Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study
Abstract Objective Metacognitive therapy (MCT) and cognitive–behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed‐up patients who had previously participated in a randomized controlled trial of MCT compared against CBT. Method We collected 9‐ye...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2021-10-01
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| Series: | Brain and Behavior |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/brb3.2358 |
| _version_ | 1819005332337197056 |
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| author | Stian Solem Adrian Wells Leif Edward Ottesen Kennair Roger Hagen Hans Nordahl Odin Hjemdal |
| author_facet | Stian Solem Adrian Wells Leif Edward Ottesen Kennair Roger Hagen Hans Nordahl Odin Hjemdal |
| author_sort | Stian Solem |
| collection | DOAJ |
| description | Abstract Objective Metacognitive therapy (MCT) and cognitive–behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed‐up patients who had previously participated in a randomized controlled trial of MCT compared against CBT. Method We collected 9‐year follow‐up data on 39 out of 60 original patients (i.e., 65% response rate). Results At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re‐diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group. Conclusions This follow‐up study showed a continuation of gains in both treatments at long‐term follow‐up, but with outcomes continuing to favor MCT and strengthening its comparative superiority. |
| first_indexed | 2024-12-20T23:51:06Z |
| format | Article |
| id | doaj.art-001f55cd1e29401a8d97b19432516d61 |
| institution | Directory Open Access Journal |
| issn | 2162-3279 |
| language | English |
| last_indexed | 2024-12-20T23:51:06Z |
| publishDate | 2021-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Brain and Behavior |
| spelling | doaj.art-001f55cd1e29401a8d97b19432516d612022-12-21T19:22:49ZengWileyBrain and Behavior2162-32792021-10-011110n/an/a10.1002/brb3.2358Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up studyStian Solem0Adrian Wells1Leif Edward Ottesen Kennair2Roger Hagen3Hans Nordahl4Odin Hjemdal5Department of Psychology Norwegian University of Science and Technology Trondheim NorwayFaculty of Biology Medicine and Health School of Psychological Sciences Manchester Academic Health Science Centre The University of Manchester Manchester UKDepartment of Psychology Norwegian University of Science and Technology Trondheim NorwayDepartment of Psychology Norwegian University of Science and Technology Trondheim NorwayDepartment of Mental Health Norwegian University of Science and Technology (NTNU) Trondheim NorwayDepartment of Psychology Norwegian University of Science and Technology Trondheim NorwayAbstract Objective Metacognitive therapy (MCT) and cognitive–behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed‐up patients who had previously participated in a randomized controlled trial of MCT compared against CBT. Method We collected 9‐year follow‐up data on 39 out of 60 original patients (i.e., 65% response rate). Results At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re‐diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group. Conclusions This follow‐up study showed a continuation of gains in both treatments at long‐term follow‐up, but with outcomes continuing to favor MCT and strengthening its comparative superiority.https://doi.org/10.1002/brb3.2358anxiety disorderscognitive–behavioral therapygeneralized anxiety disorderlong‐term follow‐upmetacognitive therapyrandomized controlled trial |
| spellingShingle | Stian Solem Adrian Wells Leif Edward Ottesen Kennair Roger Hagen Hans Nordahl Odin Hjemdal Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study Brain and Behavior anxiety disorders cognitive–behavioral therapy generalized anxiety disorder long‐term follow‐up metacognitive therapy randomized controlled trial |
| title | Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study |
| title_full | Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study |
| title_fullStr | Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study |
| title_full_unstemmed | Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study |
| title_short | Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9‐year follow‐up study |
| title_sort | metacognitive therapy versus cognitive behavioral therapy in adults with generalized anxiety disorder a 9 year follow up study |
| topic | anxiety disorders cognitive–behavioral therapy generalized anxiety disorder long‐term follow‐up metacognitive therapy randomized controlled trial |
| url | https://doi.org/10.1002/brb3.2358 |
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