Cognitive behavioral therapy (CBT) has been found to be very effective in reducing many forms of mental illness, but much less is known about whether CBT also promotes mental health or well-being. The goals of the present study were to (a) quantify the magnitude and timing of changes in overall well-being and specific facets of well-being during different CBTs for anxiety disorders, (b) determine whether these effects vary across transdiagnostic and disorder-specific CBT, and (c) examine how changes in well-being during treatment relate to changes in anxiety. A total of 223 adults (55.6% female, Mage = 31.1 years) were randomized to 1 of 5 CBT protocols for anxiety disorders at an outpatient clinic. Analyses included standardized mean gain effect sizes (ESsg) and latent growth curve modeling. Moderate-to-large increases in overall well-being and the 3 components of subjective, psychological, and social well-being were observed, mainly during the second half of CBT, and these increases were maintained at a 6-month follow-up. The magnitude of effects was comparable for transdiagnostic and disorder-specific CBT protocols and greater than in the waitlist condition. Parallel process latent growth curve models indicated that trajectories of change in well-being across treatment were strongly correlated with trajectories of change in clinician-rated and self-reported anxiety. Together, these findings suggest that different CBT protocols for anxiety consistently produce robust and lasting changes in well-being, and these changes are strongly linked to changes in anxiety during treatment. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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焦虑症认知行为疗法中幸福感的变化轨迹：量化影响和伴随焦虑改善的协方差。

认知行为疗法（CBT）在减少多种形式的精神疾病方面非常有效，但对CBT是否还能促进心理健康或幸福感知之甚少。本研究的目标是（a）量化焦虑症在不同CBT期间总体幸福感和特定幸福感变化的幅度和时间，（b）确定这些影响是否在跨诊断和障碍之间有所不同，具体的CBT，以及（c）检查治疗期间的幸福感如何与焦虑症的改变相关。在门诊诊所，共有223名成人（女性55.6％，法师= 31.1岁）被随机分配到5种CBT方案中的1种用于焦虑症的方案。分析包括标准化的平均增益效应大小（ESsg）和潜在增长曲线建模。主要在CBT的下半年期间，观察到总体福祉有适度到较大的增长以及主观，心理和社会福祉的3个组成部分，并且这些增长保持了6个月的随访。对于经转诊和针对特定疾病的CBT方案，效果的大小是可比的，并且比在候补条件下要大。平行过程潜伏增长曲线模型表明，各种治疗的幸福感变化轨迹与临床医师评估和自我报告的焦虑变化轨迹密切相关。总之，这些发现表明，针对焦虑症的不同CBT方案始终能够产生健壮而持久的幸福感变化，并且这些变化与治疗期间焦虑症的变化密切相关。（PsycINFO数据库记录（c）2020 APA，