Resistance and outcome expectations in cognitive‐behavioural therapy for generalised anxiety disorder

2020 ◽  
Vol 20 (2) ◽  
pp. 265-275
Author(s):  
Khuraman Mamedova ◽  
Henny A. Westra ◽  
Michael J. Constantino ◽  
Nazanin Shekarak Ghashghaei ◽  
Martin M. Antony
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Outcome Expectations ◽  
Behavioural Therapy ◽  
Generalised Anxiety Disorder ◽  
Cognitive Behavioural

The acceptability and feasibility of group cognitive behavioural therapy for older adults with generalised anxiety disorder

2020 ◽  
Vol 48 (5) ◽  
pp. 621-625
Author(s):  
Jo Hall ◽  
Stephen Kellett ◽  
Manreesh Kaur Bains ◽  
Heather Stonebank ◽  
Shonagh Scott
Keyword(s):  
Older Adults ◽  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Group Treatment ◽  
Behavioural Therapy ◽  
Generalised Anxiety Disorder ◽  
Group Setting ◽  
Group Cognitive Behavioural Therapy ◽  
Cognitive Behavioural ◽  
Therapy Protocol

AbstractBackground:Group psychotherapy for older adults with generalised anxiety disorder is an under-researched area.Aim:This report describes a mixed method evaluation of the acceptability and feasibility of an Overcoming Worry Group.Method:The Overcoming Worry Group was a novel adaptation of a cognitive behavioural therapy protocol targeting intolerance-of-uncertainty for generalised anxiety disorder, tailored for delivery to older adults in a group setting (n = 13).Results:The adapted protocol was found to be acceptable and feasible, and treatment outcomes observed were encouraging.Conclusions:This proof-of-concept study provides evidence for an Overcoming Worry Group as an acceptable and feasible group treatment for older adults with generalised anxiety disorder.

scholarly journals Cognitive–Behavioural Therapy Combined With an Interpersonal Skills Component in the Treatment of Generalised Anxiety Disorder in Adolescent Females: A Case Series

2008 ◽  
Vol 25 (1) ◽  
pp. 35-43 ◽  
Author(s):  
Allison M. Waters ◽  
Jillian Donaldson ◽  
Melanie J. Zimmer-Gembeck
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Interpersonal Skills ◽  
Case Series ◽  
Parent Report ◽  
Behavioural Therapy ◽  
Female Adolescents ◽  
Generalised Anxiety Disorder ◽  
Cognitive Behavioural ◽  
Diagnostic Interviews

AbstractThe present study describes the outcomes of a manualised treatment for generalised anxiety disorder (GAD) in female adolescents that combined traditional cognitive–behavioural therapy (CBT) with an interpersonal skills (IP) component. The CBT component included psychoeducation, somatic management, cognitive restructuring, exposure therapy and problem-solving. The IP component targeted interpersonal avoidance, passive and aggressive interpersonal styles, and co-rumination. Four female adolescents with a principal diagnosis of GAD participated in 10 weekly 1-hour sessions. Adolescent- and parent-report diagnostic interviews and questionnaires were completed at pre-, mid-, and posttreatment, and at 3-months follow-up. Reductions in GAD and depressive symptoms and improvements in interpersonal functioning for all participants on both adolescent- and parent-report measures suggest that the combination of CBT and IP can benefit adolescent girls with GAD.

scholarly journals Metacognitive therapy versus cognitive–behavioural therapy in adults with generalised anxiety disorder

BJPsych Open ◽  
2018 ◽  
Vol 4 (5) ◽  
pp. 393-400 ◽  
Author(s):  
Hans M. Nordahl ◽  
Thomas D. Borkovec ◽  
Roger Hagen ◽  
Leif E. O. Kennair ◽  
Odin Hjemdal ◽  
...  
Keyword(s):  
Anxiety Disorder ◽  
Cognitive Behavioural Therapy ◽  
Treatment Protocol ◽  
Behavioural Therapy ◽  
Generalised Anxiety Disorder ◽  
Metacognitive Therapy ◽  
Recovery Rates ◽  
Cognitive Behavioural ◽  
Pre Treatment

BackgroundCognitive–behavioural therapy (CBT) is the treatment of choice for generalised anxiety disorder (GAD), yielding significant improvements in approximately 50% of patients. There is significant room for improvement in the outcomes of treatment, especially in recovery.AimsWe aimed to compare metacognitive therapy (MCT) with the gold standard treatment, CBT, in patients with GAD (clinicaltrials.gov identifier: NCT00426426).MethodA total of 246 patients with long-term GAD were assessed and 81 were randomised into three conditions: CBT (n = 28), MCT (n = 32) and a wait-list control (n = 21). Assessments were made at pre-treatment, post-treatment and at 2 year follow-up.ResultsBoth CBT and MCT were effective treatments, but MCT was more effective (mean difference 9.762, 95% CI 2.679–16.845, P = 0.004) and led to significantly higher recovery rates (65% v. 38%). These differences were maintained at 2 year follow-up.ConclusionsMCT seems to produce recovery rates that exceed those of CBT. These results demonstrate that the effects of treatment cannot be attributed to non-specific therapy factors.Declaration of interestA.W. wrote the treatment protocol in MCT and several books on CBT and MCT, and receives royalties from these. T.D.B. wrote the protocol in CBT and has published several articles and chapters on CBT and receives royalties from these. All other authors declare no competing interests.

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