A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders
The efficacy of cognitive behavioral treatments (CBT) for anxiety in adults has been supported by multiple meta-analyses. However, most have focused on only 1 diagnosis, thereby disallowing diagnostic comparisons. This study examined the efficacy of CBT across the anxiety disorders. One hundred eigh...
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Veröffentlicht in: | The journal of nervous and mental disease 2007-06, Vol.195 (6), p.521-531 |
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description | The efficacy of cognitive behavioral treatments (CBT) for anxiety in adults has been supported by multiple meta-analyses. However, most have focused on only 1 diagnosis, thereby disallowing diagnostic comparisons. This study examined the efficacy of CBT across the anxiety disorders. One hundred eight trials of CBT for an anxiety disorder met study criteria. Cognitive therapy and exposure therapy alone, in combination, or combined with relaxation training, were efficacious across the anxiety disorders, with no differential efficacy for any treatment components for any specific diagnoses. However, when comparing across diagnoses, outcomes for generalized anxiety disorder and posttraumatic stress disorder were superior to those for social anxiety disorder, but no other differences emerged. CBT effects were superior to those for no-treatment and expectancy control treatments, although tentative evidence suggested equal effects of CBT when compared with relaxation-only treatments. |
doi_str_mv | 10.1097/01.nmd.0000253843.70149.9a |
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However, most have focused on only 1 diagnosis, thereby disallowing diagnostic comparisons. This study examined the efficacy of CBT across the anxiety disorders. One hundred eight trials of CBT for an anxiety disorder met study criteria. Cognitive therapy and exposure therapy alone, in combination, or combined with relaxation training, were efficacious across the anxiety disorders, with no differential efficacy for any treatment components for any specific diagnoses. However, when comparing across diagnoses, outcomes for generalized anxiety disorder and posttraumatic stress disorder were superior to those for social anxiety disorder, but no other differences emerged. CBT effects were superior to those for no-treatment and expectancy control treatments, although tentative evidence suggested equal effects of CBT when compared with relaxation-only treatments.</description><subject>Adults</subject><subject>Age Factors</subject><subject>Algorithms</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - psychology</subject><subject>Anxiety Disorders - therapy</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>Clinical outcomes</subject><subject>Clinical Trials as Topic - statistics & numerical data</subject><subject>Cognitive therapy</subject><subject>Cognitive Therapy - methods</subject><subject>Control Groups</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Meta-analysis</subject><subject>Personality disorders</subject><subject>Phobic Disorders - diagnosis</subject><subject>Phobic Disorders - psychology</subject><subject>Phobic Disorders - therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Relaxation Therapy</subject><subject>Research Design</subject><subject>Stress Disorders, Post-Traumatic - diagnosis</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Stress Disorders, Post-Traumatic - therapy</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkUFrFTEQx4Mo9rX6FSQU9LZrssluEm-lqBUKXnrwFmaTWZuyu6lJ9un79sb2wQPnMgPzmxnm_yfkkrOWM6M-Mt6ui29Zja4XWopWMS5Na-AF2fFemEaJ4cdLsqv9rhGM6zNynvMDY1wJyV6TM676QdfGjrgrumCBBlaYDyU4mnAf8DeNEwW_zYW6-HMNJeyxGfEe9iEmmGlJCGXBtdC4FRcXpOBSzJmW-1qufwKWA_Uhx-Qx5Tfk1QRzxrfHfEHuvny-u75pbr9__XZ9dds4qXhpnPDeTWL0uvOj6QflOj32jgFqAPSdc9CBkV5JLXovu5ErJY0YwY2jZL24IB-e1z6m-GvDXOwSssN5hhXjlq1iAxvMICp4-R_4ELdUBci2Y1U6WVWu0Kdn6OmxhJN9TGGBdLCc2X82WMZttcGebLBPNlgDdfjd8cI2LuhPo0fdK_D-CEB2ME8JVhfyidNaDtpw8Re6B5PZ</recordid><startdate>20070601</startdate><enddate>20070601</enddate><creator>NORTON, Peter J</creator><creator>PRICE, Esther C</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20070601</creationdate><title>A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders</title><author>NORTON, Peter J ; PRICE, Esther C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-c3ddcf3bd82db9567c28b5c0ae8aaed2cca2a94d74835d42b177493bacbb4053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adults</topic><topic>Age Factors</topic><topic>Algorithms</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - psychology</topic><topic>Anxiety Disorders - therapy</topic><topic>Behavior therapy. 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subjects | Adults Age Factors Algorithms Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - psychology Anxiety Disorders - therapy Behavior therapy. Cognitive therapy Biological and medical sciences Clinical outcomes Clinical Trials as Topic - statistics & numerical data Cognitive therapy Cognitive Therapy - methods Control Groups Humans Medical sciences Meta-analysis Personality disorders Phobic Disorders - diagnosis Phobic Disorders - psychology Phobic Disorders - therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Relaxation Therapy Research Design Stress Disorders, Post-Traumatic - diagnosis Stress Disorders, Post-Traumatic - psychology Stress Disorders, Post-Traumatic - therapy Treatment Outcome Treatments |
title | A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders |
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