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Treating Late-Life Generalized Anxiety Disorder (GAD) in Primary Care

Baylor College of Medicine logo

Baylor College of Medicine

Status

Completed

Conditions

Generalized Anxiety Disorder

Treatments

Behavioral: Telephone check-in
Behavioral: Cognitive Behavior Therapy

Study type

Interventional

Funder types

Other
Other U.S. Federal agency
NIH

Identifiers

NCT00308724
R01MH053932 (U.S. NIH Grant/Contract)
H15958

Details and patient eligibility

About

The purpose of this study is to determine whether cognitive behavior therapy (CBT) is effective in the treatment of generalized anxiety disorder (GAD) in adults age 60 and older in a primary care setting.

Full description

Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders among older adults. Anxiety in older adults is associated with decreased physical activity, poorer self-perceptions of health, decreased life satisfaction, and increased loneliness. Because many older adults with anxiety seek assistance in a medical setting, treatment has been primarily pharmacological. There is, however, limited evidence of the effectiveness of psychotropic medications. Given the potential difficulties in prescribing psychotropic medications in later life (e.g., increased adverse effects, potential drug interactions), psychosocial treatments may be important alternative or adjuncts.

The treatment phase of this study lasts 10 weeks, during which patients will be randomly assigned to either cognitive behavior therapy (CBT) or usual care. Follow-up will last 12 months after treatment completion, during which time patients will complete telephone assessments.

Enrollment

148 patients

Sex

All

Ages

60+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Clinical diagnosis of Generalized Anxiety Disorder

Exclusion criteria

  • Active suicidal intent
  • Current psychosis
  • Current bipolar disorder
  • Substance abuse within past month
  • Cognitive impairment

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

148 participants in 2 patient groups

1
Experimental group
Description:
Cognitive Behavior Therapy
Treatment:
Behavioral: Cognitive Behavior Therapy
2
Active Comparator group
Description:
Usual Care
Treatment:
Behavioral: Telephone check-in

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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