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Cited by 23Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMindfulness and Compassion InterventionsPsychotherapy Techniques and Applications

Efficacy of an acceptance-based group behavioral therapy for generalized anxiety disorder.

Open access
Almeida Sampaio, Thiago Pacheco, Jorge, Renê Cabral, Martins, Daniel Santos, Gandarela, Lucas Marques, Hayes‐Skelton, Sarah, Bernik, Márcio Antonini, Lotufo‐Neto, Francisco·2020·Depression and Anxiety
DOI 10.1002/da.23021
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Abstract

Background: Generalized anxiety disorder (GAD) shows the weakest treatment response among anxiety disorders. This study aimed at examining whether an acceptance-based group behavioral therapy (ABBT) for patients in a Brazilian anxiety disorders program, combining mindfulness and exposure strategies, can improve clinical outcome when compared with a standard nondirective supportive group therapy (NDST).Methods: Ninety-two individuals diagnosed with GAD were randomized to receive 10 sessions of either ABBT or NDST. Assessments at pretreatment, midtreatment, posttreatment, and 3-month follow-up comprised the following outcome measures: Hamilton Anxiety Rating Scale (HAM-A), Penn State Worry Questionnaire (PSWQ), Depression Anxiety and Stress Scale (DASS), and the Clinical Global Impressions (CGI). The World Health Organization Quality of Life (WHOQOL) was administered at pretreatment and posttreatment.Results: The mixed-effects regression models for DASS-stress, Hamilton Anxiety Interview, and CGI showed a significant effect for Time and the Time × Treatment effect, but not for the Treatment main effect. Similarly, there was a significant Time × Treatment effect for the PSWQ, but not main effects of Time or Treatment. Altogether, these data indicate that symptoms decreased in both conditions across treatment and follow-up, and that the rate of change was more rapid for those participants in the ABBT condition. We found no differences between groups from pretreatment to posttreatment in DASS-anxiety or any secondary outcome measure, but for the physical health domain of WHOQOL, which was faster in ABBT.Conclusions: Both groups showed good clinical outcomes, but in general, participants of the ABBT group improved faster than those in the NDST group.

Integrity signals

Registry

Crossref · 10.1002/da.23021

Cites

84 of 85 references verified0 citation errors · 1 not checkable

Statistics

Nothing to recompute.

Claims the paper makes

5 of 27 cited sources checked · 4 supported · 0 flagged · accuracy not yet measured

  • Premisecitation

    In individuals with GAD, worries function as a strategy to avoid negative emotional contrast by keeping tonic anxiety high.

    “function, in individuals with GAD, as a strategy to avoid negative emotional contrast, by keeping tonic anxiety high (Llera & Newman, 2010;Newman & Llera, 2011).”
    Quote in the paperSubstantial claim1 of 2 sources checked
    • cites Llera & Newman, 2010 source
    • cites Newman & Llera, 2011 source
  • Premisecitation

    In a comparative trial using applied relaxation as a control, there were no clinical improvement differences between treatments.

    “in a comparative trial using an empirically based treatment (i.e., applied relaxation) as a control group, they found no clinical improvement differences between treatments”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Hayes-Skelton, Roemer, & Orsillo, 2013 source
  • Interpretationcitation

    The ABBT results, including those on DASS-anxiety, are similar to what was reported in Roemer et al. (2008).

    “The ABBT results, including those on DASS-anxiety, are similar to what was reported inRoemer et al. (2008).”
    Quote in the paperNot a substantial claim1 of 1 sources checked
    • cites Roemer et al. (2008) source
  • Premisecitation

    Group treatments for anxiety disorders have approximately twice the attrition rate of individual treatments.

    “The comparison between adherences to individual (Hunot, Churchill, Silva de Lima, & Teixeira, 2007) and group (Issakidis & Andrews, 2004) treatments for anxiety disorders suggests that the latter has approximately twice the attrition rate of the former.”
    Quote in the paperNot a substantial claim1 of 2 sources checked
    • cites Hunot, Churchill, Silva de Lima, & Teixeira, 2007 source
    • cites Issakidis & Andrews, 2004 source
  • Findingown data

    The clinical worsening from posttreatment to follow-up on WHOQOL-physical was particularly driven by NDST participants.

    “however, this clinical worsening is particularly driven by those participants in the NDST condition.”
    Quote in the paperNot a substantial claim
  • May combine two claims. 35
  • Classified as probably not a substantial claim. 15
  • The quote only partly states this claim. 1

  • May combine two claims.

    Premisecitation

    In a waitlist-controlled trial, 78% of treated participants no longer met criteria for GAD and 77% achieved high end-state functioning at posttreatment.

    “a waitlist-controlled trial showed 78% of treated participants no longer met criteria for GAD and 77% achieved high end-state functioning at posttreatment (Roemer, Orsillo, & Salters-Pedneault, 2008).”
    Quote in the paperSubstantial claim1 of 1 sources checked
    • cites Roemer, Orsillo, & Salters-Pedneault, 2008 source

      The Results (Controlled Trial; page unavailable) report that 76.92% of treated participants no longer met GAD criteria at post-treatment, not 78%. The Discussion (page unavailable) reports that 77% of the treated sample achieved high end-state functioning at post-assessment. Thus the trial and the second percentage are supported, but the first percentage does not match the reported controlled-trial result. (LLM, conf=0.84)

      Experimental — accuracy not yet measured

  • May combine two claims.

    Findingown data

    In this sample, both ABBT and NDST led to medium to high effect size changes at both posttreatment and 3-month follow-up.

    “In this sample, both ABBT and NDST led to medium to high effect sizes changes at both posttreatment and 3-month follow-up time points.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For the PSWQ, there was a significant Time × Treatment effect, but not main effects of Time or Treatment.

    “Similarly, there was a significant Time × Treatment effect for the PSWQ, but not main effects of Time or Treatment”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For DASS-anxiety, there was a main effect for time, but nonsignificant effects for Treatment or the Time × Treatment effect.

    “For the DASS-anxiety, there was a main effect for time, but nonsignificant effects for Treatment or the Time × Treatment effect”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For DASS-depression and WHOQOL-physical, there were significant effects of Time and near significant Treatment × Time effects (p = .059 and p = .056), indicating scores increased on DASS-depression and decreased on WHOQOL-physical from posttreatment to follow-up.

    “Similarly, for the DASS-depression and WHOQOL-physical, there were significant effects of Time and a near significant (p = .059and p = .056,respectively) Treatment × Time effect, indicating that scores increased on average on the DASS-depression and decreased on average on the”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    ABBT showed more rapid results than NDST in clinical global impressions (severity and improvement), worry, anxiety (HAM-A), stress, and the physical domain of quality of life.

    “Nevertheless, ABBT showed more rapid results than the control group (NDST) in clinical global impressions (severity and improvement), worry, anxiety (HAM-A), stress, and the physical domain of quality of life.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For pretreatment to follow-up, effect sizes ranged from 0.74 to 1.45 for ABBT and 0.25 to 0.95 for NDST.

    “for the pretreatment to follow-up assessment, d's ranged from 0.74 to 1.45 for ABBT and 0.25-0.95for NDST.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For the psychological subscale of the WHOQOL, there were significant effects of Time and Treatment × Time, indicating scores decreased on average from posttreatment to follow-up and that this decrease was driven by NDST.

    “there were significant effects of Time and Treatment × Time on the psychological subscale of the WHOQOL, indicating that scores decreased on average from posttreatment to follow-up and that this decrease was driven by those in the NDST condition.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    There was a nonsignificant trend for the Treatment × Time effect for DASS-depression in the direction of ABBT having a more rapid decrease than NDST.

    “There was also a nonsignificant trend for the Treatment × Time effect for the DASS-depression in the direction of those in ABBT having a more rapid decrease than those in NDST.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    The MRM models for DASS-stress, HAMA, CGI-S, and CGI-I showed a significant effect for Time and the Time × Treatment effect, but not for the Treatment main effect.

    “The MRM models for DASS-stress, HAMA, CGI-S, and CGI-I showed a significant effect for Time and the Time × Treatment effect, but not for the Treatment main effect”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    There was a near significant (p = .058) effect for Treatment on the psychological subscale of the WHOQOL, indicating that those in ABBT had higher scores throughout the study.

    “Of note, there was a near significant (p = .058)effect for Treatment on the psychological subscale of the WHOQOL, indicating that those in ABBT had higher scores on the WHOQOL-psychological subscale throughout the study.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    For DASS-depression and the psychological and social subscales of the WHOQOL, there were not significant Time, Treatment, or Time × Treatment effects.

    “for the MRM models for DASS-depression and the psychological and social subscales of the WHOQOL, there were not significant Time, Treatment, or Time × Treatment effects.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    There was a Time × Treatment effect for CGI-S and a trend level effect for CGI-I, indicating better maintenance of general clinical gains for ABBT.

    “There was also a Time × Treatment effect for CGI-S and a trend level effect for CGI-I, indicating better maintenance of general clinical gains for ABBT”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For pretreatment to posttreatment, effect sizes ranged from 0.80 to 1.49 for ABBT and 0.41 to 1.19 for NDST.

    “for the pretreatment to posttreatment assessment, d's ranged from 0.80 to 1.49 for the ABBT condition and 0.41-1.19for the NDST condition.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    There was a significant effect of Time on DASS-stress and CGI-I, indicating that scores increased on average from posttreatment to follow-up.

    “there was a significant effect of Time on the DASS-stress and CGI-I, indicating that scores increased on average from posttreatment to follow-up”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    There were no differences in change between groups from pretreatment to posttreatment in any secondary measure except physical quality of life, which was better in ABBT.

    “Regarding secondary outcome measures, there were no differences in change between groups from pretreatment to posttreatment in any secondary measure but the physical quality of life, which was better in ABBT.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    Using MRM analysis, ABBT outperformed NDST in all outcome measures except DASS-anxiety: HAMA, PSWQ, CGI-I, CGI-S, and DASS-stress.

    “Using MRM analysis, ABBT outperformed NDST in all but one outcome measure: HAMA, PSWQ, CGI-I, CGI-S, DASS-stress, but not DASS-anxiety.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    Altogether, these data indicate that symptoms decreased in both conditions across treatment and follow-up, and that the rate of change was more rapid for those participants in the ABBT condition.

    “Altogether, these data indicate that symptoms decreased in both conditions across treatment and follow-up, and that the rate of change was more rapid for those participants in the ABBT condition.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingcitation

    ABBT showed large within-group effect sizes for all outcome measures at all assessment points, except for DASS-anxiety, which had a medium effect size at follow-up (d = 0.74).

    “Using the parameters suggested by Cohen (1988) for withingroup effect sizes, ABBT showed large effect sizes for all outcome measures at all assessment points, except for DASS-anxiety, for which there was a medium effect size at follow-up (d = 0.74).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Cohen (1988)

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • May combine two claims.

    Findingown data

    Neither group in our study maintained all the gains obtained, even though it was not statistically significant.

    “In addition, even though it was not statistically significant, neither group in our study maintained all the gains obtained.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    We found no differences between groups from pretreatment to posttreatment in DASS-anxiety or any secondary outcome measure, but for the physical health domain of WHOQOL, which was faster in ABBT.

    “We found no differences between groups from pretreatment to posttreatment in DASS-anxiety or any secondary outcome measure, but for the physical health domain of WHOQOL, which was faster in ABBT.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingown data

    For NDST, there were large effect sizes for DASS-stress and CGI-S at posttreatment, and for HAM-A at posttreatment and follow-up; a medium effect size for DASS-anxiety at posttreatment and for CGI-S at follow-up; and small effect sizes for PSWQ at posttreatment and follow-up, and for DASS-stress and DASS-anxiety at follow-up.

    “For NDST, there were large effect sizes for DASS-stress and CGI-S at posttreatment, and for HAM-A at posttreatment and follow-up; a medium effect size for DASS-anxiety at posttreatment and for CGI-S at follow-up; and small effect sizes for PSWQ at posttreatment and follow-up, and for DASS-stress and DASS-anxiety at follow-up.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Findingown data

    No differences were found on DASS-anxiety, DASS-depression, and the psychological and social domains of WHOQOL.

    “But no differences were found on DASS-anxiety, DASS-depression, and on the psychological and social domains of WHOQOL.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Findingcitation

    Our data show a relatively high dropout rate, but it was no different from that found in clinical trials of group CBT for anxiety disorders.

    “Although our data show a relatively high dropout rate, it was no different from that found in clinical trials of group CBT for anxiety disorders (see Fernandez, Salem, Swift, & Ramtahal, 2015;Issakidis & Andrews, 2004, for a review).”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Fernandez, Salem, Swift, & Ramtahal, 2015 source
    • cites Issakidis & Andrews, 2004 source

  • May combine two claims.

    Findingown data

    Depressive symptom reductions did not achieve large effect sizes in either group, though the ABBT group showed a trend for better performance.

    “Moreover, depressive symptom reductions did not achieve large effect sizes in either group, even though the ABBT group showed a trend for better performance.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Exposure techniques show good results in clinical and translational research.

    “exposure techniques show good results in clinical and translational research (e.g., Fracalanza, Koerner, & Antony, 2014;Goldman, Dugas, Sexton, & Gervais, 2007)”
    Quote in the paperNot a substantial claim0 of 2 sources checked
    • cites Fracalanza, Koerner, & Antony, 2014 source
    • cites Goldman, Dugas, Sexton, & Gervais, 2007 source

  • Classified as probably not a substantial claim.

    Premisecitation

    Delivering psychoeducation and a similarly compelling treatment rationale in both conditions is important to control for differences in expectancy for success.

    “Delivering psychoeducation and a similarly compelling treatment rationale in both conditions is important to control for differences in expectancy for success, which has been demonstrated to be a driver of change in psychotherapy (Weinberger & Rasco, 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Weinberger & Rasco, 2007

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • The quote only partly states this claim.

    Study design and conductown data

    The chi-square test showed a significant difference between groups in dropout (p = .01).

    “The chi-square test showed a significant difference between groups (p = .01).”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Study design and conductown data

    There were no pretreatment differences between groups on any primary outcome variables and the majority of secondary outcome variables.

    “There were no pretreatment differences between groups on any primary outcome variables and the majority of secondary outcome variables: DASS-anxiety [F(1, 90) = 1.16; p = .28],DASS-stress”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductcitation

    Randomization used randomly permuted blocks and was stratified into two blocks by use of psychotropic medication.

    “we randomized each of them to a single treatment by using the method of randomly permuted blocks (Matts & Lachin, 1988).Randomization was stratified into two blocks by the use of psychotropic medication”
    Quote in the paperNot a substantial claim0 of 1 sources checked
    • cites Matts & Lachin, 1988 source

  • May combine two claims.

    Premisecitation

    In an open trial, 16 treated patients demonstrated significant reductions in clinician-rated severity of GAD and reports of anxiety symptoms.

    “In an open trial, 16 treated patients demonstrated significant reductions in clinician-rated severity of GAD and reports of anxiety symptoms (Roemer & Orsillo, 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Roemer & Orsillo, 2007 source

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    No participants from either group reported changing medicine dosage or seeking additional treatment during the study period.

    “No participants from either group reported changing medicine dosage or seeking adittional treatment during the study period.”
    Quote in the paperNot a substantial claim

  • Classified as probably not a substantial claim.

    Study design and conductcitation

    Primary analyses compared treatment differences over time in the intent-to-treat sample using mixed-effects regression models.

    “The primary analyses compared treatment differences over time in the intent-to-treat sample for ABBT and NDST using mixed-effects regression models (MRM) in SPSS Version 23.0 (Hedeker & Gibbons, 2006).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Hedeker & Gibbons, 2006 source

  • May combine two claims.

    Study design and conductown data

    The majority of NDST participants dropped out before the midtreatment evaluation at Week 6 (n = 19 or 41.6%), and the dropout rate after Week 6 was relatively low (n = 4 or 8.7%).

    “The majority of NDST participants dropped out before the midtreatment evaluation at Week 6 (n = 19 or 41.6%), and the dropout rate after Week 6 was relatively low (n = 4 or 8.7%).”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    There were five instances of forbidden interventions in three NDST sessions.

    “However, there were five instances of forbidden interventions (i.e., directive-like interventions) in three NDST sessions.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Study design and conductown data

    There were no forbidden strategies in the ABBT sessions, and 92 (86.8%) required interventions were rated as satisfactorily present.

    “There were no forbidden strategies in the ABBT sessions, and 92 (86.8%) required interventions were rated as satisfactorily present.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    Interrater reliability assessment showed 100% diagnosis concordance among all eight evaluators.

    “We assessed interrater reliability through evaluations of one recorded interview showing 100% of diagnosis concordance among all the eight evaluators.”
    Quote in the paperNot a substantial claim

  • Classified as probably not a substantial claim.

    Premisecitation

    NDST consists of an active form of therapy from which all intervention principles of specific psychotherapeutic protocols are removed while maintaining common factors.

    “NDST consists of an active form of therapy from which all intervention principles of specific psychotherapeutic protocols are removed while maintaining the so-called common factors (Weinberger & Rasco, 2007).”
    Quote in the paperSubstantial claim0 of 1 sources checked
    • cites Weinberger & Rasco, 2007

      Couldn’t be matched to a paper in Crossref, so it can’t be checked.

  • Probably not a substantial claim: may not pass S4 (based).

    Interpretationnone given

    To our knowledge, this is the first report on the efficacy of a group ABBT based on Roemer and Orsillo's model for the treatment of GAD.

    “To our knowledge, this is the first report on the efficacy of a group ABBT based on Romer and Orsillo's model for the treatment of GAD.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Study design and conductreasoning

    All therapists who ran the NDST groups are CBT specialists, which raises the possibility of allegiance bias.

    “All therapists who ran the NDST groups are CBT specialists, which raises the possibility of allegiance bias.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductown data

    The evaluators had at least 5 years of experience treating individuals with anxiety disorders and using the selected instruments.

    “and had at least 5 years of experience treating individuals with anxiety disorders and using the selected instruments.”
    Quote in the paperNot a substantial claim

  • May combine two claims.

    Interpretationown data

    The protocols might have been too short and/or too rigid.

    “This suggests that the protocols might have been too short and/or too rigid.”
    Quote in the paperSubstantial claim

  • Classified as probably not a substantial claim. May combine two claims.

    Study design and conductreasoning

    We privileged internal over external validity, using a very structured ABBT protocol and a rigorous selection of the sample and therapists.

    “As is the case with most RCTs, we privileged internal over external validity, using a very structured ABBT protocol and a rigorous selection of the sample and therapists.”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    Both groups showed good clinical outcomes, but in general, participants of the ABBT group improved faster than those in the NDST group.

    “Both groups showed good clinical outcomes, but in general, participants of the ABBT group improved faster than those in the NDST group.”
    Quote in the paperSubstantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    The participants were randomly allocated to the evaluators and assessed by the same professional at all time points.

    “The participants were randomly allocated to the evaluators and assessed by the same professional at all time points.”
    Quote in the paperNot a substantial claim

  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Study design and conductreasoning

    Because our protocol used several different components, such as psychoeducation, mindfulness practices, imaginal exposure, values clarification, and committed action, we cannot comment on the differential impact of each of these components on clinical outcome and attrition.

    “Because our protocol used several different components, such as psychoeducation, mindfulness practices, imaginal exposure, values clarification, and committed action, we cannot comment on the differential impact of each of these components on clinical outcome and attrition.”
    Quote in the paperNot a substantial claim

  • Classified as probably not a substantial claim.

    Study design and conductnone given

    The evaluators were masked to any information about the participants' group allocation.

    “The evaluators were masked to any information about the participants' group allocation”
    Quote in the paperSubstantial claim

  • May combine two claims.

    Interpretationown data

    A group ABBT protocol adding willingness-based exposure to traditional acceptance-based interventions is a feasible and efficacious treatment option for GAD.

    “These findings suggest that a group ABBT protocol adding willingnessbased exposure to traditional acceptance-based interventions is a feasible and efficacious treatment option for GAD.”
    Quote in the paperSubstantial claim
48 of 48

  • The paper relies on this without support.

    Willingness-focused exposure has not been tested in a GAD treatment protocol.

    “However, such willingness-focused exposure has not been tested in a GAD treatment protocol.”

  • The paper relies on this without support.

    Environmental characteristics were not supposed to change with any of the psychological interventions used in the study.

    “In this study, we analyzed only the first three domains, because environmental characteristics were not supposed to change with any of the psychological interventions we made.”

  • The authors state this as an assumption.

    The hierarchical linear models have random intercepts and slopes and an unstructured covariance matrix.

    “We ran models assuming random intercepts and slopes and with an unstructured covariance matrix.”
3 of 3

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

Each contradiction between two passages listed here was confirmed by an independent check.

  • NDST depression effect size has a misplaced decimal

    Minor

    The discussion calls the NDST follow-up depression effect size 0.9, whereas Table 7 reports 0.09. The reported value also conflicts with the description of that effect as very small.

  • NDST follow-up effect-size maximum is misstated

    Minor

    The five primary-outcome NDST effect sizes at follow-up in Table 7 range from 0.25 to 0.88, not 0.95.

2 of 2

Cites

Flagged first, then by citations

2 of the 87 references couldn’t be matched to a known paper.

Research works printed but not linked: 2

  1. Dugas M. J., 2007, Practical clinical guidebooks. Cognitive‐behavioral treatment for generalized anxiety disorder: From science to practice
  2. Polk K. L., 2014, The ACT matrix: A new approach to building psychological flexibility across settings and populations

Cited by

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Related

Authors
Almeida Sampaio, T. P., Jorge, R. C., Martins, D. S., Gandarela, L. M., Hayes‐Skelton, S., Bernik, M. A., & Lotufo‐Neto, F.
Affiliations
  • Department of Clinical Psychology, Institute of Psychology University of São Paulo São Paulo Brazil
  • Universidade de São Paulo (BR)
  • University of Massachusetts Boston (US)
ORCID
Venue
Depression and Anxiety
Publisher
Wiley
Published
2020-04-25
Volume
37
Issue
12
Pages
1179-1193
ISSN
  • 1091-4269 (ISSN-L)
  • 1520-6394
DOI
10.1002/da.23021
OpenAlex
W3019666597
Cited by
23
References
87
Citations by year
2026: 5 · 2025: 4 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 2
FWCI
2.90
Type
journal article
Language
en
Open access
Licence
Locations
  • Depression and Anxiety (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
Keywords
generalized anxiety disorder, mindfulness, exposure therapy, quality of life, worry, stress, depression
MeSH terms
Anxiety Disorders, Brazil, Humans, Psychotherapy, Group, Quality of Life, Treatment Outcome

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