title: Three-year outcomes of adults with anxiety and related disorders following cognitive-behavioral therapy in a non-research clinical setting.
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.
authors.affiliation: Department of Medicine (Psychology), University of Tasmania, Locked Bag 30, Hobart, TAS 7001, Australia; Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106 USA. Electronic address: bethany.wootton@utas.edu.au.
authors.forename: Bethany M
authors.initials: BM
authors.lastname: Wootton
authors.affiliation: Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106 USA. Electronic address: laura.bragdon@hhchealth.org.
authors.forename: Laura B
authors.initials: LB
authors.lastname: Bragdon
authors.affiliation: Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106 USA. Electronic address: Shari.SteinmanHaxel@hhchealth.org.
authors.forename: Shari A
authors.initials: SA
authors.lastname: Steinman
authors.affiliation: Anxiety Disorders Center, Institute of Living, Hartford Hospital, 200 Retreat Ave, Hartford, CT 06106 USA; Yale University School of Medicine, New Haven, CT, USA. Electronic address: david.tolin@hhchhealth.org.
authors.forename: David F
authors.initials: DF
authors.lastname: Tolin
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000379:methods; D001008:Anxiety Disorders / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D055815:Young Adult
keywords: Anxiety; Cognitive-behavior therapy; Effectiveness; Long-term