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Related Experiment Videos

Utilization of behavioral methods in a multicenter anxiety disorders study

R M Goisman1, M P Rogers, G S Steketee

  • 1Department of Psychiatry, Harvard Medical School, Boston, Mass.

The Journal of Clinical Psychiatry
|June 1, 1993
PubMed
Summary

Behavioral therapy for anxiety disorders is underutilized despite its effectiveness. While usage has moderately increased, it remains lower than other treatments like psychotherapy and medication.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Behavioral methods are evidence-based treatments for anxiety disorders.
  • Existing data suggest these effective treatments are underused in clinical practice.

Purpose of the Study:

  • To assess the utilization rates of behavior therapy methods in a large sample of patients diagnosed with anxiety disorders.

Main Methods:

  • Analysis of data from 231 patients with anxiety disorders across nine sites in a multicenter longitudinal study.
  • Utilized a Psychosocial Treatments Interview administered at 6-month follow-up to collect treatment data.

Main Results:

  • Behavioral methods were less frequent than supportive psychotherapy, medication, or psychodynamic psychotherapy.

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  • Relaxation and imaginal exposure were more common behavioral techniques than in vivo exposure.
  • Obsessive-compulsive disorder and agoraphobia without panic were most frequently treated behaviorally, often in combination with other modalities.

    • Conclusions:

    • The utilization of behavioral methods for anxiety disorders has shown a moderate increase compared to prior studies.
    • Despite this increase, current utilization rates remain inappropriately low, indicating a gap in the application of effective treatments.