The Effectiveness of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in a Frontline Service Setting

Author: Kehle, Shannon

Source: Cognitive Behaviour Therapy, Volume 37, Number 3, September 2008 , pp. 192-198(7)

Publisher: Routledge, part of the Taylor & Francis Group

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Abstract:

The goal of the current study was to test the generalizability of cognitive behavioral therapy (CBT) for generalized anxiety disorder (GAD) in a frontline service setting. Twenty-nine patients who presented to treatment clinics with problematic worry were provided CBT for GAD. Among the intent-to-treat sample, there were no significant changes in worry or depression from pre- to posttreatment. Treatment completers showed significant pre- to posttreatment reductions on measures of worry and depression. The magnitude of change was smaller than has been reported in randomized control trials (RCTs). Although the frontline service setting differed from RCT settings in multiple ways, treatment completers nonetheless achieved moderate to large decreases in self-reported worry and depression.

Keywords: brief psychotherapy; delivery of health care; anxiety disorders; benchmarking; effectiveness; dissemination

Document Type: Research article

DOI: http://dx.doi.org/10.1080/16506070802190262

Affiliations: 1: Rutgers, The State University of New Jersey and Minneapolis VA Medical Center,

Publication date: 2008-09-01

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