A Randomized Clinical Trial of Cognitive-Behavioral Therapy and Applied Relaxation for Adults With Generalized Anxiety Disorder
A Randomized Clinical Trial of Cognitive-Behavioral Therapy and Applied Relaxation for Adults With Generalized Anxiety Disorder
复制标题
DOI：
10.1016/j.beth.2008.12.004
复制
发表时间：
2010-03-01
期刊：
影响因子：
3.7
通讯作者：
Gervais, Nicole J.
中科院分区：
文献类型：
--
作者：
Dugas, Michel J.;Brillon, Pascale;Gervais, Nicole J.
这项随机临床试验比较了认知行为疗法（CBT），应用放松（All）和等待列表控制（WL）在65名主要诊断为广泛性焦虑症（GAD）的成年人样本中的效果。CBT条件是基于GAD的不确定性模型的不容忍，而所有条件是基于焦虑的一般理论。两种手动治疗均在12个每周一次的I小时治疗期间进行。标准化的临床医生评分和自我报告问卷被用来评估广泛性焦虑和相关症状，在前测，后测，并在6个月，12个月，和24个月的随访。在后测时，CBT明显上级WL，AR略上级WL，CBT略上级AR。在随访期间，CBT和All等同，但只有CBT导致持续改善。因此，CBT和All的直接比较表明治疗相当;然而，每种治疗与另一个参考点（等待名单或随访期间无变化）的比较为CBT的疗效提供了比All更大的支持。
This randomized clinical trial compared cognitive-behavioral therapy (CBT), applied relaxation (All), and wait-list control (WL) in a sample of 65 adults with a primary diagnosis of generalized anxiety disorder (GAD). The CBT condition was based on the intolerance of uncertainty model of GAD, whereas the All condition was based on general theories of anxiety. Both manualized treatments were administered over 12 weekly I-hour sessions. Standardized clinician ratings and self-report questionnaires were used to assess GAD and related symptoms at pretest, posttest, and at 6-, 12-, and 24-month follow-ups. At posttest, CBT was clearly superior to WL, AR was marginally superior to WL, and CBT was marginally superior to AR. Over follow-up, CBT and All were equivalent, but only CBT led to continued improvement. Thus, direct comparisons of CBT and All indicated that the treatments were comparable; however, comparisons of each treatment with another point of reference (either waiting list or no change over follow-up) provided greater support for the efficacy of CBT than All.