A randomized controlled trial of telephone-delivered cognitive–behavioral therapy for late-life anxiety disorders

Brenes, Gretchen A.; Miller, Michael E.; Williamson, Jeff D.; McCall, W. Vaughn; Knudson, Mark; Stanley, Melinda A.

doi:10.1097/jgp.0b013e31822ccd3e

Cited by 77Digital Mental Health InterventionsAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTelemedicine and Telehealth Implementation

A randomized controlled trial of telephone-delivered cognitive–behavioral therapy for late-life anxiety disorders

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Brenes, Gretchen A., Miller, Michael E., Williamson, Jeff D., McCall, W. Vaughn, Knudson, Mark, Stanley, Melinda A.·2012·The American Journal of Geriatric Psychiatry

DOI 10.1097/jgp.0b013e31822ccd3ePMC PMC3407971

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Abstract

Objectives Older adults face a number of barriers to receiving psychotherapy, such as a lack of transportation and access to providers. One way to overcome such barriers is to provide treatment by telephone. The purpose of this study was to examine the effects of cognitive behavioral therapy delivered by telephone (CBT-T) to older adults diagnosed with an anxiety disorder.Design Randomized controlled trial.Setting Participants' homes.Participants Sixty participants age 60 and older with a diagnosis of generalized anxiety disorder, panic disorder, or anxiety disorder not otherwise specified.Intervention CBT-T versus information-only comparison.Measurements Coprimary outcomes included worry (Penn State Worry Questionnaire) and general anxiety (State Trait Anxiety Inventory). Secondary outcomes included clinician-rated anxiety (Hamilton Anxiety Rating Scale), anxiety sensitivity (Anxiety Sensitivity Index), depressive symptoms (Beck Depression Inventory), quality of life (SF-36), and sleep (Insomnia Severity Index). Assessments were completed prior to randomization, immediately upon completion of treatment, and 6 months after completing treatment.Results CBT-T was superior to information-only in reducing general anxiety (ES = 0.71), worry (ES = 0.61), anxiety sensitivity (ES = 0.85), and insomnia (ES = 0.82) at the posttreatment assessment; however, only the reductions in worry were maintained by the 6-month follow-up assessment (ES = 0.80).Conclusions These results suggest that CBT-T may be efficacious in reducing anxiety and worry in older adults, but additional sessions may be needed to maintain these effects.

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The SIGH-A has demonstrated sensitivity to change in clinical trials.
“The SIGH-A is a 14-item measure with demonstrated sensitivity to change in clinical trials (Brenes et al., 2012).”
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Preface
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Telephone-delivered psychotherapy for rural-dwelling older adults with generalized anxiety disorder: study protocol of a randomized controlled trial
Brenes, G. A., Danhauer, S. C., Lyles, M. F., & Miller, M. E. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-34 · Cited by 13 · see citing works
Self-citation
Long-Term Effects of Telephone-Delivered Psychotherapy for Late-Life GAD
Brenes, G. A., Danhauer, S. C., Lyles, M. F., Anderson, A., & Miller, M. E. (2017) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2017.05.013 · Cited by 71 · see citing works
Self-citation
Telephone-delivered psychotherapy for late-life anxiety.
Brenes, G. A., Ingram, C. W., & Danhauer, S. C. (2012) · Psychological Services · doi:10.1037/a0025950 · Cited by 12 · see citing works
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Authors: Brenes, G. A., Miller, M. E., Williamson, J. D., McCall, W. V., Knudson, M., & Stanley, M. A.
Affiliations: Wake Forest University Health Sciences (US)
Michael E. DeBakey VA Medical Center (US)
Corresponding author: Brenes, Gretchen A.
ORCID: Brenes, Gretchen A.
Miller, Michael E.
Williamson, Jeff D.
McCall, W. Vaughn
Stanley, Melinda A.
Venue: The American Journal of Geriatric Psychiatry
Publisher: Elsevier BV
Published: 2012-08
Volume: 20
Issue: 8
Pages: 707-716
ISSN: 1064-7481 (ISSN-L)
DOI: 10.1097/jgp.0b013e31822ccd3e
PMC: PMC3407971
OpenAlex: W2085390346
Cited by: 77
References: 44
Citations by year: 2026: 1 · 2025: 2 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 7 · 2020: 8 · 2019: 7 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 4 · 2014: 6 · 2013: 3 · 2012: 4
FWCI: 6.42
Type: journal article
Language: en
Open access: green
europepmc.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Geriatric Psychiatry (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute on Aging (P30AG-21332, P30AG021332)
National Institute of Mental Health (K23MH065281, MH 53932, MH 65281, R01MH053932)
Topics: Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
Keywords: older adults, generalized anxiety disorder, panic disorder, worry, anxiety sensitivity, insomnia, depressive symptoms, quality of life, barriers to psychotherapy, maintenance of treatment effects
MeSH terms: Aged, Anxiety Disorders, Female, Humans, Male, Middle Aged, Patient Education as Topic, Telephone, Cognitive Behavioral Therapy, Treatment Outcome, Age of Onset

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A randomized controlled trial of telephone-delivered cognitive–behavioral therapy for late-life anxiety disorders

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