2022
DOI: 10.1186/s12888-022-04127-3
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Effects of group mindfulness-based cognitive therapy and group cognitive behavioural therapy on symptomatic generalized anxiety disorder: a randomized controlled noninferiority trial

Abstract: Background Mindfulness-based cognitive therapy (MBCT) is a promising alternative treatment for generalized anxiety disorder (GAD). The objective of this study was to examine whether the efficacy of group MBCT adapted for treating GAD (MBCT-A) was noninferior to group cognitive behavioural therapy (CBT) designed to treat GAD (CBT-A), which was considered one of first-line treatments for GAD patients. We also explored the efficacy of MBCT-A in symptomatic GAD patients compared with CBT-A for a va… Show more

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Cited by 9 publications
(12 citation statements)
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“…After removing duplicates and examining titles and abstracts we selected 125 records for full-text assessment. Eventually, we selected 66 studies for inclusion in the network analysis (eAppendixes D, E, F, and G in Supplement 1). Overall, 5597 participants were randomly assigned to the 8 different psychotherapies (behavior therapy, CBT, cognitive restructuring, psychoeducation, psychodynamic therapy, relaxation therapy, supportive psychotherapy, and third-wave CBTs) and 2 different control conditions (treatment as usual and waiting list) (Figure 1).…”
Section: Resultsmentioning
confidence: 99%
See 3 more Smart Citations
“…After removing duplicates and examining titles and abstracts we selected 125 records for full-text assessment. Eventually, we selected 66 studies for inclusion in the network analysis (eAppendixes D, E, F, and G in Supplement 1). Overall, 5597 participants were randomly assigned to the 8 different psychotherapies (behavior therapy, CBT, cognitive restructuring, psychoeducation, psychodynamic therapy, relaxation therapy, supportive psychotherapy, and third-wave CBTs) and 2 different control conditions (treatment as usual and waiting list) (Figure 1).…”
Section: Resultsmentioning
confidence: 99%
“…Twenty-three studies (35%) were at high risk of bias, 32 studies (48%) were evaluated as having “some concerns,” and 11 studies (17%) were considered at low risk of bias (Table 2, eAppendix H in Supplement 1). In the domain of “selection of the reported result,” the majority of the RCTs failed to provide information on the study protocol and the preplanned analysis plan, leading to “some concerns” judgment in 42 studies (64%); 41 studies (62%) failed to adequately report on the randomization process in the “randomization process” domain, with details on allocation concealment being almost never reported.…”
Section: Resultsmentioning
confidence: 99%
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“…Two recent articles reported face-to-face psychological interventions for GAD. A noninferiority trial of mindfulness-based cognitive therapy (MCBT-A) and group cognitive behavioural therapy (CBT-A) for GAD that included 138 adult participants found that MCBT-A was noninferior to CBT-A at a 3-month follow-up [12]. In another clinical trial, 60 patients with GAD were randomized to 12 sessions of either cognitive behaviour therapy (CBT) or metacognitive therapy [13].…”
Section: Psychological Treatmentmentioning
confidence: 99%