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A Controlled Comparison of Cognitive—Behaviour Therapy, Diazepam and Placebo in the Management of Generalized Anxiety

  • K. G. Power (a1), D. W. A. Jerrom (a2), R. J. Simpson (a1), M. J. Mitchell (a3) and V. Swanson (a4)
  • DOI: http://dx.doi.org/10.1017/S0141347300015597
  • Published online: 01 June 2009
Abstract

Generalized anxiety patients were randomly allocated to Cognitive-Behaviour Therapy, Diazepam or Placebo and managed in a primary care setting. Treatments were balanced for degree of psychologist/patient contact. A range of outcome measures, including patient self report, psychologist assessor and general practitioner ratings were used. Large variations within group response to treatment emerged. At the end of active treatment the superiority of Cognitive-Behaviour Therapy was suggested. Post-study psychotropic prescription and psychological treatment was assessed at a 12-month follow-up. The Cognitive-Behaviour group revealed the lowest incidence of subsequent treatment interventions.

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A. Leboeuf and J. Lodge (1980). A comparison of frontalis EMG feedback training and progressive relaxation in the treatment of chronic anxiety. British Journal of Psychiatry 137, 279284.

W. R. Lindsay , C. V. Gamscu , E. McLaughlin , E. M. Hood and C. A. Espie (1987). A controlled trial of treatments for generalised anxiety. British Journal of Clinical Psychology 26, 315.

K. G. Power , D. W. A. Jerrom , R. J. Simpson and M. Mitchell (1985). Controlled study of withdrawal symptoms and rebound anxiety after six week course of diazepam for generalised anxiety. British Medical Journal 290, 12461248.

M. Raskin , L. R. Bali and H. V. Peeke (1980). Muscle biofeedback and transcendental meditation. Archives of General Psychiatry 37, 8397.

A. K. Shapiro , E. L. Struering , E. Shapiro and B. I. Milcarek (1983). Diazepam: How much better than placebo? Journal of Psychiatric Research 17, 5173.

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R. Woodward and R. B. Jones (1980). Cognitive restructuring treatment: a controlled trial with anxious patients. Behaviour Research and Therapy 18, 401407.

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Behavioural and Cognitive Psychotherapy
  • ISSN: 1352-4658
  • EISSN: 1469-1833
  • URL: /core/journals/behavioural-and-cognitive-psychotherapy
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