Metacognitive therapy versus cognitive-behavioral therapy in adults with generalized anxiety disorder: A 9-year follow-up study.
anxiety disorders
cognitive-behavioral therapy
generalized anxiety disorder
long-term follow-up
metacognitive therapy
randomized controlled trial
Journal
Brain and behavior
ISSN: 2162-3279
Titre abrégé: Brain Behav
Pays: United States
ID NLM: 101570837
Informations de publication
Date de publication:
10 2021
10 2021
Historique:
revised:
19
08
2021
received:
07
04
2021
accepted:
20
08
2021
pubmed:
15
9
2021
medline:
15
12
2021
entrez:
14
9
2021
Statut:
ppublish
Résumé
Metacognitive therapy (MCT) and cognitive-behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed-up patients who had previously participated in a randomized controlled trial of MCT compared against CBT. We collected 9-year follow-up data on 39 out of 60 original patients (i.e., 65% response rate). At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re-diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group. This follow-up study showed a continuation of gains in both treatments at long-term follow-up, but with outcomes continuing to favor MCT and strengthening its comparative superiority.
Identifiants
pubmed: 34520637
doi: 10.1002/brb3.2358
pmc: PMC8553304
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
e2358Informations de copyright
© 2021 The Authors. Brain and Behavior published by Wiley Periodicals LLC.
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