Journal ArticleDOI
Cognitive therapy, analytic psychotherapy and anxiety management training for generalised anxiety disorder.
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TLDR
Cognitive therapy is likely to be more effective than psychodynamic psychotherapy with chronically anxious patients, and significant improvements in symptoms can be achieved by trainee psychiatrists after only brief instruction in behaviourally based anxiety management.Abstract:
BACKGROUND We test the hypotheses that (a) cognitive therapy is of comparable efficacy to psychodynamic psychotherapy, (b) 8-10 sessions of therapy is as effective as 16-20 sessions, and (c) brief therapist training is as effective as intensive training.
METHOD Of 178 out-patients referred to a clinical trial of psychological treatment for generalised anxiety, 110 patients met DSM-III-R criteria for generalised anxiety disorder and were randomly assigned to three different forms of psychotherapy. The main comparison was between cognitive therapy and analytic psychotherapy, delivered by experienced therapists at weekly or fortnightly intervals over six months. A third treatment, anxiety management training, was delivered at fortnightly intervals by registrars in psychiatry after a brief period of training. Eighty patients completed treatment and were assessed before treatment, after treatment, and at six-month follow-up.
RESULTS Cognitive therapy was significantly more effective than analytic psychotherapy, with about 50% of patients considerably better at follow-up. Analytic psychotherapy gave significant improvement but to a lesser degree than cognitive therapy. There was no significant effect for level of contact. Patients receiving anxiety management training showed similar improvements to cognitive therapy after treatment, with rather lower proportions showing clinically significant change.
CONCLUSIONS Cognitive therapy is likely to be more effective than psychodynamic psychotherapy with chronically anxious patients. Significant improvements in symptoms can be achieved by trainee psychiatrists after only brief instruction in behaviourally based anxiety management. However, the superiority of cognitive therapy at follow-up suggests that the greater investment of resources required for this approach is likely to pay off in terms of more sustained improvement. There is no evidence that 16-20 sessions of treatment is more effective, on average, than 8-10 sessions.read more
Citations
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Journal ArticleDOI
World Federation of Societies of Biological Psychiatry (WFSBP) Guidelines for the Pharmacological Treatment of Anxiety, Obsessive-Compulsive and Post-Traumatic Stress Disorders – First Revision
Borwin Bandelow,J. Zohar,Eric Hollander,Siegfried Kasper,Hans-Jürgen Möller,Obsessive-Compulsive Wfsbp Task Force on Treatment Guidelines for Anxiety,Posttraumatic Stress Disorders +6 more
TL;DR: Cognitive behavioural therapy (CBT) and other variants of behaviour therapy have been sufficiently investigated in controlled studies in patients with anxiety disorders, OCD, and PTSD to support them being recommended either alone or in combination with the above medicines.
Journal ArticleDOI
The current state of cognitive therapy: a 40-year retrospective.
TL;DR: A substantial body of research supports the cognitive model of depression and, to a somewhat lesser extent, the various anxiety disorders.
Journal ArticleDOI
The Psychotherapy Dose‐Response Effect and Its Implications for Treatment Delivery Services
TL;DR: Patients, on average, do not get adequate exposure to psychotherapy, nor do they recover from illness at rates observed in clinical trials research.
Journal ArticleDOI
A multidimensional meta-analysis of treatments for depression, panic, and generalized anxiety disorder: An empirical examination of the status of empirically supported therapies.
Drew Westen,Kate H. Morrison +1 more
TL;DR: A meta-analysis of high-quality studies published from 1990-1998 on the efficacy of manualized psychotherapies for depression, panic disorder, and generalized anxiety disorder suggests that a substantial proportion of patients with panic improve and remain improved.
Journal ArticleDOI
A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders.
Peter J. Norton,Esther C. Price +1 more
TL;DR: When comparing across diagnoses, outcomes for generalized anxiety disorder and posttraumatic stress disorder were superior to those for social anxiety disorder, but no other differences emerged.
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