- AutorIn
- Jürgen Hoyer
- Katja Beesdo
- Andrew T. Gloster
- Juliane Runge
- Michael Höfler
- Eni S. Becker
- Titel
- Worry Exposure versus Applied Relaxation in the Treatment of Generalized Anxiety Disorder
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa-133696
- Quellenangabe
- Psychother Psychosom 2009;78:106–115, ISSN: 0033-3190
- Erstveröffentlichung
- 2009
- Abstract (DE)
- Dieser Beitrag ist mit Zustimmung des Rechteinhabers aufgrund einer (DFG-geförderten) Allianz- bzw. Nationallizenz frei zugänglich.
- Abstract (EN)
- Background: Worry exposure (WE) is a core element of cognitive-behavioral treatment for generalized anxiety disorder (GAD). Its efficacy as a stand-alone treatment method (without further cognitive-behavioral therapy interventions) has never been tested.We aimed to examine whether WE alone is as efficacious as the empirically supported stand-alone treatment for GAD, applied relaxation (AR). Methods: In a randomized controlled study, 73 outpatients meeting DSM-IV criteria for GAD as primary diagnosis were allocated to either WE or AR or a waiting list control group; in a 2nd randomization procedure the waiting list subjects were reallocated to WE or AR. The treatment was manualized (15 sessions with WE or AR), included 6-month and 1-year follow-ups, as well as last observation carried forward and completer analyses, and was controlled for allegiance effects.The Hamilton Anxiety Rating Scale and the State-Trait Anxiety Scale were used as primary outcome measures. Self-report scales of anxiety, worrying and depression including negative metacognition about worrying and thought suppression served as secondary outcome measures. Results: The dropout rate was moderate. The pre-/posttreatment effects were high for the Hamilton Anxiety Rating Scale (standardized mean difference >1) and for the State-Trait Anxiety Inventory (standardized mean difference >0.87). The proportion of patients reaching high end state functioning was 48% (WE) and 56% (AR). WE and AR did not differ with regard to dropout rate or treatment effects. The treatment effects were stable at 6 month and 1 year follow-up. Conclusion: This is the first study to show that a stand-alone exposure in sensu technique – WE – is efficacious in the treatment of GAD. Both AR and WE seem to represent effective principles of change in GAD.
- Andere Ausgabe
- DOI: 10.1159/000201936
- Volltext des Artikels, der zuerst in der Zeitschrift "Psychotherapy and Psychosomatics" des Karger-Verlages erschienen ist.
Link: http://dx.doi.org/10.1159/000201936 - Freie Schlagwörter (DE)
- Generalisierte Angststörung, Sorgen, Konfrontation, Entspannung, Metakognition, Gedankenunterdrückung
- Freie Schlagwörter (EN)
- Generalized anxiety disorder, Worry exposure, Metacognition, Thought suppression
- Klassifikation (DDC)
- 610, 150
- Klassifikation (RVK)
- XA 10000, CL 1000
- Verlag
- Karger, Basel
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa-133696
- Veröffentlichungsdatum Qucosa
- 13.02.2014
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis