An evaluation of personal construct therapy for the elderly

Viney, Linda L.; Benjamin, Yvonne N.; Preston, Carol

doi:10.1111/j.2044-8341.1989.tb02808.x

Cited by 32 publications

(14 citation statements)

References 6 publications

(11 reference statements)

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“…With respect to measures of depressive symptoms, uncontrolled effect sizes differed among studies ( Q = 52.63, χ 2 (33), p = .02). There was no evidence for heterogeneity within any treatment condition.…”

Section: Resultsmentioning

confidence: 97%

Meta-Analysis Comparing Different Behavioral Treatments for Late-Life Anxiety

Thorp

Ayers

Nuevo

et al. 2009

The American Journal of Geriatric Psychiatry

126

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Objective-To evaluate the efficacy of different types of behavioral treatments for geriatric anxiety [cognitive-behavioral therapy (CBT) alone, CBT with relaxation training (RT), and RT alone].Method-We compared effect sizes from 19 trials. Analyses were based on uncontrolled outcomes (comparing post-treatment and pre-treatment scores) and effects relative to control conditions on both anxiety and depressive symptoms.Results-Treatments for older adults with anxiety symptoms were, on average, more effective than active control conditions. Effect sizes were comparable to those reported elsewhere for CBT for anxiety in the general population or for pharmacotherapy in anxious older adults. CBT (alone or augmented with RT) does not appear to add anything beyond RT alone, although a direct comparison is challenging given differences in control conditions. Effects on depressive symptoms were smaller, with no differences among treatment types. Conclusion-Resultssuggest that behavioral treatments are effective for older adults with anxiety disorders and symptoms. Results must be interpreted with caution given the limitations of the literature, including differing sample characteristics and control conditions across studies. KeywordsPsychotherapy; Geriatric; Anxiety; Relaxation Training; Cognitive Behavioral Therapy Please address correspondence to: Julie Wetherell, Ph.D., UCSD Department of Psychiatry, 9500 Gilman Drive, Dept. 9116B, San Diego, CA 92093-9116, (858) 552-8585 ext. 2752, FAX: (858) jwetherell@ucsd.edu. 3 Note that Scogin et al. (47) contribute two RT samples ("progressive relaxation" and "imaginal progressive relaxation") and both Radley et al. (60) and Sallis et al. (58) describe "anxiety management training" which teaches methods of "dealing with" avoidance, "coping with" anxiety, "thinking processes," and "self-monitoring" that we did not deem as explicit CBT methods for the purposes of this review. NIH Public Access Author ManuscriptAm J Geriatr Psychiatry. Author manuscript; available in PMC 2010 February 1. NIH-PA Author Manuscript NIH-PA Author Manuscript NIH-PA Author ManuscriptThe prevalence of anxiety among older adults is high (1), surpassing the rates of depression and severe cognitive dysfunction (2). Almost twice as many mental health Medicare claims are filed for anxiety disorders (38%) as for affective disorders (21%; 3). Anxiety disorders are associated with decreased quality of life (4) and increased disability (5) in older adults. Persistent anxiety symptoms that do not meet criteria for an anxiety disorder are also associated with serious negative consequences such as sleep disturbance, interference with daily activities, and distress (6,7). Prospective as well as cross-sectional research in the elderly has demonstrated that anxiety symptoms are associated with medical illness such as coronary heart disease (8), self-reported mobility limitations (9), and higher levels of health care utilization, including more primary care visits and more time spent during each visit ...

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Section: Resultsmentioning

confidence: 97%

Meta-Analysis Comparing Different Behavioral Treatments for Late-Life Anxiety

Thorp

Ayers

Nuevo

et al. 2009

The American Journal of Geriatric Psychiatry

126

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“…Even though the experimental control is relatively low in pretest-posttest designs (Campbell & (Spielberger, Gorsuch, & Lushene, 1970) Hamilton Rating Scale for Anxiety (Hamilton, 1959) DeBerry, 1981 The Spielberger Self-Evaluation Questionnaire (Spielberger, 1967) DeBerry, 1982 The Spielberger Self-Evaluation Questionnaire (Spielberger, 1967) DeBerry et al, 1989 The Spielberger Self-Evaluation Questionnaire (Spielberger, Gorsuch, & Lushene, 1970) Gorenstein et al, 1999 State-Trait Anxiety Inventory (Spielberger 1983) The Penn State Worry Questionnaire (Meyer, Miller, Metzger, & Borkovec, 1990) Symptom Check List-90-Revised (Obsessive Compulsive subscale; Derogatis, 1992) Symptom Check List-90-Revised (Anxiety subscale; Derogatis, 1992) Symptom Check List-90-Revised (Phobic Anxiety subscale; Derogatis, 1992) Keller et al, 1975 The Adult Ideas Inventory (Fox & Davies, 1971) State-Trait Anxiety Inventory (Spielberger et al, 1970) King & Barrowclough, 1991 Beck Anxiety Inventory (A.R. Beck et al, 1988) Viney et al, 1989 The Cognitive Anxiety Scale (A.R. Scogin et al, 1992 State-Trait Anxiety Inventory (Spielberger et al, 1970 Anxiety Disorders Interview Schedule-Revised for Generalized Anxiety Disorder (DiNardo & Barlow, 1988) Worry Scale (Wisocki, 1988) The Penn State Worry Questionnaire (Meyer et al, 1990) State-Trait Anxiety Inventory (Spielberger et al, 1970) Hamilton Rating Scale for Anxiety (Hamilton, 1959) Fear Questionnaire (Marks & Mathews, 1979) Stanley et al, 2003 Worry Scale (Wisocki, 1988) The Penn State Worry Questionnaire (Meyer et al, 1990) State-Trait Anxiety Inventory …”

Section: Estimation Of Effect Sizementioning

confidence: 99%

Psychological treatment of late-life anxiety: An empirical review.

Nordhus¹,

Pallesen²

2003

Journal of Consulting and Clinical Psychology

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This study provides a meta-analytic review of nonpharmacological interventions for late-life anxiety, focusing on treatment efficacy. Included in the analysis are studies in which a comparison was made either to a control condition or to another treatment. A total of 15 outcome studies, published or reported between January 1975 and January 2002, were identified involving 495 participants (mean age exceeding 55.0 years and a grand mean of 69.5 years) and providing 20 separate treatment interventions. The analysis indicated that psychological interventions were reliably more effective than no treatment on self-rated and clinician-rated measures of anxiety, yielding an effect size of .55. Maintenance of treatment gains (a minimum of 6 months follow-up) was insufficiently reported across studies to allow for a reliable demonstration of an overall estimate of long-term efficacy. It is concluded that psychological interventions produce significant improvements, but the analyses must be qualified by data limitations in the research synthesis.

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“…Firstly, Scogin and McEIreath, defining CT very broadly, included selfadministered CT through bibliotherapy (Scogin et al, , 1989, predominantly behavioural therapy (Fry, 1984) and personal construct theory based therapy (Viney et al, 1989). This review limits itself to reports of CT conventionally administered by skilled therapists, based on the therapeutic model developed by Beck (1976).…”

Section: Outcome Of Ctmentioning

confidence: 98%