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Cognitive-behavior therapy for generalized anxiety disorder

A G Harvey1, R M Rapee

  • 1Department of Psychology, University of New South Wales, Australia.

The Psychiatric Clinics of North America
|December 1, 1995
PubMed
Summary
This summary is machine-generated.

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Cognitive-behavior therapy shows promise for generalized anxiety disorder (GAD), significantly reducing medication use and maintaining gains long-term. Further research is needed for more focused treatments, as some patients still experience residual anxiety.

Area of Science:

  • Psychiatry
  • Clinical Psychology

Background:

  • Generalized anxiety disorder (GAD) is often characterized by long-standing worry and high comorbidity.
  • Treatment for GAD has historically been challenging, with many patients being difficult to treat.

Purpose of the Study:

  • To evaluate the efficacy of cognitive-behavior therapy (CBT) as a treatment for GAD.
  • To assess the long-term outcomes and medication reduction associated with CBT for GAD.

Main Methods:

  • Review of studies reporting long-term outcome data for CBT in GAD patients.
  • Analysis of treatment gains and medication usage in individuals undergoing CBT.

Main Results:

  • CBT demonstrates promise for GAD, with modest initial gains.

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  • A significant trend observed is the substantial reduction in anxiolytic medication use among treated subjects.
  • Treatment benefits appear to be maintained at long-term follow-up assessments.

    • Conclusions:

    • CBT may offer a long-term, cost-effective solution for GAD, potentially aiding in medication discontinuation.
    • The maintenance of gains after a short intervention period is notable for a population often resistant to treatment.
    • Further research is necessary to explore nonspecific treatment effects and develop more focused interventions to address residual anxiety and high dropout rates.