ReviewClinical psychology review2020
A process-based approach to psychological diagnosis and treatment:The conceptual and treatment utility of an extended evolutionary meta model.
Review in Clinical psychology review, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04874974 (The PROBAS-Study), which is not on this map. Cited by 64 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The PROBAS-Study: Developing a Process-based and Modular Group Therapy for Acute Psychiatric Patients With Psychotic Symptoms: a Single-arm Feasibility Study
Who cites it
64 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Examining cognitive behavioral therapy interventions for unaccompanied minors: a systematic review and qualitative research synthesis.European child & adolescent psychiatry · 2025Pooled it
- Acceptance and commitment therapy processes and their association with distress in cancer: a systematic review and meta-analysis.Health psychology review · 2024Pooled it
- Trial
- Implications of the Network Theory for the Treatment of Mental Disorders: A Secondary Analysis of a Randomized Clinical Trial.JAMA psychiatry · 2023Trial
- The Effect of a Group-Based Mindfulness and Acceptance Training on Psychological Flexibility and Adherence to Antiretroviral Therapy Among Adolescents in Uganda: An Open-Label Randomized Trial.Journal of the International Association of Providers of AIDS CareTrial
- Psychological Flexibility as a Mediator Between Parenting Stress and Depression Among Chinese Primary Caregivers of Infants: A Cross-Sectional Study.Nursing reports (Pavia, Italy) · 2026Article
- Mechanistic Non-Response After Psychotherapy for Anxiety Disorders: A Maintenance-Mechanism-Based Clinical Taxonomy.Journal of clinical medicine · 2026Review
- A longitudinal network analysis of pain, psychological processes and psychological and sexual distress in women with endometriosis.British journal of health psychology · 2026Article
- Pharmacotherapy of major depressive disorder in older adults: from an evidence-informed stepwise algorithm to precision medicine.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026Review
- Midbrain hypoactivation and mesocortical hypoconnectivity in inhibitory control learning in autism.Brain communications · 2026Article
- Acceptance and commitment therapy for moral injury: conceptualizing and intervening on moral injury through the lens of contextual behavioral science.Frontiers in psychiatry · 2026Article
- Measuring psychological flexibility to promote wellbeing: validation of the Spanish Psy-Flex in a healthy sample.Frontiers in psychology · 2026Article
- A Transdiagnostic Approach in Psychodiagnosis: The Romanian Adaptation of the Process-Based Assessment Tool (PBAT).Behavioral sciences (Basel, Switzerland) · 2025Article
- Processes of Change: Integrating Relationality with Cognitive-Behavioral and Acceptance Constructs.Journal of contemporary psychotherapy · 2025Article
- A process-based competence evaluation for evidence-based dissemination (PROCEED): a study protocol.BMC psychology · 2025Article
- The impact of self-regulatory fatigue on suicidal ideation in nursing students: the mediating role of experiential avoidance and the moderating role of negative life events.BMC psychology · 2025Article
- Efficacy of a process-based, Mobile-delivered personalized CBT for anxiety disorders: Study protocol for a randomized controlled trial.Internet interventions · 2025Review
- Longitudinal association of stress with mental health in the context of COVID-19: The mediating role of psychological flexibility and emotional schemas.Applied psychology. Health and well-being · 2025Article
- Psychotherapy Research Domain Criteria: functional mechanisms of treatment and a basic theory of the mind.Frontiers in psychiatry · 2025Review
- Pathways, predictors and paradoxes of illbeing and wellbeing in older adults: Insights from a UK Biobank study.PLOS mental health · 2025Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
For half a century, the dominant paradigm in psychotherapy research has been to develop syndrome-specific treatment protocols for hypothesized but unproved latent disease entities, as defined by psychiatric nosological systems. While this approach provided a common language for mental health problems, it failed to achieve its ultimate goal of conceptual and treatment utility. Process-based therapy (PBT) offers an alternative approach to understanding and treating psychological problems, and promoting human prosperity. PBT targets empirically established biopsychosocial processes of change that researchers have shown are functionally important to long terms goals and outcomes. By building on concepts of known clinical utility, and organizing them into coherent theoretical models, an idiographic, functional-analytic approach to diagnosis is within our grasp. We argue that a multi-dimensional, multi-level extended evolutionary meta-model (EEMM) provides consilience and a common language for process-based diagnosis. The EEMM applies the evolutionary concepts of context-appropriate variation, selection, and retention to key biopsychosocial dimensions and levels related to human suffering, problems, and positive functioning. The EEMM is a meta-model of diagnostic and intervention approaches that can accommodate any set of evidence-based change processes, regardless of the specific therapy orientation. In a preliminary way, it offers an idiographic, functional analytic, and clinically useful alternative to contemporary psychiatric nosological systems.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.