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...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The journal of nervous and mental disease 2007-06, Vol.195 (6), p.521-531
Hauptverfasser: NORTON, Peter J, PRICE, Esther C
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 531
container_issue 6
container_start_page 521
container_title The journal of nervous and mental disease
container_volume 195
creator NORTON, Peter J
PRICE, Esther C
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
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70606963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1289374781</sourcerecordid><originalsourceid>FETCH-LOGICAL-c471t-c3ddcf3bd82db9567c28b5c0ae8aaed2cca2a94d74835d42b177493bacbb4053</originalsourceid><addsrcrecordid>eNpdkUFrFTEQx4Mo9rX6FSQU9LZrssluEm-lqBUKXnrwFmaTWZuyu6lJ9un79sb2wQPnMgPzmxnm_yfkkrOWM6M-Mt6ui29Zja4XWopWMS5Na-AF2fFemEaJ4cdLsqv9rhGM6zNynvMDY1wJyV6TM676QdfGjrgrumCBBlaYDyU4mnAf8DeNEwW_zYW6-HMNJeyxGfEe9iEmmGlJCGXBtdC4FRcXpOBSzJmW-1qufwKWA_Uhx-Qx5Tfk1QRzxrfHfEHuvny-u75pbr9__XZ9dds4qXhpnPDeTWL0uvOj6QflOj32jgFqAPSdc9CBkV5JLXovu5ErJY0YwY2jZL24IB-e1z6m-GvDXOwSssN5hhXjlq1iAxvMICp4-R_4ELdUBci2Y1U6WVWu0Kdn6OmxhJN9TGGBdLCc2X82WMZttcGebLBPNlgDdfjd8cI2LuhPo0fdK_D-CEB2ME8JVhfyidNaDtpw8Re6B5PZ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>207364109</pqid></control><display><type>article</type><title>A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders</title><source>MEDLINE</source><source>Journals@Ovid Complete</source><creator>NORTON, Peter J ; PRICE, Esther C</creator><creatorcontrib>NORTON, Peter J ; PRICE, Esther C</creatorcontrib><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.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/01.nmd.0000253843.70149.9a</identifier><identifier>PMID: 17568301</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins</publisher><subject>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 &amp; 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</subject><ispartof>The journal of nervous and mental disease, 2007-06, Vol.195 (6), p.521-531</ispartof><rights>2007 INIST-CNRS</rights><rights>Copyright Lippincott Williams &amp; Wilkins Jun 2007</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-c3ddcf3bd82db9567c28b5c0ae8aaed2cca2a94d74835d42b177493bacbb4053</citedby><cites>FETCH-LOGICAL-c471t-c3ddcf3bd82db9567c28b5c0ae8aaed2cca2a94d74835d42b177493bacbb4053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18846891$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17568301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>NORTON, Peter J</creatorcontrib><creatorcontrib>PRICE, Esther C</creatorcontrib><title>A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><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.</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 &amp; 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 &amp; Wilkins</general><general>Lippincott Williams &amp; 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. Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>Clinical outcomes</topic><topic>Clinical Trials as Topic - statistics &amp; numerical data</topic><topic>Cognitive therapy</topic><topic>Cognitive Therapy - methods</topic><topic>Control Groups</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Meta-analysis</topic><topic>Personality disorders</topic><topic>Phobic Disorders - diagnosis</topic><topic>Phobic Disorders - psychology</topic><topic>Phobic Disorders - therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Relaxation Therapy</topic><topic>Research Design</topic><topic>Stress Disorders, Post-Traumatic - diagnosis</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Stress Disorders, Post-Traumatic - therapy</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>NORTON, Peter J</creatorcontrib><creatorcontrib>PRICE, Esther C</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>NORTON, Peter J</au><au>PRICE, Esther C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A meta-analytic review of adult cognitive-behavioral treatment outcome across the anxiety disorders</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2007-06-01</date><risdate>2007</risdate><volume>195</volume><issue>6</issue><spage>521</spage><epage>531</epage><pages>521-531</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>17568301</pmid><doi>10.1097/01.nmd.0000253843.70149.9a</doi><tpages>11</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0022-3018
ispartof The journal of nervous and mental disease, 2007-06, Vol.195 (6), p.521-531
issn 0022-3018
1539-736X
language eng
recordid cdi_proquest_miscellaneous_70606963
source MEDLINE; Journals@Ovid Complete
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
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-07T17%3A08%3A43IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20meta-analytic%20review%20of%20adult%20cognitive-behavioral%20treatment%20outcome%20across%20the%20anxiety%20disorders&rft.jtitle=The%20journal%20of%20nervous%20and%20mental%20disease&rft.au=NORTON,%20Peter%20J&rft.date=2007-06-01&rft.volume=195&rft.issue=6&rft.spage=521&rft.epage=531&rft.pages=521-531&rft.issn=0022-3018&rft.eissn=1539-736X&rft.coden=JNMDAN&rft_id=info:doi/10.1097/01.nmd.0000253843.70149.9a&rft_dat=%3Cproquest_cross%3E1289374781%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=207364109&rft_id=info:pmid/17568301&rfr_iscdi=true