TREATMENT OF GENERALIZED ANXIETY DISORDER IN THE ELDERLY
Project Number5R01MH053932-02
Contact PI/Project LeaderSTANLEY, MELINDA A
Awardee OrganizationUNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
Description
Abstract Text
DESCRIPTION (Adapted from applicant's abstract): The proposed study is a
revised version of application #RO1-MH53932-01 that will examine the
relative effects of cognitive behavior therapy (CBT) and a minimal contact
control condition (MCC) for the treatment of generalized anxiety disorder
(GAD) in older adults. The relative effects of CBT and MCC at posttreatment
will be examined with regard to both primary outcome measures (global
severity of GAD, worry, general anxiety) and the transfer of treatment
effects to coexistent pathology (associated fears, depression) and social
functioning (quality of life, social support). In addition, the impact of
CBT over a long-term follow-up interval (one year) will be examined. The
proposed study also will allow for exploratory examination of nonspecific
predictor variables, in particular, measures of pretreatment psychopathology
(anxiety, depression) and therapy process (credibility of treatment,
expectancy for improvement,group cohesion, and alliance). Ninety-eight
adults, 60 years or older, who meet DSM-IV criteria for GAD will be assigned
randomly to CBT or MCC. Treatment will be conducted in a small group
format, with 15 weekly sessions. After posttreatment evaluations at 15
weeks, patients assigned to CBT will be assessed at 3-, 6-, and 12-month
follow-ups. After posttreatment assessments, MCC subjects will receive
treatment with CBT and subsequent follow-up evaluations, also over a
12-month period. As such, this group will allow for indirect replication of
primary study results.
Public Health Relevance Statement
Data not available.
NIH Spending Category
No NIH Spending Category available.
Project Terms
anxiety disordersbehavioral /social science research tagclinical researchcognitive behavior therapydepressionfearfunctional abilitygroup therapyhuman middle age (35-64)human old age (65+)human subjecthuman therapy evaluationlongitudinal human studyquality of lifequestionnairessocial support network
No Sub Projects information available for 5R01MH053932-02
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