TY - JOUR
KW - Aged
KW - Anxiety Disorders/psychology/therapy
KW - Anxiety/psychology/therapy
KW - Cognitive Therapy/methods
KW - Female
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Satisfaction
KW - Pilot Projects
KW - Primary Health Care/methods
KW - Psychiatric Status Rating Scales
KW - Treatment Outcome
AU - J. S. Calleo
AU - A. L. Bush
AU - J. A. Cully
AU - N. L. Wilson
AU - C. Kraus-Schuman
AU - H. M. Rhoades
AU - D. M. Novy
AU - N. Masozera
AU - S. Williams
AU - M. Horsfield
AU - M. E. Kunik
AU - M. A. Stanley
A1 - 
AB - To increase the sustainability of cognitive behavior therapy (CBT) in primary care for late-life anxiety, we incorporated nonexpert counselors, options for telephone meetings, and integration with primary care clinicians. This open trial examines the feasibility, satisfaction, and clinical outcomes of CBT delivered by experienced and nonexperienced counselors for older adults with generalized anxiety disorder (GAD). Clinical outcomes assessed worry (Penn State Worry Questionnaire), GAD (Generalized Anxiety Disorder Severity Scale), and anxiety (Beck Anxiety Inventory and Structured Interview Guide for Hamilton Anxiety Scale). After 3 months of treatment, Cohen's d effect sizes for worry and anxiety ranged from 0.48 to 0.78. Patients treated by experienced and nonexperienced counselors had similar reductions in worry and anxiety, although treatment outcomes were more improved on the Beck Anxiety Inventory for experienced therapists. Preliminary results suggest that adapted CBT can effectively reduce worry. The piloted modifications can provide acceptable and feasible evidence-based care.
BT - The Journal of nervous and mental disease
C5 - Education & Workforce; Healthcare Disparities
CP - 5
CY - United States
DO - 10.1097/NMD.0b013e31828e0fd6
IS - 5
JF - The Journal of nervous and mental disease
N2 - To increase the sustainability of cognitive behavior therapy (CBT) in primary care for late-life anxiety, we incorporated nonexpert counselors, options for telephone meetings, and integration with primary care clinicians. This open trial examines the feasibility, satisfaction, and clinical outcomes of CBT delivered by experienced and nonexperienced counselors for older adults with generalized anxiety disorder (GAD). Clinical outcomes assessed worry (Penn State Worry Questionnaire), GAD (Generalized Anxiety Disorder Severity Scale), and anxiety (Beck Anxiety Inventory and Structured Interview Guide for Hamilton Anxiety Scale). After 3 months of treatment, Cohen's d effect sizes for worry and anxiety ranged from 0.48 to 0.78. Patients treated by experienced and nonexperienced counselors had similar reductions in worry and anxiety, although treatment outcomes were more improved on the Beck Anxiety Inventory for experienced therapists. Preliminary results suggest that adapted CBT can effectively reduce worry. The piloted modifications can provide acceptable and feasible evidence-based care.
PP - United States
PY - 2013
SN - 1539-736X; 0022-3018
SP - 414
EP - 420
EP - 
T1 - Treating late-life generalized anxiety disorder in primary care: an effectiveness pilot study
T2 - The Journal of nervous and mental disease
TI - Treating late-life generalized anxiety disorder in primary care: an effectiveness pilot study
U1 - Education & Workforce; Healthcare Disparities
U2 - 23588228
U3 - 10.1097/NMD.0b013e31828e0fd6
VL - 201
VO - 1539-736X; 0022-3018
Y1 - 2013
ER -