AI Article Synopsis
- Metacognitive therapy (MCT) has shown better long-term results in treating generalized anxiety disorder compared to cognitive-behavior therapy (CBT), with recovery rates of 57% for MCT versus 38% for CBT after 9 years.
- In terms of sustained recovery, 43% of patients who underwent MCT maintained their recovery status, while only 13% of those from the CBT group did the same.
- The study highlights that patients treated with MCT experienced more significant reductions in worry and anxiety symptoms, suggesting its advantages over CBT in the long run.
Article Abstract
Objective: Metacognitive therapy (MCT) and cognitive-behavior therapy (CBT) are effective treatments for generalized anxiety disorder. In this study, we followed-up patients who had previously participated in a randomized controlled trial of MCT compared against CBT.
Method: We collected 9-year follow-up data on 39 out of 60 original patients (i.e., 65% response rate).
Results: At 9 years, the recovery rates were 57% for MCT and 38% for CBT (completer analysis). Following MCT, 43% maintained their recovery status and a further 14% achieved recovery. Following CBT, the sustained recovery rate was 13%, while a further 25% achieved recovery. Patients in the MCT condition showed significantly more improvement with respect to symptoms of worry and anxiety. In the CBT group, 23.1% were re-diagnosed with generalized anxiety disorder (GAD) compared with 9.5% in the MCT group.
Conclusions: This follow-up study showed a continuation of gains in both treatments at long-term follow-up, but with outcomes continuing to favor MCT and strengthening its comparative superiority.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553304 | PMC |
| http://dx.doi.org/10.1002/brb3.2358 | DOI Listing |
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