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Related Experiment Video

Updated: Apr 16, 2026

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Multimodal Protocol for Assessing Metacognition and Self-Regulation in Adults with Learning Difficulties

Published on: September 27, 2020

The relationship between skill deficits and disability-a transdiagnostic study.

Mareike Hofmann¹, Tobias Fehlinger, Nikola Stenzel

¹Philipps-University of Marburg.

Journal of Clinical Psychology

|March 14, 2015

Summary

Transdiagnostic skills like emotion regulation and stress management significantly impact mental health disability. Improving these skills and self-concepts during therapy substantially reduces disability, even when accounting for psychopathology.

Keywords:

disability psychopathology self-esteem skills transdiagnostic

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Area of Science:

Psychiatry and Clinical Psychology
Mental Health Research
Disability Studies

Background:

Transdiagnostic skills (e.g., emotion regulation, stress management) and self-concepts (e.g., self-esteem) are linked to mental disorder development and progression.
Skill deficits are associated with psychopathology, psychological strain, and disability.
Limited research has examined the combined relevance of multiple skills for patient disability.

Purpose of the Study:

To simultaneously assess the relevance of seven transdiagnostic skills and self-concept variables for patient disability.
To investigate the combined impact of skills and self-concept on disability in a clinical population.

Main Methods:

Inpatients (N=183) were interviewed at admission and discharge.
Assessment included seven specific skills, seven areas of daily living disability, and psychopathological distress.

Main Results:

Several skills, particularly stress management, showed a significant relationship with disability, independent of psychopathology.
Therapeutic improvement in skills and self-concepts substantially enhanced disability ratings.

Conclusions:

Skills are transdiagnostically important and key determinants of disability.
Improvements in skills and self-concepts significantly reduce disability, with robust effects even after controlling for psychopathology.