Gretchen A. Brenes|Suzanne C. Danhauer|Mary F. Lyles|Patricia E. Hogan|Michael E. Miller
Telephone-Delivered Cognitive Behavioral Therapy and Telephone-Delivered Nondirective Supportive Therapy for Rural Older Adults With Generalized Anxiety Disorder
Wake Forest University|Wake Forest University|Wake Forest University|Wake Forest University|Wake Forest University
generalized anxiety disorder gad common older adults however access treatment may limited particularly rural areasto examine effects telephonedelivered cognitive behavioral therapy cbt compared telephonedelivered nondirective supportive therapy nst rural older adults gadrandomized clinical trial participants homes 141 adults aged 60 years older principal coprincipal diagnosis gad recruited january 27 2011 october 22 2013telephonedelivered cbt consisted many 11 sessions 9 required focused recognition anxiety symptoms relaxation cognitive restructuring use coping statements problem solving worry control behavioral activation exposure therapy relapse prevention optional chapters sleep pain telephonedelivered nst consisted 10 sessions focused providing supportive atmosphere participants could share discuss feelings provide direct suggestions copingprimary outcomes included interviewerrated anxiety severity hamilton anxiety rating scale selfreported worry severity penn state worry questionnaireabbreviated measured baseline 2 months followup 4 months followup moodspecific secondary outcomes included selfreported gad symptoms gad scale 7 item measured baseline 4 months followup depressive symptoms beck depression inventory measured baseline 2 months followup 4 months followup among 141 participants 70 randomized receive cbt 71 receive nstat 4 months followup significantly greater decline worry severity among participants telephonedelivered cbt group difference improvement 407 95 ci 626 187 p 004 significant differences general anxiety symptoms difference improvement 152 95 ci 407 103 p 24 4 months followup significantly greater decline gad symptoms difference improvement 236 95 ci 400 072 p 005 depressive symptoms difference improvement 323 95 ci 597 050 p 02 among participants telephonedelivered cbt groupin trial telephonedelivered cbt superior telephonedelivered nst reducing worry gad symptoms depressive symptoms older adults gadclinicaltrialsgov identifier nct01259596