Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder
ABSTRACT Objective: Generalized anxiety disorder (GAD) is a chronic and disabling disorder associated with various impairments and shows a significant prevalence in the worldwide and Brazilian populations. This study aimed to investigate the longitudinal relationship of two symptoms relevant to the...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Rio de Janeiro
2022-02-01
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| Series: | Jornal Brasileiro de Psiquiatria |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852022005002204&tlng=en |
| _version_ | 1818334152355741696 |
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| author | Daniel Santos Martins Thiago Pacheco de Almeida Sampaio Francisco Lotufo Neto |
| author_facet | Daniel Santos Martins Thiago Pacheco de Almeida Sampaio Francisco Lotufo Neto |
| author_sort | Daniel Santos Martins |
| collection | DOAJ |
| description | ABSTRACT Objective: Generalized anxiety disorder (GAD) is a chronic and disabling disorder associated with various impairments and shows a significant prevalence in the worldwide and Brazilian populations. This study aimed to investigate the longitudinal relationship of two symptoms relevant to the disorder (worry and depressive symptoms) in the context of a randomized clinical trial (RCT) by using a cross-lagged panel model (CLPM) analysis. Methods: A total of 92 adult patients with GAD were randomized to receive ten sessions of either acceptance‐based group behavioral therapy (ABBT) or nondirective supportive group therapy (NDST). Treatment had four time-point measures. Worries were measured using the Penn State Worry Questionnaire (PSWQ), and depression was measured using the Depression Anxiety Stress Scales (DASS-D). Results: The NDST model revealed significant paths from worry to depression (first wave) and from depression to worry (second wave). There was no other significant cross-lagged effect. These data show that there was an influence between symptoms only during one of the treatment groups, and without a homogeneous and constant pattern in any of the cross-lagged routes. Conclusion: A supportive group psychotherapy potentially interferes with the pattern of the direct relationship between worries and depressive symptoms in adults with GAD. |
| first_indexed | 2024-12-13T14:02:59Z |
| format | Article |
| id | doaj.art-bbffdf5d03134adfaf241f8f71e9e497 |
| institution | Directory Open Access Journal |
| issn | 1982-0208 |
| language | English |
| last_indexed | 2024-12-13T14:02:59Z |
| publishDate | 2022-02-01 |
| publisher | Universidade Federal do Rio de Janeiro |
| record_format | Article |
| series | Jornal Brasileiro de Psiquiatria |
| spelling | doaj.art-bbffdf5d03134adfaf241f8f71e9e4972022-12-21T23:42:41ZengUniversidade Federal do Rio de JaneiroJornal Brasileiro de Psiquiatria1982-02082022-02-0110.1590/0047-2085000000361Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorderDaniel Santos Martinshttps://orcid.org/0000-0001-6084-9987Thiago Pacheco de Almeida Sampaiohttps://orcid.org/0000-0003-3879-1541Francisco Lotufo Netohttps://orcid.org/0000-0002-2043-7643ABSTRACT Objective: Generalized anxiety disorder (GAD) is a chronic and disabling disorder associated with various impairments and shows a significant prevalence in the worldwide and Brazilian populations. This study aimed to investigate the longitudinal relationship of two symptoms relevant to the disorder (worry and depressive symptoms) in the context of a randomized clinical trial (RCT) by using a cross-lagged panel model (CLPM) analysis. Methods: A total of 92 adult patients with GAD were randomized to receive ten sessions of either acceptance‐based group behavioral therapy (ABBT) or nondirective supportive group therapy (NDST). Treatment had four time-point measures. Worries were measured using the Penn State Worry Questionnaire (PSWQ), and depression was measured using the Depression Anxiety Stress Scales (DASS-D). Results: The NDST model revealed significant paths from worry to depression (first wave) and from depression to worry (second wave). There was no other significant cross-lagged effect. These data show that there was an influence between symptoms only during one of the treatment groups, and without a homogeneous and constant pattern in any of the cross-lagged routes. Conclusion: A supportive group psychotherapy potentially interferes with the pattern of the direct relationship between worries and depressive symptoms in adults with GAD.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852022005002204&tlng=enAnxietyanxiety disordersworrydepressionpsychotherapy |
| spellingShingle | Daniel Santos Martins Thiago Pacheco de Almeida Sampaio Francisco Lotufo Neto Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder Jornal Brasileiro de Psiquiatria Anxiety anxiety disorders worry depression psychotherapy |
| title | Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| title_full | Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| title_fullStr | Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| title_full_unstemmed | Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| title_short | Relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| title_sort | relationships between worry and depressive symptoms during two group therapies for generalized anxiety disorder |
| topic | Anxiety anxiety disorders worry depression psychotherapy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0047-20852022005002204&tlng=en |
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