COGNITIVE BEHAVIORAL THERAPY FOR GENERALIZED ANXIETY

Project: Research project

Project Details

Description

DESCRIPTION (Applicant's Abstract): Systematic, controlled therapy research
on generalized anxiety disorder, a prevalent disorder characterized by
chronic worry, has only recently begun. Review of extant theoretical and
empirical literature including recent basic and therapy outcome research
suggests that, although a combined cognitive behavioral intervention package
(applied relaxation, self-control desensitization, and cognitive therapy)
which targets intrapersonal anxious process is effective in treating this
disorder, losses in therapeutic gains by long-term follow-up may be due to a
failure of CBT to address significant interpersonal/emotional processing
problems. Consequently, a CBT that includes interpersonal/emotional
processing therapy techniques is likely to yield greater and more
long-lasting improvements. The proposed study will therefore compare (a)
the current, best available CBT package plus a reflective listening therapy
element and (b) the same CBT package plus an interpersonal/emotional
processing therapy element. The reflective listening element in the former
condition is designed to equate the two conditions for total amount of
therapy time. Outcome will be assessed at post-therapy and again at 6, 12,
and 24 months after therapy. Several process measures and secondary outcome
measures (including a psychophysiological laboratory session measuring
central and peripheral physiological activity during theoretically relevant
tasks and administered at pre-therapy and post-therapy) and the assessment
of matched nonanxious control subjects will provide information regarding
the nature of the psychopathology and the nature of the mechanisms of
therapeutic change.
StatusFinished
Effective start/end date1/1/906/30/98

Funding

  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health
  • National Institute of Mental Health

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