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JRUMS 2018, 17(5): 461-478 |
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Shahriari H, Zare H, Aliakbari Dehkordi M, Sarami Foroushani G. Effectiveness of Cognitive-Behavioral Interventions in the Treatment of Generalized Anxiety Disorder: A Systematic Review and Meta-analysis
. JRUMS 2018; 17 (5) :461-478
URL: http://journal.rums.ac.ir/article-1-3947-en.html
URL: http://journal.rums.ac.ir/article-1-3947-en.html
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Effectiveness of Cognitive-Behavioral Interventions in the Treatment of Generalized Anxiety Disorder: A Systematic Review and Meta-analysis
H. Shahriari[1], H. Zare[2], M. Aliakbari Dehkordi2, G.R. Sarami Foroushani[3]
Received: 07/10/2017 Sent for Revision: 31/12/2017 Received Revised Manuscript: 23/05/2018 Accepted: 27/05/2018
Background and Objectives: Although the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of generalized anxiety disorder (GAD) is supported by researchers, controlled studies show that each of these methods only partially serves to treat this disorder. Therefore, this study aimed at achieving the effect size of cognitive-behavioral interventions on the treatment of GAD and investigating other effective factors in the effectiveness of this treatment.
Materials and Methods: The present study is a systematic review and meta-analysis research model. For this purpose, 480 articles with the relevant titles, using cognitive-behavioral treatment of generalized anxiety disorder (seperately and in combination) as the keywords, were obtained through searching in the valid scientific databases. 21 articles were selected through a meta-analysis checklist, and the data (extracted from the texts of these articles) were analyzed using the meta-analysis method.
Results: The results showed the effect size (ES) of cognitive-behavioral interventions (Cohen's d=1.018) is large according to the Cohen's table (Cohen's d≥0.8). Also, there was no statistical significant difference in comparing the effect sizes obtained from using different tools, individual or group therapy, and age groups (p>0.05).
Conclusion: The findings of this meta-analysis showed a “large” ES for cognitive-behavioral interventions on the treatment of GAD. Also, based on the sub-analyses results, group CBT can be used as the first line therapy for middle-aged GAD patients and individual CBT for elderly GAD patients.
Key words: Meta-analysis, Cognitive-behavioral therapy, Generalized anxiety disorder
Funding: This study did not have any funds.
Conflict of interest: None declared.
How to cite this article: Shahriari H , Zare H, Aliakbari Dehkordi M, Sarami Foroushani G.R. Effectiveness of Cognitive-Behavioral Interventions in the Treatment of Generalized Anxiety Disorder: A Systematic Review and Meta-analysis. J Rafsanjan Univ Med Sci 2018; 17 (5): 461-78.. [Farsi]
(Corresponding Author): Tel: (054) 31232307, Fax: (054) 31232309, E-mail: shahriari.h@gmail.com
H. Shahriari[1], H. Zare[2], M. Aliakbari Dehkordi2, G.R. Sarami Foroushani[3]
Received: 07/10/2017 Sent for Revision: 31/12/2017 Received Revised Manuscript: 23/05/2018 Accepted: 27/05/2018
Background and Objectives: Although the effectiveness of cognitive-behavioral therapy (CBT) in the treatment of generalized anxiety disorder (GAD) is supported by researchers, controlled studies show that each of these methods only partially serves to treat this disorder. Therefore, this study aimed at achieving the effect size of cognitive-behavioral interventions on the treatment of GAD and investigating other effective factors in the effectiveness of this treatment.
Materials and Methods: The present study is a systematic review and meta-analysis research model. For this purpose, 480 articles with the relevant titles, using cognitive-behavioral treatment of generalized anxiety disorder (seperately and in combination) as the keywords, were obtained through searching in the valid scientific databases. 21 articles were selected through a meta-analysis checklist, and the data (extracted from the texts of these articles) were analyzed using the meta-analysis method.
Results: The results showed the effect size (ES) of cognitive-behavioral interventions (Cohen's d=1.018) is large according to the Cohen's table (Cohen's d≥0.8). Also, there was no statistical significant difference in comparing the effect sizes obtained from using different tools, individual or group therapy, and age groups (p>0.05).
Conclusion: The findings of this meta-analysis showed a “large” ES for cognitive-behavioral interventions on the treatment of GAD. Also, based on the sub-analyses results, group CBT can be used as the first line therapy for middle-aged GAD patients and individual CBT for elderly GAD patients.
Key words: Meta-analysis, Cognitive-behavioral therapy, Generalized anxiety disorder
Funding: This study did not have any funds.
Conflict of interest: None declared.
How to cite this article: Shahriari H , Zare H, Aliakbari Dehkordi M, Sarami Foroushani G.R. Effectiveness of Cognitive-Behavioral Interventions in the Treatment of Generalized Anxiety Disorder: A Systematic Review and Meta-analysis. J Rafsanjan Univ Med Sci 2018; 17 (5): 461-78.. [Farsi]
- - PhD Student, Dept. of Psychology, Payame Noor University, P. O. BOX 19395-3697, Tehran, Iran
(Corresponding Author): Tel: (054) 31232307, Fax: (054) 31232309, E-mail: shahriari.h@gmail.com
[2]- Prof., Dept. of Psychology, Payame Noor University, P .O. BOX 19395-3697, Tehran, Iran
ORCID: 0000-0001-6088-0458, 0000-0002-8918-3346
ORCID: 0000-0001-6088-0458, 0000-0002-8918-3346
[3]- Assistant Prof., Dept. of Psychology, Kharazmi University, Tehran, Iran. ORCID: 0000-0002-7584-2435
Type of Study: Review Article |
Subject:
Psychiatry
Received: 2017/09/11 | Accepted: 2018/05/27 | Published: 2018/07/15
Received: 2017/09/11 | Accepted: 2018/05/27 | Published: 2018/07/15
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