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Psychother Psychosom. 2005;74(1):26-30.

Well-being therapy of generalized anxiety disorder.

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  • 1Affective Disorders Program and Laboratory of Experimental Psychotherapy, Department of Psychology, University of Bologna, Viale Berti Pichat 5, IT-40127 Bologna, Italy. giovanniandrea.fava@unibo.it

Abstract

BACKGROUND:

There is increasing awareness that the goal of treatment in generalized anxiety disorder (GAD) should not simply be a response, but restoration of normal function. The aim of this study was to apply a novel psychotherapeutic approach for increasing the level of remission in GAD.

METHODS:

Twenty patients with DSM-IV GAD devoid of comorbid conditions were randomly assigned to 8 sessions of cognitive behavioral therapy (CBT) or the sequential administration of 4 sessions of CBT followed by other 4 sessions of well-being therapy (WBT). Assessment methods included the Anxiety and Depression Scales of Paykel's Clinical Interview for Depression, Ryff's Psychological Well-being Scales and Kellner's Symptom Questionnaire. A one-year follow-up was undertaken.

RESULTS:

Significant advantages of the CBT-WBT sequential combination over CBT only were observed with both observer and self-rated methods after treatment. Such gains were maintained at follow-up.

CONCLUSIONS:

These preliminary results suggest the feasibility and clinical advantages of adding WBT to the treatment of GAD. They lend support to a sequential use of treatment components for achieving a more sustained recovery.

Copyright 2005 S. Karger AG, Basel.

PMID:
15627853
[PubMed - indexed for MEDLINE]
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