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ONE YEAR FOLLOW-UP OF COGNITIVE THERAPY, ANALYTIC PSYCHOTHERAPY AND ANXIETY MANAGEMENT TRAINING FOR GENERALIZED ANXIETY DISORDER: SYMPTOM CHANGE, MEDICATION USAGE AND ATTITUDES TO TREATMENT

Published online by Cambridge University Press:  01 January 1999

Robert C. Durham
Affiliation:
University of Dundee, Scotland
Peter L. Fisher
Affiliation:
University of Dundee, Scotland
Linda R. Trevling
Affiliation:
University of Dundee, Scotland
Cathryn M. Hau
Affiliation:
University of Edinburgh, Scotland
Karen Richard
Affiliation:
Perth and Kinross NHS Trust, Scotland
John B. Stewart
Affiliation:
Ayrshire and Arran NHS Trust, Scotland

Abstract

A one year follow-up is reported of a randomized clinical trial with generalized anxiety disorder (GAD) in which the main comparison was between analytic psychotherapy (AP) and cognitive therapy (CT), each delivered at weekly or fortnightly intervals over a six month period. CT was found to be significantly more effective than AP. However, GAD is a chronic and relapsing condition and follow-up data are needed to assess the durability of improvement and the possibility that the benefits of analytic psychotherapy may be more apparent over the longer term. Data were collected in three areas: (1) symptomatology and overall improvement; (2) medication usage and contact with GPs; and (3) attitudes to therapy. CT was clearly superior to AP on the main outcome measures and only a minority of AP patients made significant improvements. CT but not AP was associated with significant reductions in medication usage, and patients receiving CT were generally more positive about treatment received. Differences between treatments were less evident in the less intensive treatment condition where overall results were relatively poor. The most positive outcomes were achieved in the more intensive CT condition in which approximately two-thirds of patients achieved clinically significant improvements.

Type
Main Section
Copyright
© 1999 British Association for Behavioural and Cognitive Psychotherapies

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