Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial
| Autor: | Reinhard Kreische, Simone Salzer, Horst Kächele, Ulrich Rüger, Falk Leichsenring, Ulrich Jaeger, Eric Leibing, Frank Leweke, Christel Winkelbach |
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| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Patient Dropouts Psychotherapist Generalized anxiety disorder Personality Inventory Hamilton Anxiety Rating Scale medicine.medical_treatment Treatment outcome behavioral disciplines and activities law.invention Primary outcome Randomized controlled trial law Outcome Assessment Health Care medicine Humans Psychiatric Status Rating Scales Depressive Disorder Psychodynamic psychotherapy Cognitive Behavioral Therapy medicine.disease Anxiety Disorders Psychotherapy Cognitive behavioral therapy Psychiatry and Mental health Treatment Outcome Cognitive therapy Psychotherapy Brief Female Personality Assessment Inventory Psychology Anxiety disorder Clinical psychology |
| Zdroj: | FOCUS. 8:66-74 |
| ISSN: | 1541-4108 1541-4094 |
| DOI: | 10.1176/foc.8.1.foc66 |
| Popis: | While several studies have shown that cognitive-behavioral therapy (CBT) is an efficacious treatment for generalized anxiety disorder, few studies have addressed the outcome of short-term psychodynamic psychotherapy, even though this treatment is widely used. The aim of this study was to compare short-term psychodynamic psychotherapy and CBT with regard to treatment outcome in generalized anxiety disorder.Patients with generalized anxiety disorder according to DSM-IV were randomly assigned to receive either CBT (N=29) or short-term psychodynamic psychotherapy (N=28). Treatments were carried out according to treatment manuals and included up to 30 weekly sessions. The primary outcome measure was the Hamilton Anxiety Rating Scale, which was applied by trained raters blind to the treatment conditions. Assessments were carried out at the completion of treatment and 6 months afterward.Both CBT and short-term psychodynamic psychotherapy yielded significant, large, and stable improvements with regard to symptoms of anxiety and depression. No significant differences in outcome were found between treatments in regard to the primary outcome measure. These results were corroborated by two self-report measures of anxiety. In measures of trait anxiety, worry, and depression, however, CBT was found to be superior.The results suggest that CBT and short-term psychodynamic psychotherapy are beneficial for patients with generalized anxiety disorder. In future research, large-scale multicenter studies should examine more subtle differences between treatments, including differences in the patients who benefit most from each form of therapy. |
| Databáze: | OpenAIRE |
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