Three-year outcomes of adults with anxiety and related disorders following cognitive-behavioral therapy in a non-research clinical setting. (April 2015)

• Record Type: Journal Article
• Authors: Wootton, Bethany M.; Bragdon, Laura B.; Steinman, Shari A.; Tolin, David F.
• Is Part Of: Journal of anxiety disorders. Volume 31(2015:Apr.)
• Page Start: 28
• Page End: 31
• Publication Date: 2015-04
• Subjects: Anxiety -- Effectiveness -- Cognitive-behavior therapy -- Long-term; Anxiety -- Periodicals; Anxiety Disorders -- Periodicals; Angoisse -- Périodiques; Electronic journals; 616.8522
• DOI: 10.1016/j.janxdis.2015.01.007
• Languages: English
• ISSNs: 0887-6185

Abstract

Highlights: We describe the long-term outcomes of 98 individuals with anxiety and related disorders treated in an outpatient, fee-for-service setting using a case formulation CBT approach. Participants were followed up each year after their discharge, for a period of 3 years. Results indicate that patients maintained their treatment gains, with large effect sizes obtained from pre-treatment to each follow-up time point. The results provide preliminary evidence to suggest that individuals treated with CBT in "real world" settings maintain their treatment gains in the long-term. Abstract: Anxiety and related disorders are highly prevalent and costly to society. Fortunately, a large number of randomized controlled trials have demonstrated the efficacy of cognitive behavioral therapy (CBT) in the treatment of anxiety and related disorders. A smaller number of effectiveness studies have also demonstrated that similar outcomes to randomized controlled trials can be obtained in "real-world" settings. There is minimal research, however, into long-term outcomes in effectiveness research. This study describes the outcomes of 98 individuals with anxiety and related disorders treated in an outpatient, fee-for-service setting using a case formulation CBT approach. Participants were followed up each year after their discharge, for a period of 3 years. The results indicate that patients maintained their treatment gains, with large effect sizes obtained from pre-treatment to each follow-up time point ( d = 1.11–1.60). The results provide preliminary evidence to suggest that individuals treated with CBT in "real-world" settings maintain their treatment gains in the long-term.