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Short-Term Psychodynamic Psychotherapy and Cognitive-Behavioral Therapy in Generalized Anxiety Disorder: A Randomized, Controlled Trial
American Journal of Psychiatry, 07/07/09

Leichsenring F et al. - The results suggest that CBT and short-term psychodynamic psychotherapy are beneficial for patients with generalized anxiety disorder. In future research, large-scale multicenter studies should examine more subtle differences between treatments, including differences in the patients who benefit most from each form of therapy.

Methods

Patients with generalized anxiety disorder according to DSM-IV were randomly assigned to receive either CBT (N=29) or short-term psychodynamic psychotherapy (N=28).
Treatments were carried out according to treatment manuals and included up to 30 weekly sessions.
The primary outcome measure was the Hamilton Anxiety Rating Scale, which was applied by trained raters blind to the treatment conditions.
Assessments were carried out at the completion of treatment and 6 months afterward.

Results

Both CBT and short-term psychodynamic psychotherapy yielded significant, large, and stable improvements with regard to symptoms of anxiety and depression.
No significant differences in outcome were found between treatments in regard to the primary outcome measure.
These results were corroborated by two self-report measures of anxiety.
In measures of trait anxiety, worry, and depression, however, CBT was found to be superior.

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