Cognitive-behavioral therapy for adult anxiety disorders

16 important questions on Cognitive-behavioral therapy for adult anxiety disorders

What is the most prevalent mental disorder according to the text?

- Anxiety disorders are the most prevalent mental disorder.
- The 12-month prevalence rate is 18.1% and the lifetime prevalence rate is 28.8%.

What therapy has been extensively studied for adult anxiety disorders?

- Cognitive-behavioral therapy (CBT) has been extensively studied for adult anxiety disorders.
- Meta-analytical reviews often show large effect sizes for CBT.

What are the limitations of meta-analyses mentioned in the text?

- Meta-analyses have varying control procedures.
- They may also lack control groups, affecting validity.
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What was the focus of the study described in the text?

- The study focused on the acute efficacy of CBT compared to placebo for adult anxiety disorders.
- The study used randomized placebo-controlled trials of DSM-III-R or DSM-IV anxiety disorders.

What has been the "gold-standard design" in clinical outcome research as per the text?

- Randomized placebo-controlled trials are the gold-standard design in clinical outcome research.

What additional aspects did the study explore?

- The study explored moderating effects of the number of treatment sessions.
- It also considered the modality (pill vs. psychological placebo) and publication year.

What did the study exclude in its analysis?

- The study excluded children and adolescents, as well as geriatric individuals, from its analysis.

How many studies met all inclusion criteria according to the results section?

- 27 studies met all inclusion criteria.

Which anxiety disorder was the most commonly studied?

- Social anxiety disorder (SAD) was the most commonly studied.

What did the data synthesis find regarding the difference in attrition rates between CBT and placebo?

- No significant difference found in attrition rates between CBT and placebo.

What was the effect size of CBT for continuous measures of anxiety disorder severity?

- Effect size for continuous measures of anxiety disorder severity was in the medium to large range.

What did the conclusion reveal about CBT's efficacy compared to placebo treatments?

- CBT yields significantly greater benefits than placebo treatments for most anxiety disorders.

Which disorder did CBT not show greater effects than placebo for?

- CBT did not show greater effects than placebo for obsessive-compulsive disorder (OCD).

Did the study evaluate the specificity of CBT for reducing depression in addition to anxiety?

- The study evaluated CBT's specificity for reducing depression in addition to anxiety.

What was the outcome when comparing CBT to placebo in reducing depression in PTSD and OCD?

- CBT only significantly outperformed placebo in reducing depression in PTSD and OCD.

What are the notable weaknesses in the current meta-analysis according to the text?

- A large number of studies did not report ITT data
- Trials often had combined treatment conditions
- Placebo conditions varied without systematic differences between trials
- Effect sizes for panic disorder with/without agoraphobia could not be estimated

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