Metacognitive therapy versus cognitive–behavioral therapy in adults with generalized anxiety disorder: A 9-year follow-up study
Solem, Stian; Wells, Adrian; Kennair, Leif Edward Ottesen; Hagen, Roger; Nordahl, Hans Morten; Hjemdal, Odin
Peer reviewed, Journal article
Published version
Åpne
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https://hdl.handle.net/11250/3038022Utgivelsesdato
2021Metadata
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Sammendrag
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.