The dose-response curve in cognitive-behavioral therapy for anxiety disorders

Levy, Hannah C.; Worden, Blaise L.; Davies, Carolyn D.; Stevens, Kimberly T.; Katz, Benjamin W.; Mammo, Liya; Diefenbach, Gretchen J.; Tolin, David F.

doi:10.1080/16506073.2020.1771413

Cited by 22 publications

(11 citation statements)

References 41 publications

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“…None of the case studies described a psychodynamic approach. This might not be surprising, because most aforementioned literature on ROM has occurred within the context of relatively short‐term manualized treatments, such as CBT (e.g., Levy et al, 2020) and the unique psychodynamic clinical context remains largely unexplored. That said, a handful of studies report on the implementation of ROM in psychodynamic treatments (e.g., Brattland et al, 2018; Errázuriz & Zilcha‐Mano, 2018; Tzur Bitan et al, 2018), Notably, some of these studies alluded to discomfort and resistance experienced by PDT therapists and supervisors (e.g., Bantjes et al, 2018; Lemma et al, 2011).…”

Section: Introductionmentioning

confidence: 99%

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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Routine outcome monitoring (ROM) involves the use of patient-reported standardized outcome measures to monitor progress throughout the course of treatment, followed by feedback of the patient's scores to the therapist. The How to cite this article: Aafjes-van Doorn, K., & de Jong, K. (2022). How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider.

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Section: Introductionmentioning

confidence: 99%

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Doorn

Jong

2022

J Clin Psychol

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“…Conaughton et al, 2017 andMaskey, et al, 2019b), improvements did not translate into loss of the targeted anxiety diagnosis for around 62% of participants. On the other hand, at least in neurotypical adults, remission rates for CBT vary and are moderated by the anxiety disorder diagnosis, and the number of sessions in both studies was lower than the 11 to 19 sessions recently deemed necessary for at least 50% of individuals to show clinically significant improvement (Levy et al, 2020). Furthermore, in autistic children (i.e.…”

Section: Summary and Critique Of Evidence: Treatment Studiesmentioning

confidence: 83%

Technology-Based Assessments and Treatments of Anxiety in Autistic Individuals: Systematic Review and Narrative Synthesis

Adams

Valmaggia

Simonoff

2021

Rev J Autism Dev Disord

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This systematic review (Prospero Registration Number: CRD42019142910) aimed to narratively synthesise technology-aided assessments and treatments of anxiety in individuals with autism spectrum disorder (ASD) for the first time. Sixteen studies were identified: 5 assessment studies and 11 treatment studies. Assessment studies targeted state anxiety using ecological momentary assessment, wearables, or computerised tasks. Treatment studies targeted specific fears/phobias using electronic screen media or transdiagnostic anxiety using telemedicine. Broadly, results indicated technology-aided assessments and treatments may be feasible and effective at targeting anxiety in ASD, except treatments involving social scripts or peer modelling. Assessment results further indicated that state anxiety in ASD has a distinct psychophysiological signature and is evoked by idiosyncratic triggers. However, larger scale studies with representative samples are needed.

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“…It is also unclear whether therapy duration and setting (individual or group; inpatient or outpatient) affect the performance of AET versus CBT. However, indications exist that anxiety therapies over 15 sessions are not considerably more effective than shorter therapies (Knekt et al, 2017 ; Levy et al, 2020 ; Robinson et al, 2020 ) and this may apply to CBT as well as AET.…”

Section: Discussionmentioning

confidence: 99%

Group autonomy enhancing treatment versus cognitive behavioral therapy for anxiety disorders: A cluster‐randomized clinical trial

Kunst

Maas

Balkom

et al. 2021

Depression and Anxiety

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Background Although cognitive behavioral therapy (CBT) is effective in the treatment of anxiety disorders, few evidence‐based alternatives exist. Autonomy enhancing treatment (AET) aims to decrease the vulnerability for anxiety disorders by targeting underlying autonomy deficits and may therefore have similar effects on anxiety as CBT, but yield broader effects. Methods A multicenter cluster‐randomized clinical trial was conducted including 129 patients with DSM‐5 anxiety disorders, on average 33.66 years of age (SD = 12.57), 91 (70.5%) female, and most (92.2%) born in the Netherlands. Participants were randomized over 15‐week groupwise AET or groupwise CBT and completed questionnaires on anxiety, general psychopathology, depression, quality of life, autonomy‐connectedness and self‐esteem, pre‐, mid‐, and posttreatment, and after 3, 6, and 12 months (six measurements). Results Contrary to the hypotheses, effects on the broader outcome measures did not differ between AET and CBT (d = .16 or smaller at post‐test). Anxiety reduction was similar across conditions (d = .059 at post‐test) and neither therapy was superior on long term. Conclusion This was the first clinical randomized trial comparing AET to CBT. The added value of AET does not seem to lie in enhanced effectiveness on broader outcome measures or on long term compared to CBT. However, the study supports the effectiveness of AET and thereby contributes to extended treatment options for anxiety disorders.

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The dose-response curve in cognitive-behavioral therapy for anxiety disorders

Cited by 22 publications

References 41 publications

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

How to make the most of routine outcome monitoring (ROM): A multitude of clinical decisions and nuances to consider

Technology-Based Assessments and Treatments of Anxiety in Autistic Individuals: Systematic Review and Narrative Synthesis

Group autonomy enhancing treatment versus cognitive behavioral therapy for anxiety disorders: A cluster‐randomized clinical trial

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