Changes in positive affect in cognitive-behavioral treatment of anxiety disorders
This study evaluated changes in positive affect within cognitive-behavioral treatments (CBT) for anxiety disorders. It was hypothesized that there would be significantly greater increases in positive affect in CBT conditions compared to the waitlist, and particularly higher in the Unified Protocol (...
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Veröffentlicht in: | General hospital psychiatry 2019-11, Vol.61, p.111-115 |
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container_title | General hospital psychiatry |
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creator | Wilner Tirpak, Julianne Cassiello-Robbins, Clair Ametaj, Amantia Olesnycky, Olenka S. Sauer-Zavala, Shannon Farchione, Todd J. Barlow, David H. |
description | This study evaluated changes in positive affect within cognitive-behavioral treatments (CBT) for anxiety disorders. It was hypothesized that there would be significantly greater increases in positive affect in CBT conditions compared to the waitlist, and particularly higher in the Unified Protocol (UP) than the single disorder protocols (SDP) given the UP's focus on emotions (including positive emotions) rather than symptoms.
Patients with heterogeneous anxiety disorders (N = 223) were randomly assigned to the UP, SDP or waitlist. Linear mixed model regression (intent to treat) analyses were used to compare change in positive affect, quality of life, and savoring between patients in the treatment conditions (UP and SDP) versus waitlist conditions. Between condition effect sizes were calculated to assess the magnitude of difference within conditions at post-treatment.
Results indicated a significant Group (treatment vs. waitlist) × Time (pre- post-treatment) interaction (F(1, 154.36) = 6.75; p = .01) for positive affect in which the treatment group showed significant improvements in positive affect pre- to post-treatment (ESsg = 0.37, SEsg = 0.09, 95% CI [0.20: 0.54]) and the waitlist condition did not. There were no differences between UP and SDP conditions in positive affect at baseline or at post-treatment.
These results suggest CBT, which typically focuses on reductions in negative affect, may also improve positive affect. The importance of future research evaluating, targeting, and improving positive affect in CBT trials is discussed.
Clinicaltrials.gov Identifier: NCT01243606 |
doi_str_mv | 10.1016/j.genhosppsych.2019.06.008 |
format | Article |
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Patients with heterogeneous anxiety disorders (N = 223) were randomly assigned to the UP, SDP or waitlist. Linear mixed model regression (intent to treat) analyses were used to compare change in positive affect, quality of life, and savoring between patients in the treatment conditions (UP and SDP) versus waitlist conditions. Between condition effect sizes were calculated to assess the magnitude of difference within conditions at post-treatment.
Results indicated a significant Group (treatment vs. waitlist) × Time (pre- post-treatment) interaction (F(1, 154.36) = 6.75; p = .01) for positive affect in which the treatment group showed significant improvements in positive affect pre- to post-treatment (ESsg = 0.37, SEsg = 0.09, 95% CI [0.20: 0.54]) and the waitlist condition did not. There were no differences between UP and SDP conditions in positive affect at baseline or at post-treatment.
These results suggest CBT, which typically focuses on reductions in negative affect, may also improve positive affect. The importance of future research evaluating, targeting, and improving positive affect in CBT trials is discussed.
Clinicaltrials.gov Identifier: NCT01243606</description><identifier>ISSN: 0163-8343</identifier><identifier>EISSN: 1873-7714</identifier><identifier>DOI: 10.1016/j.genhosppsych.2019.06.008</identifier><identifier>PMID: 31253437</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Affect - physiology ; Anxiety disorders ; Anxiety Disorders - physiopathology ; Anxiety Disorders - therapy ; Clinical trial ; Cognitive Behavioral Therapy ; Cognitive-behavioral treatment ; Female ; Humans ; Male ; Outcome Assessment, Health Care ; Positive affect ; Transdiagnostic</subject><ispartof>General hospital psychiatry, 2019-11, Vol.61, p.111-115</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c487t-c790528bc5c3742e6f4ff48228da821d31011b1a9de428865209357c41fd8093</citedby><cites>FETCH-LOGICAL-c487t-c790528bc5c3742e6f4ff48228da821d31011b1a9de428865209357c41fd8093</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.genhosppsych.2019.06.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31253437$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wilner Tirpak, Julianne</creatorcontrib><creatorcontrib>Cassiello-Robbins, Clair</creatorcontrib><creatorcontrib>Ametaj, Amantia</creatorcontrib><creatorcontrib>Olesnycky, Olenka S.</creatorcontrib><creatorcontrib>Sauer-Zavala, Shannon</creatorcontrib><creatorcontrib>Farchione, Todd J.</creatorcontrib><creatorcontrib>Barlow, David H.</creatorcontrib><title>Changes in positive affect in cognitive-behavioral treatment of anxiety disorders</title><title>General hospital psychiatry</title><addtitle>Gen Hosp Psychiatry</addtitle><description>This study evaluated changes in positive affect within cognitive-behavioral treatments (CBT) for anxiety disorders. It was hypothesized that there would be significantly greater increases in positive affect in CBT conditions compared to the waitlist, and particularly higher in the Unified Protocol (UP) than the single disorder protocols (SDP) given the UP's focus on emotions (including positive emotions) rather than symptoms.
Patients with heterogeneous anxiety disorders (N = 223) were randomly assigned to the UP, SDP or waitlist. Linear mixed model regression (intent to treat) analyses were used to compare change in positive affect, quality of life, and savoring between patients in the treatment conditions (UP and SDP) versus waitlist conditions. Between condition effect sizes were calculated to assess the magnitude of difference within conditions at post-treatment.
Results indicated a significant Group (treatment vs. waitlist) × Time (pre- post-treatment) interaction (F(1, 154.36) = 6.75; p = .01) for positive affect in which the treatment group showed significant improvements in positive affect pre- to post-treatment (ESsg = 0.37, SEsg = 0.09, 95% CI [0.20: 0.54]) and the waitlist condition did not. There were no differences between UP and SDP conditions in positive affect at baseline or at post-treatment.
These results suggest CBT, which typically focuses on reductions in negative affect, may also improve positive affect. The importance of future research evaluating, targeting, and improving positive affect in CBT trials is discussed.
Clinicaltrials.gov Identifier: NCT01243606</description><subject>Adult</subject><subject>Affect - physiology</subject><subject>Anxiety disorders</subject><subject>Anxiety Disorders - physiopathology</subject><subject>Anxiety Disorders - therapy</subject><subject>Clinical trial</subject><subject>Cognitive Behavioral Therapy</subject><subject>Cognitive-behavioral treatment</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Outcome Assessment, Health Care</subject><subject>Positive affect</subject><subject>Transdiagnostic</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU9rGzEQxUVpaZy0XyEsOfWyG_1bSc6hUNymLQRKIXchSyOvjC1tpLWJv33lOg3JracRozdvnvRD6IrgjmAirtfdCuKQyjiWgx06ism8w6LDWL1BM6Ika6Uk_C2aVTFrFePsDJ2XssYY97Rn79EZI7VyJmfo92IwcQWlCbEZUwlT2ENjvAc7HVs2reLfXruEwexDymbTTBnMtIU4Nck3Jj4GmA6NCyVlB7l8QO-82RT4-FQv0P3tt_vFj_bu1_efiy93reVKTq2V85pGLW1vmeQUhOfec0WpckZR4lh9KlkSM3fAqVKip3jOemk58U7V4wX6fLIdd8stOFvj1Gx6zGFr8kEnE_TrmxgGvUp7LZQg1a0afHoyyOlhB2XS21AsbDYmQtoVTWmPBWG9kFV6c5LanErJ4J_XEKyPSPRav0Sij0g0FroiqcOXL4M-j_5jUAVfTwKov7UPkHWxAaIFF3LFoF0K_7PnDwC_pho</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Wilner Tirpak, Julianne</creator><creator>Cassiello-Robbins, Clair</creator><creator>Ametaj, Amantia</creator><creator>Olesnycky, Olenka S.</creator><creator>Sauer-Zavala, Shannon</creator><creator>Farchione, Todd J.</creator><creator>Barlow, David H.</creator><general>Elsevier Inc</general><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>7X8</scope><scope>5PM</scope></search><sort><creationdate>20191101</creationdate><title>Changes in positive affect in cognitive-behavioral treatment of anxiety disorders</title><author>Wilner Tirpak, Julianne ; Cassiello-Robbins, Clair ; Ametaj, Amantia ; Olesnycky, Olenka S. ; Sauer-Zavala, Shannon ; Farchione, Todd J. ; Barlow, David H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c487t-c790528bc5c3742e6f4ff48228da821d31011b1a9de428865209357c41fd8093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Affect - physiology</topic><topic>Anxiety disorders</topic><topic>Anxiety Disorders - physiopathology</topic><topic>Anxiety Disorders - therapy</topic><topic>Clinical trial</topic><topic>Cognitive Behavioral Therapy</topic><topic>Cognitive-behavioral treatment</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Outcome Assessment, Health Care</topic><topic>Positive affect</topic><topic>Transdiagnostic</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wilner Tirpak, Julianne</creatorcontrib><creatorcontrib>Cassiello-Robbins, Clair</creatorcontrib><creatorcontrib>Ametaj, Amantia</creatorcontrib><creatorcontrib>Olesnycky, Olenka S.</creatorcontrib><creatorcontrib>Sauer-Zavala, Shannon</creatorcontrib><creatorcontrib>Farchione, Todd J.</creatorcontrib><creatorcontrib>Barlow, David H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wilner Tirpak, Julianne</au><au>Cassiello-Robbins, Clair</au><au>Ametaj, Amantia</au><au>Olesnycky, Olenka S.</au><au>Sauer-Zavala, Shannon</au><au>Farchione, Todd J.</au><au>Barlow, David H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in positive affect in cognitive-behavioral treatment of anxiety disorders</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>61</volume><spage>111</spage><epage>115</epage><pages>111-115</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><abstract>This study evaluated changes in positive affect within cognitive-behavioral treatments (CBT) for anxiety disorders. It was hypothesized that there would be significantly greater increases in positive affect in CBT conditions compared to the waitlist, and particularly higher in the Unified Protocol (UP) than the single disorder protocols (SDP) given the UP's focus on emotions (including positive emotions) rather than symptoms.
Patients with heterogeneous anxiety disorders (N = 223) were randomly assigned to the UP, SDP or waitlist. Linear mixed model regression (intent to treat) analyses were used to compare change in positive affect, quality of life, and savoring between patients in the treatment conditions (UP and SDP) versus waitlist conditions. Between condition effect sizes were calculated to assess the magnitude of difference within conditions at post-treatment.
Results indicated a significant Group (treatment vs. waitlist) × Time (pre- post-treatment) interaction (F(1, 154.36) = 6.75; p = .01) for positive affect in which the treatment group showed significant improvements in positive affect pre- to post-treatment (ESsg = 0.37, SEsg = 0.09, 95% CI [0.20: 0.54]) and the waitlist condition did not. There were no differences between UP and SDP conditions in positive affect at baseline or at post-treatment.
These results suggest CBT, which typically focuses on reductions in negative affect, may also improve positive affect. The importance of future research evaluating, targeting, and improving positive affect in CBT trials is discussed.
Clinicaltrials.gov Identifier: NCT01243606</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>31253437</pmid><doi>10.1016/j.genhosppsych.2019.06.008</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Affect - physiology Anxiety disorders Anxiety Disorders - physiopathology Anxiety Disorders - therapy Clinical trial Cognitive Behavioral Therapy Cognitive-behavioral treatment Female Humans Male Outcome Assessment, Health Care Positive affect Transdiagnostic |
title | Changes in positive affect in cognitive-behavioral treatment of anxiety disorders |
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