Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better?

Julie Loebach Wetherell; Derek R. Hopko; Gretchen J. Diefenbach; Patricia M. Averill; J. Gayle Beck; Michelle G. Craske; Margaret Gatz; Diane M. Novy; Melinda A. Stanley

doi:10.1016/S0005-7894(05)80063-2

Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better?

Julie Loebach Wetherell, Derek R. Hopko, Gretchen J. Diefenbach, Patricia M. Averill, J. Gayle Beck, Michelle G. Craske, Margaret Gatz, Diane M. Novy, Melinda A. Stanley

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Abstract

The authors pooled data from three independently conducted treatment outcome studies to examine predictors of outcome from group-administered cognitive-behavioral therapy (CBT) for older adults with generalized anxiety disorder (GAD). Data were collected from 65 patients with a mean age of 67.7 years (SD = 6.6). Average reliable change indices (RCI) based on 3 outcome measures were calculated at posttreatment and at 6-month follow-up. Approximately half of patients achieved a significant RCI at posttreatment and two-thirds achieved a significant RCI at follow-up. Factors associated with better outcomes included better homework adherence, higher baseline GAD severity, and presence of a comorbid psychiatric diagnosis. Results suggest that at-home practice is associated with better and longer-lasting outcomes from CBT in older adults with GAD.

Original language	English (US)
Pages (from-to)	147-156
Number of pages	10
Journal	Behavior Therapy
Volume	36
Issue number	2
DOIs	https://doi.org/10.1016/S0005-7894(05)80063-2
State	Published - 2005

ASJC Scopus subject areas

Clinical Psychology

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10.1016/S0005-7894(05)80063-2

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title = "Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better?",

abstract = "The authors pooled data from three independently conducted treatment outcome studies to examine predictors of outcome from group-administered cognitive-behavioral therapy (CBT) for older adults with generalized anxiety disorder (GAD). Data were collected from 65 patients with a mean age of 67.7 years (SD = 6.6). Average reliable change indices (RCI) based on 3 outcome measures were calculated at posttreatment and at 6-month follow-up. Approximately half of patients achieved a significant RCI at posttreatment and two-thirds achieved a significant RCI at follow-up. Factors associated with better outcomes included better homework adherence, higher baseline GAD severity, and presence of a comorbid psychiatric diagnosis. Results suggest that at-home practice is associated with better and longer-lasting outcomes from CBT in older adults with GAD.",

author = "Wetherell, {Julie Loebach} and Hopko, {Derek R.} and Diefenbach, {Gretchen J.} and Averill, {Patricia M.} and Beck, {J. Gayle} and Craske, {Michelle G.} and Margaret Gatz and Novy, {Diane M.} and Stanley, {Melinda A.}",

note = "Funding Information: This research was supported in part by National Institute of Mental Health grants F31 MHl1972, R01 MH53932, K23 MH67643, and the Texas Higher Education Coordinating Board (003652-075). Address correspondence to Julie Wetherell, Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Dept. 0603V, La Jolla, CA 92093-0603; e-mail:j wetherell@ucsd.edu. BEHAVIORT HERAPY3 6, 147--156, 2005 005-7894/05/0147~)15651.00/0 Copyright 2005 by Associationf or Advancemento f BehaviorT herapy All rights for reproductioni n any form reserved.",

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AU - Wetherell, Julie Loebach

AU - Hopko, Derek R.

AU - Diefenbach, Gretchen J.

AU - Averill, Patricia M.

AU - Beck, J. Gayle

AU - Craske, Michelle G.

AU - Gatz, Margaret

AU - Novy, Diane M.

AU - Stanley, Melinda A.

N1 - Funding Information: This research was supported in part by National Institute of Mental Health grants F31 MHl1972, R01 MH53932, K23 MH67643, and the Texas Higher Education Coordinating Board (003652-075). Address correspondence to Julie Wetherell, Department of Psychiatry, University of California, San Diego, 9500 Gilman Drive, Dept. 0603V, La Jolla, CA 92093-0603; e-mail:j wetherell@ucsd.edu. BEHAVIORT HERAPY3 6, 147--156, 2005 005-7894/05/0147~)15651.00/0 Copyright 2005 by Associationf or Advancemento f BehaviorT herapy All rights for reproductioni n any form reserved.

PY - 2005

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N2 - The authors pooled data from three independently conducted treatment outcome studies to examine predictors of outcome from group-administered cognitive-behavioral therapy (CBT) for older adults with generalized anxiety disorder (GAD). Data were collected from 65 patients with a mean age of 67.7 years (SD = 6.6). Average reliable change indices (RCI) based on 3 outcome measures were calculated at posttreatment and at 6-month follow-up. Approximately half of patients achieved a significant RCI at posttreatment and two-thirds achieved a significant RCI at follow-up. Factors associated with better outcomes included better homework adherence, higher baseline GAD severity, and presence of a comorbid psychiatric diagnosis. Results suggest that at-home practice is associated with better and longer-lasting outcomes from CBT in older adults with GAD.

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Cognitive-behavioral therapy for late-life generalized anxiety disorder: Who gets better?

Abstract

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