A meta-analysis of CBT for pathological worry among clients with GAD

Covin, Roger; Ouimet, Allison J.; Seeds, Pamela M.; Dozois, David J. A.

doi:10.1016/j.janxdis.2007.01.002

Cited by 251 publications

(160 citation statements)

References 20 publications

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“…We split the follow-up interval into less than one month (i.e., varying from 1 to 3 weeks) and one month, which was based on inspection of the typical length of follow-up duration in the included studies. This decision is in line with other meta-analyses (e.g., Covin, Ouimet, Seeds, & Dozois, 2008), which also split the follow-up interval depending on the available follow-up range.…”

Section: Moderators Were Classified Into One Of the Following Four CLsupporting

confidence: 72%

Optimal attentional focus during exposure in specific phobia: A meta-analysis

Podină

Koster

Philippot

et al. 2013

Clinical Psychology Review

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Section: Moderators Were Classified Into One Of the Following Four CLsupporting

confidence: 72%

Optimal attentional focus during exposure in specific phobia: A meta-analysis

Podină

Koster

Philippot

et al. 2013

Clinical Psychology Review

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“…The effectiveness of CBT in the treatment of anxiety disorders, and especially GAD, has been well established in the general population, [96][97][98] with improvement rates estimated between 34% and 68%. 99 A study showed that a group CBT intervention for antenatal mothers with mild to moderate anxiety symptoms resulted in significantly decreased levels of anxiety; the effect was sustained into the postpartum period.…”

Section: Cognitive Behavioral Therapymentioning

confidence: 99%

Perinatal Generalized Anxiety Disorder: Assessment and Treatment

Misri

Abizadeh

Sanders

et al. 2015

Journal of Women's Health

102

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Perinatal generalized anxiety disorder (GAD) has a high prevalence of 8.5%-10.5% during pregnancy and 4.4%-10.8% postpartum. Despite its attendant dysfunction in the patient, this potentially debilitating mental health condition is often underdiagnosed. This overview will provide guidance for clinicians in making timely diagnosis and managing symptoms appropriately. A significant barrier to the diagnosis of GAD in the perinatal population is difficulty in distinguishing normal versus pathological worry. Because a perinatal-specific screening tool for GAD is nonexistent, early identification, diagnosis and treatment is often compromised. The resultant maternal dysfunction can potentially impact mother-infant bonding and influence neurodevelopmental outcomes in the children. Comorbid occurrence of GAD and major depressive disorder changes the illness course and its treatment outcome. Psychoeducation is a key component in overcoming denial/stigma and facilitating successful intervention. Treatment strategies are contingent upon illness severity. Cognitive behavior therapy (CBT), relaxation, and mindfulness therapy are indicated for mild GAD. Moderate/severe illness requires pharmacotherapy and CBT, individually or in combination. No psychotropic medications are approved by the FDA or Health Canada in pregnancy or the postpartum; off-label pharmacological treatment is instituted only if the benefit of therapy outweighs its risk. SSRIs/SNRIs are the first-line treatment for anxiety disorders due to data supporting their efficacy and overall favorable side effect profile. Benzodiazepines are an option for short-term treatment. While research on atypical antipsychotics is evolving, some can be considered for severe manifestations where the response to antidepressants or benzodiazepines has been insufficient. A case example will illustrate the onset, clinical course, and treatment strategies of GAD through pregnancy and the postpartum.

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“…21 For this reason, in the measurement of GAD outcomes, researchers have been strongly encouraged to use the Penn State Worry Questionnaire (PSWQ). [21][22][23] The PSWQ is a validated measure of worry appropriate for use in older adults, as is its abbreviated version, the PSWQ-A.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Hall

Kellett

Berrios

et al. 2016

The American Journal of Geriatric Psychiatry

120

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) licence. This licence only allows you to download this work and share it with others as long as you credit the authors, but you can't change the article in any way or use it commercially. More information and the full terms of the licence here: https://creativecommons.org/licenses/ Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. and six-month follow-up, significant treatment effects favoring CBT were found in comparison to a waitlist or treatment-as-usual. When CBT was compared with active controls, a small non-significant treatment advantage was found for CBT at the end of treatment, with equivalence of outcomes at follow-up. Treatment effect size of CBT for GAD was significantly associated with attrition rates and depression outcomes. Conclusions: CBT is more helpful than having no treatment for GAD in later life. However, whether CBT shows long-term durability, or is superior to other commonly available treatments (such as supportive psychotherapy), remains to be tested. The relationship between treatment effects for GAD and depression following CBT warrants further research. Efficacy of CBT for GAD in

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A meta-analysis of CBT for pathological worry among clients with GAD

Cited by 251 publications

References 20 publications

Optimal attentional focus during exposure in specific phobia: A meta-analysis

Optimal attentional focus during exposure in specific phobia: A meta-analysis

Perinatal Generalized Anxiety Disorder: Assessment and Treatment

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

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