From the lab to the clinic: effectiveness of cognitive-behavioral treatments for anxiety disorders
Abstract
A controversy exists over whether results of randomized controlled trials of psychological treatment methods generalize to routine clinical practice. To examine the generalizability of cognitive–behavioral interventions for anxiety disorders, a meta-analysis of 11 effectiveness studies was conducted. Only studies that closely approximated real-world clinical practice were included in the present meta-analysis (e.g., studies were conducted in a nonuniversity setting, practitioners had regular caseloads, clients were not excluded if they had comorbid conditions). Cognitive–behavioral interventions were associated with significant improvement in anxiety symptoms at the end of treatment (dw 1.35) and again at follow-up (dw 1.14). On the basis of these results, it seems that cognitive–behavioral interventions for anxiety disorders generalize to real-world clinical practice.
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CBT for anxiety disorders is effective in routine care settings (Cohen's d = 0.9-2.6).
“there is evidence from meta-analyses supporting that CBT for anxiety disorders is effective in routine care settings (Cohen ' s d = 0.9 -2.6; Hans and Hiller, 2013; Stewart and Chambless, 2009; van Ingen et al ., 2009)”
From Effectiveness and predictors of group cognitive behaviour therapy outcome for generalised anxiety disorder in an out-patient hospital setting (2024) · cites this paper as van Ingen et al., 2009
Dropout in the present study was in line with meta-analyses of dropout in anxiety-CBT.
“With 22.8%, dropout in the present study was in line with meta-analyses of dropout in anxiety-CBT (Fernandez, Salem, Swift, & Ramtahal, 2015;van Ingen, Freiheit, & Vye, 2009).”
From Effective—and Tolerable: Acceptance and Side Effects of Intensified Exposure for Anxiety Disorders (2023) · cites this paper as van Ingen, Freiheit, & Vye, 2009
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- Authors
- van Ingen, D. J., Freiheit, S. R., & Vye, C. S.
- Affiliations
- Augsburg University (US)
- Venue
- Professional Psychology Research and Practice
- Published
- 2009-02
- Volume
- 40
- Issue
- 1
- Pages
- 69-74
- ISSN
- 0735-7028 (ISSN-L)
- 1939-1323
- OpenAlex
- W2083151282
- Cited by
- 30
- References
- 39
- Citations by year
- 2025: 1 · 2024: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 1 · 2017: 2 · 2016: 1 · 2015: 6 · 2014: 2 · 2013: 3
- FWCI
- 2.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Professional Psychology Research and Practice (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- cognitive behavioral therapy, anxiety disorders, generalizability, real-world clinical practice, effectiveness, randomized controlled trials, follow-up outcomes, comorbidities
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