Efficacy of Cognitive Behaviour Therapy in Generalized Anxiety Disorders

Lindén, Michael; Zubraegel, Doris; Baer, Thomas M.; Franke, Ulrike; Schlattmann, Peter

doi:10.1159/000082025

Cited by 92 publications

(24 citation statements)

References 62 publications

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“…The main limitations address the relatively low sample size of 65 and the questionnaire survey without renewed clinical examinations at the 3-year follow-up. Nevertheless, our response rate of 70.7% was in the range of studies with comparable follow-up durations (Bleichhardt et al, 2004;Linden et al, 2005;Wiltink et al, 2007). This is the first study exploring the long-term course of psychogenic dizziness in a relatively small but psychometrically and neuro-otologically wellcharacterized group of patients with primary SVD.…”

Section: Limitations and Strengths Of This Studymentioning

confidence: 58%

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Tschan¹,

Best²,

Wiltink³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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The aim of this study was to perform a 3-year follow-up of primary somatoform vertigo and dizziness (SVD) regarding health care use and treatment. Ninety-two patients with dizziness underwent detailed vestibular neurophysiological testing and a Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Psychometric assessments comprised the Vertigo Symptom Scale, the Vertigo Handicap Questionnaire, the SCL-90-R, and the Short-FormY36 Health Survey. At the 3-year follow-up, 65 patients with primary SVD (anxiety, n = 29; depression, n = 14; somatoform disorders, n = 22) were reassessed (70.7% response). The patients improved in symptom severity (p G 0.05), handicap (p G 0.01), and physical quality of life (QoL; p G 0.05) but showed no change in emotional distress. A total of 63.1% (of n = 65) had ongoing SVD. A total of 69.2% (of n = 65) received different forms of treatments. A total of 46.1% (of n = 65) searched redundant medical diagnostic procedures. The patients with decreased coping capacity over time obtained the best prognosis. Primary SVD is an ineffectively treated disorder. Recommendations for specific complaint-oriented psychotherapy programs were given.

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Section: Limitations and Strengths Of This Studymentioning

confidence: 58%

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Tschan¹,

Best²,

Wiltink³

et al. 2013

Journal of Nervous &Amp; Mental Disease

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“…In terms of psychotherapy, cognitive behaviour therapy (CBT) for general anxiety disorders was found superior to other psychological therapies [3]. Thus, CBT is currently the most effective treatment choice for OCD patients [4, 5].…”

Section: Introductionmentioning

confidence: 99%

Computerised Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder: A Systematic Review

Tumur

Kaltenthaler²,

Ferriter³

et al. 2007

Psychother Psychosom

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Background: Computer-guided therapy is an innovative treatment strategy that could have an important role in the future of psychological treatment. This paper summarises the available published evidence that assesses the effectiveness of a computerised cognitive behaviour therapy (CCBT) for obsessive-compulsive disorder (OCD). Methods: Fifteen electronic bibliographic databases including Medline, Embase, the Cochrane Library, Cinahl, PsycINFO, Biological Abstracts, HMIC and NHS CRD databases were comprehensively searched in March 2004: [‘obsessive compulsive disorder’ (text and indexed terms)] AND [‘cognitive therapy’ (text and indexed terms)] AND [‘computer’ (text and indexed terms)]. Reference lists of included studies, guidelines, generic research, trials registers and specialist mental health sites were hand-searched. Results: The search produced 149 citations from which we identified two RCTs and two single-arm studies with relevant data. All four studies used one software programme – BTSteps.In the large RCT, YBOCS effect sizes for BTSteps, therapist-led cognitive behaviour therapy (TCBT) and relaxation (RLX) were 0.84, 1.22, and 0.35, respectively. The smaller RCT found significantly better outcomes with brief scheduled support compared to brief on-demand phone support. Conclusions: BTSteps was as good as TCBT for reducing time spent in rituals and obsessions and for improving the Work and Social Adjustment Scale (WSA), and was superior to RLX treatment. The available evidence also showed that improvement of OCD persisted beyond the end of CCBT. TCBT was more effective than CCBT for all patients overall though not in those who went on to start self-exposure. Such a system has the potential to widen the access to CBT in general and considerably shorten clinician-guided care.

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“…Cognitive behavioral therapy is recognized to be effective and is widely performed for the treatment of depression [10] and other mental disorders [11, 12], and a key issue now is how it can be applied clinically [13]. However, whether stress management based on the cognitive behavioral approach at workplaces is effective for the prevention of depression or not remains uncertain [14].…”

Section: Introductionmentioning

confidence: 99%

Can Stress Management at the Workplace Prevent Depression? A Randomized Controlled Trial

Mino

Babazono

Tsuda

et al. 2006

Psychother Psychosom

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Background: Stress, mental health and depression at the workplace have emerged as common and significant problems. The effectiveness of a stress-management program at the workplace was investigated. Methods: The effectiveness of a stress-management program was examined in workers at a highly stressful workplace using a randomized controlled trial. The 58 workers in the office were randomly assigned into a stress-management group (n = 28) and a control group (n = 30). The stress-management program included lectures on the perception of stress, measures to cope with it, stress-management recording sheets, and e-mail counseling. This program was based on the cognitive behavioral approach. The stress-management program was carried out for 3 months, and perceived work-related stress and psychological symptoms were evaluated using: General Health Questionnaire (GHQ)-30, Center for Epidemiologic Study for Depression (CES-D), the Questionnaire of Work-Related Stress and the Effort-Reward Imbalance Questionnaire. Twenty-one out of the 28 in the stress-management group and all in the control group were successfully followed up. Results: In the stress-management group, a significant improvement in the depressive symptoms was observed, compared with the control group in CES-D (p = 0.003 by two-tailed paired t-test, and p = 0.042 by repeated measure analysis of variance). In the multiple regression analysis, the effect of stress management on depressive symptoms at follow-up was significant (p = 0.041), controlling for potential confounding factors. However, the alleviation of perceived occupational stress was limited. Conclusions: A stress-management program based on the cognitive behavioral approach at the workplace may have potential for the prevention of depression.

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Efficacy of Cognitive Behaviour Therapy in Generalized Anxiety Disorders

Cited by 92 publications

References 62 publications

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Persistence of Symptoms in Primary Somatoform Vertigo and Dizziness

Computerised Cognitive Behaviour Therapy for Obsessive-Compulsive Disorder: A Systematic Review

Can Stress Management at the Workplace Prevent Depression? A Randomized Controlled Trial

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