturbances, especially anxiety and depression disorders, in the development of a unified therapeutic protocol. Efforts in this field resulted in the design of several transdiagnostic protocols that differed in the selection of approved and commonly technique of cognitive-behavioral therapies. In recent years, while transdiagnostic cognitive behavioral protocols for these co-occurrence disorders have obtained favorable empirical results, but the findings of previous studies reveal moderate efficacy of such protocols. Researchers in this field tried to overcome this problem by matching these protocols on theoretical and pathological grounds. The milestone of these attempts and orientations was in the transdiagnostic protocol’s Barlow et al. (2011), as the first step in the design of theoretical transdiagnostic protocols, that based on the "emotional regulation" factor and its related theories. Despite the progress in developing and enriching the transdignostic protocols, the recent controversy is in this area focuses on the choice of process or fundamental processes.