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Titolo:
Efficacy of psychological treatments for generalized anxiety disorder and social phobia
Autore:
Ruhmland, M; Margraf, J;
Indirizzi:
Univ Gottingen, Georg Elias Muller Inst Psychol, D-37073 Gottingen, Germany Univ Gottingen Gottingen Germany D-37073 hol, D-37073 Gottingen, Germany Univ Basel, Psychiat Klin, CH-4003 Basel, Switzerland Univ Basel Basel Switzerland CH-4003 at Klin, CH-4003 Basel, Switzerland
Titolo Testata:
VERHALTENSTHERAPIE
fascicolo: 1, volume: 11, anno: 2001,
pagine: 27 - 40
SICI:
1016-6262(200103)11:1<27:EOPTFG>2.0.ZU;2-W
Fonte:
ISI
Lingua:
GER
Soggetto:
COGNITIVE-BEHAVIOR-THERAPY; TERM FOLLOW-UP; CONTROLLED TRIAL; EFFECT SIZE; EXPOSURE; PLACEBO; METAANALYSIS; RELAXATION; PSYCHOTHERAPY; MANAGEMENT;
Keywords:
generalized anxiety disorder; social phobia; treatment; meta analysis;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
55
Recensione:
Indirizzi per estratti:
Indirizzo: Ruhmland, M Univ Gottingen, Georg Elias Muller Inst Psychol, Gosslerstr 14, D-37073 Gottingen, Germany Univ Gottingen Gosslerstr 14 Gottingen Germany D-37073 ermany
Citazione:
M. Ruhmland e J. Margraf, "Efficacy of psychological treatments for generalized anxiety disorder and social phobia", VERHALTENST, 11(1), 2001, pp. 27-40

Abstract

The present study compares the efficacy of 7 different psychological treatments for generalized anxiety disorder, or 6 for social phobia respectivelyin a meta analysis of 29 studies that included 67 treatment interventions. Pre-post effect sizes were calculated for 6 clinical outcome variables: main symptoms, general anxiety, depression, impairment, general psychopathology and social integration. Long term outcome has been investigated up to 2 years past interventions. For generalized anxiety disorder, applied relaxation yielded the highest effect size for main symptoms (ES = 1.65), but was investigated in 2 groups of intervention only. The effect size for cognitive-behavioral therapy was almost as high (ES = 1.43) and was like cognitive therapy (ES = 1.20) investigated in 5 groups. Both treatments did not differ statistically in their efficacy. Long-term outcome analyses suggest that both interventions were successful in maintaining their treatment gains. Incontrast to these results, psychodynamic therapy could not maintain its good treatment gains (ES = 1.13) over 6 months (ES = 0.29). For social phobia, exposure treatment yielded the highest effect size (ES = 1.76) for main symptoms. The mean effect size for cognitive-behavioral therapy was lower (ES = 1.07), but did not differ statistically from the effects of exposure. Treatment gains were maintained up to 18 months. In addition, the maintenance of treatment gains for cognitive-behavioral therapy hasbeen shown in 2 studies with long term follow-ups between 3 and 5 years.

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Documento generato il 19/09/20 alle ore 20:58:03