Transdiagnostic Treatment of Anxiety Disorders in a Group Format Based on the Principles of the Unified Protocol: a Preliminary Intensive Measurement Examination of Process and Outcome

  • Yogev KivityEmail author
  • Mirit Shani Sela
  • Anat Yariv
  • May Koubi
  • Amit Saad
  • Shmuel Fennig
  • Yuval Bloch


We describe a transdiagnostic treatment for anxiety disorders in community mental health centers (CMHCs), based on the Unified Protocol (Barlow et al. 2011), and adapted to a group format (UP-G). Participants were 13 CMHC patients in an intensive measurement design. Participants were interviewed for anxiety severity at pre- and post-treatment and completed weekly self-reports of distress, emotion dysregulation, valued living, fear of bodily sensations, and therapeutic alliance. We observed significant improvements in all measures except for valued living. Improvements in emotion regulation preceded and predicted subsequent reductions in distress as well as the other way around. Improvements in alliance co-occurred with reductions in distress. The UP-G is a flexible intervention that is suitable for CMHCs and may assist in reducing the burden of anxiety disorders and improving dissemination. These preliminary findings suggest that improvements in emotion regulation may play an important role in facilitating change in the UP-G.


Cognitive-behavioral therapy Unified protocol Anxiety disorders Group therapy Transdiagnostic protocol 



The authors would like to thank Michal Master-Barak for conducting clinical assessments for the study.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Bar Ilan UniversityRamat Gan,Israel
  2. 2.Shalvata Mental Health CenterHod HaSharonIsrael
  3. 3.Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael

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