期刊
PSYCHOTHERAPY AND PSYCHOSOMATICS
卷 74, 期 1, 页码 26-30出版社
KARGER
DOI: 10.1159/000082023
关键词
generalized anxiety disorder; well-being therapy; cognitive behavioral therapy; depression; well-being
Background: There is increasing awareness that the goal of treatment in generalized anxiety disorder ( GAD) should not simply be a response, but restoration of normal function. The aim of this study was to apply a novel psychotherapeutic approach for increasing the level of remission in GAD. Methods: Twenty patients with DSM-IV GAD devoid of comorbid conditions were randomly assigned to 8 sessions of cognitive behavioral therapy (CBT) or the sequential administration of 4 sessions of CBT followed by other 4 sessions of well-being therapy (WBT). Assessment methods included the Anxiety and Depression Scales of Paykel's Clinical Interview for Depression, Ryff's Psychological Well-being Scales and Kellner's Symptom Questionnaire. A one-year follow-up was undertaken. Results: Significant advantages of the CBT-WBT sequential combination over CBT only were observed with both observer and self-rated methods after treatment. Such gains were maintained at follow-up. Conclusions: These preliminary results suggest the feasibility and clinical advantages of adding WBT to the treatment of GAD. They lend support to a sequential use of treatment components for achieving a more sustained recovery. Copyright (C) 2005 S. Karger AG, Basel.
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