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Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling

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Cognitive Behavioral Therapy for Anxiety Disorders: Outcomes From a Multi-State, Multi-Site Primary Care Practice.

Olivia E Bogucki¹, Julia R Craner², Summer L Berg¹

¹Division of Integrated Behavioral Health, Mayo Clinic, Rochester, MN, USA.

Journal of Anxiety Disorders

|January 4, 2021

Summary

Cognitive behavioral therapy (CBT) significantly reduced anxiety and depression in primary care patients. This study demonstrates CBT

Keywords:

Adult Anxiety disorders Cognitive behavioral therapy Effectiveness Naturalistic Treatment outcome

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Area of Science:

Psychiatry and Mental Health
Primary Care Medicine
Behavioral Science

Background:

Anxiety disorders are prevalent mental health conditions.
Primary care settings are common points of access for individuals with anxiety.
Limited naturalistic studies exist on anxiety treatment outcomes in primary care.

Purpose of the Study:

To investigate the effectiveness of cognitive behavioral therapy (CBT) for anxiety disorders in a primary care setting.
To report anxiety-specific treatment outcomes from a naturalistic primary care study.

Main Methods:

Recruited 1,589 participants from a multi-state primary care practice.
Focused on 491 participants with moderate to severe anxiety who received at least one CBT session.
Utilized data from a psychotherapy tracking database.

Main Results:

Observed significant decreases in anxiety and depression symptoms (p < .001, d = 0.57-0.95) after CBT.
Found varying rates of reliable change, response, and remission across different anxiety diagnoses.
Noted varied use of CBT interventions aligned with evidence-based recommendations for specific diagnoses.

Conclusions:

Short-term CBT in primary care settings leads to significant symptom improvement for anxiety disorders.
Supports a population-based approach for anxiety disorder treatment.
Demonstrates the feasibility of implementing evidence-based CBT in real-world primary care environments.