Background

Anxiety disorders are among the most common mental health conditions. Individuals with anxiety typically seek services in primary, rather than specialty, care. While there is significant evidence supporting the efficacy and effectiveness of cognitive behavioral therapy (CBT) for anxiety disorders, there have been no naturalistic studies reporting anxiety-specific treatment outcomes in primary care.

Methods

Participants (N = 1,589) were recruited from a multi-state, multi-site primary care practice, with 491 participants endorsing moderate to severe anxiety at baseline and engaging in at least one CBT session. Data was drawn from a psychotherapy tracking database.

Results

Among participants with moderate to severe anxiety who engaged in CBT, a significant decrease in anxiety and depression symptoms was observed over the course of psychotherapy (p < .001, d = 0.57-0.95). Rates of reliable change, response, and remission varied across diagnostic categories. The use of CBT interventions also varied across diagnoses in line with evidence-based treatment recommendations.

Discussion

Short-term CBT delivered in primary care is associated with significant improvements in anxiety and depression symptoms among participants with anxiety disorders. These findings support the use of a population-based approach to anxiety disorders treatment and suggest that evidence-based CBT can be implemented in the real-world setting.

中文翻译：

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焦虑症的认知行为疗法：来自多州，多站点初级保健实践的结果

背景

焦虑症是最常见的心理健康状况之一。焦虑症患者通常会寻求初级保健而非专科护理。尽管有大量证据支持认知行为疗法（CBT）对焦虑症的疗效和有效性，但尚无自然研究报道初级保健中针对焦虑症的治疗结果。

方法

参与者（N = 1,589）是从多州，多站点初级保健实践中招募的，有491名参与者在基线时认可中度至重度焦虑，并参加了至少一次CBT会议。数据来自心理治疗跟踪数据库。

结果

在参加CBT的中度至重度焦虑患者中，在心理治疗过程中观察到焦虑和抑郁症状显着降低（p < .001，d = 0.57-0.95）。可靠的更改，响应和缓解率在诊断类别中有所不同。CBT干预的使用也因循证治疗建议而异，因诊断而异。

讨论区

在患有焦虑症的参与者中，初级保健中提供的短期CBT与焦虑和抑郁症状的显着改善有关。这些发现支持使用基于人群的方法治疗焦虑症，并表明可以在现实世界中实施基于证据的CBT。