Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial
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OBJECTIVE: 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. METHOD: 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. RESULTS: 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. CONCLUSIONS: 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.
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CBT compared with other treatments for generalized anxiety disorders produces greater improvements in stress and anxiety symptoms.
“However, several studies compared cognitive behavioral therapy (CBT) with other treatments for generalized anxiety disorders and found greater improvements in stress and anxiety symptoms from CBT.”
From Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial (2017) · cites this paper as [7]
In a study comparing psychodynamic psychotherapy with CBT, the CBT intervention showed greater improvement in stress and anxiety symptoms, with STAI-T trait scores decreasing from 58.83 to 43.41 and PSWQ scores from 63.48 to 49.86.
“A study comparing psychodynamic psychotherapy with CBT found a greater improvement in the symptoms of stress and anxiety for the CBT intervention (a posttreatment progression of STAI-T trait subscale scores from 58.83 to 43.41 and of PSWQ scores from 63.48 to 49.86 in this group) [7].”
From Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial (2017) · cites this paper as [7]
Two clinical studies with patients with generalized anxiety disorder, one comparing CBT with relaxation and the other comparing CBT with brief psychodynamic psychotherapy, showed changes in STAI-T scores of 7 and 16, respectively.
“Two clinical studies with patients with generalized anxiety disorder, 1 comparing CBT with relaxation [61] and the other comparing CBT with brief psychodynamic psychotherapy [62], showed changes in the STAI-T scores of 7 and 16, respectively.”
From Efficacy of Seren@ctif, a computer-based stress management program for patients with adjustment disorder with anxiety: Protocol for a controlled trial (2017) · cites this paper as [62]
Previous studies of STPP adapting the approach of Luborsky et al. found no sex differences regarding treatment response.
“Previous studies of STPP adapting the approach of Luborsky et al. [8,14] found no sex differences regarding treatment response [9].”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [9]
There has been increasing evidence supporting individual supportive-expressive psychotherapy as an effective short-term psychodynamic psychotherapy (STPP) for various mental disorders such as depression, generalized anxiety and social phobia.
“There has been increasing evidence supporting individual supportive-expressive psychotherapy as an effective short-term psychodynamic psychotherapy (STPP) for various mental disorders such as depression [8], generalized anxiety [9] and social phobia [10].”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [9]
Supportive-expressive psychotherapy has proven a robust model of short-term treatment for a diverse range of mental disorders.
“Supportive-expressive psychotherapy has proven a robust model of short-term treatment for a diverse range of mental disorders.”
From Efficacy of psychodynamic short-term psychotherapy for depressed breast cancer patients: Study protocol for a randomized controlled trial (2012) · cites this paper as [9]
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The Evidence Base for Psychodynamic Psychotherapy
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Psychodynamic Psychotherapy: A Review of Efficacy and Effectiveness Studies
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The efficacy of psychodynamic psychotherapy: an up-to-date review
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Aktuelle Entwicklungen der psychodynamischen Psychotherapieforschung
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Interpersonal style in obsessive compulsive disorder
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Evidence-Based Psychodynamic Treatments for Anxiety Disorders: A Review
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“A study comparing psychodynamic psychotherapy with CBT found a greater improvement in the symptoms of stress and anxiety for the CBT intervention (a posttreatment progression of STAI-T trait subscale scores from 58.83 to 43.41 and of PSWQ scores from 63.48 to 49.86 in this group) [7].”
InfluentialCOMPARISON OF CRIMINAL ACTIVITY BETWEEN ISRAELI VETERANS WITH AND WITHOUT PTSD
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Perception, conscious and unconscious processes
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ICBT in Psychiatry: Generalised Anxiety Disorder
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- Authors
- Leichsenring, F., Salzer, S., Jaeger, U., Kächele, H., Kreische, R., Leweke, F., Rüger, U., Winkelbach, C., & Leibing, E.
- Affiliations
- Justus-Liebig-Universität Gießen (DE)
- Venue
- American Journal of Psychiatry
- Published
- 2009-08
- Volume
- 166
- Issue
- 8
- Pages
- 875-881
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2169984587
- Cited by
- 207
- References
- 27
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 4 · 2023: 4 · 2022: 5 · 2021: 7 · 2020: 13 · 2019: 13 · 2018: 6 · 2017: 20 · 2016: 9 · 2015: 19 · 2014: 24 · 2013: 17 · 2012: 16
- FWCI
- 24.58
- Type
- journal article
- Language
- en
- Open access
- Licence
- cc-by
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- GoeScholar The Publication Server of the Georg-August-Universität Göttingen (Georg-August-Universität Göttingen) (submittedVersion, cc-by)
- 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 › Psychoanalysis and Psychopathology Research
- Keywords
- generalized anxiety disorder, short-term dynamic psychotherapy, cognitive behavioral therapy, treatment outcome comparison, anxiety symptoms, depression, trait anxiety, worry
- MeSH terms
- Adult, Anxiety Disorders, Depressive Disorder, Female, Humans, Male, Patient Dropouts, Personality Inventory, Psychiatric Status Rating Scales, Psychotherapy, Psychotherapy, Brief, Cognitive Behavioral Therapy, Treatment Outcome, Outcome Assessment, Health Care
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