The effectiveness of cognitive behavioral therapy for generalized anxiety disorder in a frontline service setting
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.
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Individual CBT leads to moderate to large improvements in chronic worry severity, GAD symptom severity, and depression symptom severity in frontline settings.
“there is promising support that individual CBT leads to moderate to large improvements in chronic worry severity, GAD symptom severity, and depression symptom severity (e.g. Hirsch et al ., 2019; Kehle, 2008)”
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 Kehle, 2008
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BackgroundInfluential
- Authors
- Kehle, S. M.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Corresponding author
- Kehle, Shannon M.
- Venue
- Cognitive Behaviour Therapy
- Publisher
- Informa UK Limited
- Published
- 2008-09
- Volume
- 37
- Issue
- 3
- Pages
- 192-198
- ISSN
- 1650-6073 (ISSN-L)
- 1651-2316
- OpenAlex
- W2086778409
- Cited by
- 16
- References
- 32
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 1 · 2019: 1 · 2017: 1 · 2014: 1 · 2012: 3
- FWCI
- 3.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cognitive Behaviour Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, generalized anxiety disorder, worry, depression, treatment completion
- MeSH terms
- Adolescent, Adult, Ambulatory Care Facilities, Anxiety Disorders, Depressive Disorder, Female, Follow-Up Studies, Humans, Inservice Training, Male, Personality Inventory, Psychometrics, Cognitive Behavioral Therapy, Treatment Outcome, Benchmarking
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