The effectiveness of cognitive behavioral therapy for generalized anxiety disorder in a frontline service setting.

Abstract:

:The goal of the current study was to test the generalizability of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) in a frontline service setting. Twenty-nine patients who presented to treatment clinics with problematic worry were provided CBT for GAD. Among the intent-to-treat sample, there were no significant changes in worry or depression from pre- to posttreatment. Treatment completers showed significant pre- to posttreatment reductions on measures of worry and depression. The magnitude of change was smaller than has been reported in randomized control trials (RCTs). Although the frontline service setting differed from RCT settings in multiple ways, treatment completers nonetheless achieved moderate to large decreases in self-reported worry and depression.

journal_name

Cogn Behav Ther

authors

Kehle SM

doi

10.1080/16506070802190262

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

192-8

issue

3

eissn

1650-6073

issn

1651-2316

pii

794662228

journal_volume

37

pub_type

杂志文章,多中心研究
  • Emotion suppression: a preliminary experimental investigation of its immediate effects and role in subsequent reactivity to novel stimuli.

    abstract::This study details a preliminary investigation of the subjective and physiological effects of emotion suppression, relative to the allowance of emotional experience, within one distressing situation on responses to another, unrelated situation. Thirty-four men were instructed to suppress or allow their emotional respo...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070903280491

    authors: Tull MT,Jakupcak M,Roemer L

    更新日期:2010-01-01 00:00:00

  • Pediatric trichotillomania: descriptive psychopathology and an open trial of cognitive behavioral therapy.

    abstract::In study 1, 46 children and adolescents with trichotillomania who sought treatment at 2 specialty outpatient clinics were assessed. Most children reported pulling hair from multiple sites on the body, presented with readily visible alopecia, reported spending 30-60 minutes per day pulling or thinking about pulling, an...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070701223230

    authors: Tolin DF,Franklin ME,Diefenbach GJ,Anderson E,Meunier SA

    更新日期:2007-01-01 00:00:00

  • Exercise Augmentation of Exposure Therapy for PTSD: Rationale and Pilot Efficacy Data.

    abstract::Brain-derived neurotrophic factor (BDNF) is associated with synaptic plasticity, which is crucial for long-term learning and memory. Some studies suggest that people suffering from anxiety disorders show reduced BDNF relative to healthy controls. Lower BDNF is associated with impaired learning, cognitive deficits, and...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2015.1012740

    authors: Powers MB,Medina JL,Burns S,Kauffman BY,Monfils M,Asmundson GJ,Diamond A,McIntyre C,Smits JA

    更新日期:2015-01-01 00:00:00

  • Working alliance for clients with social anxiety disorder: relationship with session helpfulness and within-session habituation.

    abstract::It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between worki...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070600947624

    authors: Hayes SA,Hope DA,VanDyke MM,Heimberg RG

    更新日期:2007-01-01 00:00:00

  • Influence of co-morbid generalized anxiety disorder, panic disorder and personality disorders on the outcome of cognitive behavioural treatment of obsessive-compulsive disorder.

    abstract::This study examined co-morbid generalized anxiety disorder and/or panic disorder and personality disorders as predictors of treatment outcomes in adult outpatients with obsessive-compulsive disorder. The patients received exposure with response prevention (ERP) treatment with the addition of either elements of cogniti...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070701259374

    authors: Hansen B,Vogel PA,Stiles TC,Götestam KG

    更新日期:2007-01-01 00:00:00

  • The Treatment Acceptability/Adherence Scale: Moving Beyond the Assessment of Treatment Effectiveness.

    abstract::It is becoming more broadly recognized that beyond effectiveness, the acceptability of interventions for anxiety disorders is an important consideration for evidence-based practice. Although advances in treatments for anxious psychopathologies have demonstrated that cognitive-behavioural interventions are more desirab...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2015.1053407

    authors: Milosevic I,Levy HC,Alcolado GM,Radomsky AS

    更新日期:2015-01-01 00:00:00

  • Effects of analytical and experiential self-focus on rumination after a stress induction in patients with social anxiety disorder: a pilot study.

    abstract::According to cognitive models, negative post-event processing rumination is a key maintaining factor in social anxiety disorder (SAD). Analogue research has supported the differentiation of self-focus into different modes of self-focused attention with distinct effects on rumination in depression and social anxiety. T...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2012.682088

    authors: Nilsson JE,Lundh LG,Viborg G

    更新日期:2012-01-01 00:00:00

  • Efficacy of guided self-help behavioural activation and physical activity for depression: a randomized controlled trial.

    abstract::Behavioural activation and physical activity have received empirical support that highlight their efficacy in reducing depression. Even though both behavioural activation and physical activity share the common goal of reactivating the individual, limited research has directly compared these interventions, and more res...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2017.1337806

    authors: Soucy I,Provencher M,Fortier M,McFadden T

    更新日期:2017-11-01 00:00:00

  • Patient expectations in internet-based self-help for social anxiety.

    abstract::A number of controlled trials have demonstrated the efficacy of Internet-based cognitive-behaviour therapy for treating social anxiety disorder (SAD). However, little is known about what makes those interventions work. The current trial focuses on patient expectations as one common mechanism of change. The study exami...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2012.759615

    authors: Boettcher J,Renneberg B,Berger T

    更新日期:2013-01-01 00:00:00

  • The effect of D-cycloserine on subliminal cue exposure in spider fearful individuals.

    abstract::Research on D-cycloserine (DCS) has demonstrated a significant effect on symptom reduction in human studies that utilized conventional exposure-based approaches. Recent studies have offered promising results for targeting fears through subliminal paradigms. In this double-blind, randomized placebo-controlled study, 45...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2012.711770

    authors: Gutner CA,Weinberger J,Hofmann SG

    更新日期:2012-01-01 00:00:00

  • Cognitive behavioral therapy plus motivational interviewing improves outcome for pediatric obsessive-compulsive disorder: a preliminary study.

    abstract::Lack of motivation may negatively impact cognitive behavioral therapy (CBT) response for pediatric patients with obsessive-compulsive disorder (OCD). Motivational interviewing is a method for interacting with patients in order to decrease their ambivalence and support their self-efficacy in their efforts at behavior c...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902831773

    authors: Merlo LJ,Storch EA,Lehmkuhl HD,Jacob ML,Murphy TK,Goodman WK,Geffken GR

    更新日期:2010-01-01 00:00:00

  • Sleep-Related Safety Behaviors and Dysfunctional Beliefs Mediate the Efficacy of Online CBT for Insomnia: A Randomized Controlled Trial.

    abstract::Several trials have demonstrated the efficacy of online cognitive behavioral therapy (CBT) for insomnia. However, few studies have examined putative mechanisms of change based on the cognitive model of insomnia. Identification of modifiable mechanisms by which the treatment works may guide efforts to further improve t...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2015.1026386

    authors: Lancee J,Eisma MC,van Straten A,Kamphuis JH

    更新日期:2015-01-01 00:00:00

  • Sexually abused children suffering from post-traumatic stress disorder: assessment and treatment strategies.

    abstract::Child sexual abuse is a highly prevalent problem that frequently occasions the onset of post-traumatic stress disorder in the victimized youngster. This selective review addresses recent advances in the assessment and treatment of sexually abused children with post-traumatic stress disorder. Firstly, we outline the di...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070310003620

    authors: King NJ,Heyne D,Tonge BJ,Mullen P,Myerson N,Rollings S,Ollendick TH

    更新日期:2003-01-01 00:00:00

  • Phone coaching in Dialectical Behavior Therapy: frequency and relationship to client variables.

    abstract::Telephone coaching is a treatment mode in Dialectical Behavior Therapy (DBT) that is designed to help clients generalize skills, prevent suicidal behaviors, and repair therapeutic ruptures. To date, phone coaching has received scant empirical investigation. The aims of this study were to (1) describe patterns in frequ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2018.1437469

    authors: Oliveira PN,Rizvi SL

    更新日期:2018-09-01 00:00:00

  • Tendency to catastrophize somatic sensations: pain catastrophizing and anxiety sensitivity in predicting headache.

    abstract::General catastrophic thinking styles about uncomfortable bodily sensations may predispose the development of common health pathologies, such as persistent headache. The purpose of this research was to explore the relationships between the Pain Catastrophizing (PC) Scale and Anxiety Sensitivity (AS) Index, which measur...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070600898397

    authors: Drahovzal DN,Stewart SH,Sullivan MJ

    更新日期:2006-01-01 00:00:00

  • Internet-based self-help versus one-session exposure in the treatment of spider phobia: a randomized controlled trial.

    abstract::The authors compared guided Internet-delivered self-help with one session of live-exposure treatment in a sample of spider-phobic patients. A total of 30 patients were included following screening on the Internet and a structured clinical interview. The Internet treatment consisted of five weekly text modules, which w...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902931326

    authors: Andersson G,Waara J,Jonsson U,Malmaeus F,Carlbring P,Ost LG

    更新日期:2009-01-01 00:00:00

  • Managing resistance in cognitive behavioural therapy: the application of motivational interviewing in mixed anxiety and depression.

    abstract::While cognitive behavioural therapy is highly effective in the treatment of anxiety and depression, a substantive number of individuals either refuse treatment, fail to respond to treatment or respond only partially. Arguably, ambivalence about change or about engaging in treatment tasks may in part be related to inco...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070410026426

    authors: Westra HA

    更新日期:2004-01-01 00:00:00

  • Internet-based treatment of pathological gambling with a three-year follow-up.

    abstract::Effective therapies for pathological gambling exist, but their use is limited to about 10% of the target population. In an attempt to lower the barriers for help, Internet-based cognitive behavioural therapy (ICBT) has been shown to be effective when delivered to a non-depressed sample with pathological gambling. This...

    journal_title:Cognitive behaviour therapy

    pub_type: 临床试验,杂志文章

    doi:10.1080/16506073.2012.689323

    authors: Carlbring P,Degerman N,Jonsson J,Andersson G

    更新日期:2012-01-01 00:00:00

  • Attention modification in persons with fibromyalgia: a double blind, randomized clinical trial.

    abstract::Contemporary models of chronic musculoskeletal pain emphasize the critical roles of fear, anxiety, and avoidance as well as biases in attention in the development and maintenance of chronic pain disability. Evidence supports the influence of individual difference variables such as anxiety sensitivity, pain-related anx...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2011.616218

    authors: Carleton RN,Richter AA,Asmundson GJ

    更新日期:2011-01-01 00:00:00

  • Cognitive behavioural therapy and applied relaxation for generalized anxiety disorder: a time series analysis of change in worry and somatic anxiety.

    abstract::The present study examined symptom change profiles in patients with generalized anxiety disorder (GAD) receiving either cognitive behavioural therapy (CBT) or applied relaxation (AR). It was hypothesized that (a) changes in worry would uniquely predict changes in somatic anxiety for most participants receiving CBT and...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506070902980745

    authors: Dugas MJ,Francis K,Bouchard S

    更新日期:2009-01-01 00:00:00

  • Social Anxiety and Friendship Quality over Time.

    abstract::High social anxiety in adults is associated with self-report of impaired friendship quality, but not necessarily with impairment reported by friends. Further, prospective prediction of social anxiety and friendship quality over time has not been tested among adults. We therefore examined friendship quality and social ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2015.1062043

    authors: Rodebaugh TL,Lim MH,Shumaker EA,Levinson CA,Thompson T

    更新日期:2015-01-01 00:00:00

  • Age and pre quit-day attrition during smoking cessation treatment.

    abstract::The present study aimed to replicate the finding that younger age predicts higher pre quit-day attrition. Our second aim was to explain this relation by examining empirically and theoretically informed age-related risk factors for low smoking cessation treatment engagement. 136 participants (Mage = 44.2 years, SD = 11...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2020.1751262

    authors: Conroy HE,Jacquart J,Baird SO,Rosenfield D,Davis ML,Powers MB,Frierson GM,Marcus BH,Otto MW,Zvolensky MJ,Smits JAJ

    更新日期:2020-09-01 00:00:00

  • Validation of the internet-administered Quality of Life Inventory (QOLI) in different psychiatric conditions.

    abstract::The Quality of Life Inventory (QOLI) is an established rating scale of self-perceived quality of life across 16 domains. Norms for different psychiatric conditions when rated via the Internet, responsiveness to change following treatment, and the clinical impact of importance-weighting items have yet to be examined. T...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2013.806584

    authors: Lindner P,Andersson G,Ost LG,Carlbring P

    更新日期:2013-01-01 00:00:00

  • Responses to interoceptive exposure in people with posttraumatic stress disorder (PTSD): a preliminary analysis of induced anxiety reactions and trauma memories and their relationship to anxiety sensitivity and PTSD symptom severity.

    abstract::A growing body of evidence suggests that anxiety sensitivity (AS; fear of arousal-related sensations) plays a role in posttraumatic stress disorder (PTSD). Consistent with this, evidence indicates that interoceptive exposure (IE), which is a method for reducing AS, reduces PTSD symptoms. Clinical observations from our...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070801969054

    authors: Wald J,Taylor S

    更新日期:2008-01-01 00:00:00

  • Depressive rumination: investigating mechanisms to improve cognitive behavioural treatments.

    abstract::Rumination has been identified as a core process in the development and maintenance of depression. Treatments targeting ruminative processes may, therefore, be particularly helpful for treating chronic and recurrent depression. The development of such treatments requires translational research that marries clinical tr...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506070902980695

    authors: Watkins ER

    更新日期:2009-01-01 00:00:00

  • Pain-related anxiety and opioid misuse in a racially/ethnically diverse young adult sample with moderate/severe pain.

    abstract::Pain problems are of significant public health concern, and with opioid-related problems and death due to overdose at an all-time high, there is significant public health importance to identify risk factors that link instances of pain to opioid misuse among persons with pain whether or not they have been prescribed op...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2018.1436085

    authors: Rogers AH,Bakhshaie J,Lam H,Langdon KJ,Ditre JW,Zvolensky MJ

    更新日期:2018-09-01 00:00:00

  • The mediatory role of maladaptive schema modes between parental care and non-suicidal self-injury.

    abstract::Non-suicidal self-injury (NSSI) is being increasingly recognised as a behaviour of significant clinical importance. Yet, there remains uncertainty regarding the underlying mechanisms of NSSI. This study aimed to explore the relationship between maladaptive schema modes, parental bonding, and NSSI. Seventy psychiatric ...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2013.781671

    authors: Saldias A,Power K,Gillanders DT,Campbell CW,Blake RA

    更新日期:2013-01-01 00:00:00

  • A Single Bout of Aerobic Exercise Reduces Anxiety Sensitivity But Not Intolerance of Uncertainty or Distress Tolerance: A Randomized Controlled Trial.

    abstract::Several mechanisms have been posited for the anxiolytic effects of exercise, including reductions in anxiety sensitivity through interoceptive exposure. Studies on aerobic exercise lend support to this hypothesis; however, research investigating aerobic exercise in comparison to placebo, the dose-response relationship...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,随机对照试验

    doi:10.1080/16506073.2015.1028094

    authors: LeBouthillier DM,Asmundson GJ

    更新日期:2015-01-01 00:00:00

  • Testing the effects of social anxiety disorder on friendship quality across gender and ethnicity.

    abstract::Previous research suggests that social anxiety disorder (SAD) has a specific relationship with impairment in friendship quality; however, potential moderators of this relationship have not been tested. The current study examines whether the specific effect of SAD on friendship quality is stable or varies across gender...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章

    doi:10.1080/16506073.2012.661451

    authors: Rodebaugh TL,Fernandez KC,Levinson CA

    更新日期:2012-01-01 00:00:00

  • Who benefits from psychotherapies for adult depression? A meta-analytic update of the evidence.

    abstract::It is not clear whether specific target groups for psychotherapies in adult depression benefit as much from these treatments as other patients. We examined target groups that have been examined in randomized trials, including women, older adults, students, minorities, patients with general medical disorders, and speci...

    journal_title:Cognitive behaviour therapy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1080/16506073.2017.1420098

    authors: Cuijpers P,Karyotaki E,Reijnders M,Huibers MJH

    更新日期:2018-03-01 00:00:00