Psychologists from UCLA compared outcomes from adding cognitive
behavioral therapy (CBT) to medications for the treatment of panic
disorder, as compared to using medications alone.
Primary-care patients with panic disorder reported on their receipt of CBT and medications over the 3 months following a baseline assessment. The degree to which outcomes for those who used anti-panic medications were enhanced by the receipt of at least one component of CBT was analyzed (using a propensity score model that took into account observable baseline patient characteristics influencing both treatment selection and outcomes.)
Analysis of the data revealed that with the exception of cognitive distraction, the people suffering from insomnia, relative to good sleepers, more frequently used thought control strategies. More specifically, strategies of aggressive suppression and worry appeared to be entirely unhelpful, and in fact, the use of these strategies were predictors of sleep impairment, anxiety and depression.
A pilot study at Virtual Reality Medical Center comparing the effectiveness of Virtual Reality exposure therapy to systematic desensitization with imaginal exposure therapy for treating flying phobia, shows VR wins hands down.
A randomized, controlled, pilot study at the Virtual Reality Medical Center in San Diego, compared the efficacy of virtual reality graded exposure therapy (VRGET) with imaginal exposure therapy for the treatment of fear of flying.
Thirty participants (mean age = 39.8 +/- 9.7) with a confirmed diagnosis of specific phobia fear of flying were randomly assigned to one of three groups: VRGET with no physiological feedback (VRGETno), VRGET with physiological feedback (VRGETpm), or systematic desensitization with imaginal exposure therapy (IET).
Subjects consisted of 20 kidney, lung, or pancreas transplant recipients, aged 35 to 59 years, living in the community who participated in an MBSR class (2.5 hours weekly, for 8 weeks, plus home practice for 45 minutes, 5 days weekly), modeled after the program of Jon Kabat-Zinn. The outcome measures used were self-report scales for depression (CES-D), anxiety (STAI-Y1), and sleep dysfunction (PSQI).
Fifty-four subjects completed either prolonged exposure alone or in combination with cognitive restructuring in a course of treatment that included 9-12 weekly sessions. Assessment was conducted at pretreatment, posttreatment, and a modal 12-month follow-up.
Forty-eight public sector employees, with 10 or more cumulative days of stress-related absenteeism in the previous 6 months, were randomized equally to ''Beating The Blues'' plus conventional care, or conventional care alone. The main outcomes, measured at the end of treatment and at one, three and six months post-treatment, were scores from the Hospital Anxiety and Depression Scale and the Attributional Style Questionnaire.
Outpatients with GAD were treated with CT for up to a maximum of 24 sessions. Anxiety-related symptoms were evaluated according to the Hamilton Anxiety Rating Scale (HAM-A), and the hypothalamic-pituitary-adrenal (HPA) function was determined through assessment of circulating cortisol levels.
A pilot study out of France shows that virtual reality therapy works well for social phobias, but no better than standard, cognitive behavioral therapy.
This unique preliminary study out of Caen, France assesses the efficacy of virtual reality therapy (VRT) for alleviating social phobia, since it has been found helpful for fear of public speaking. Virtual reality therapy was compared to a control condition - group cognitive behavioral therapy - where graded exposure to feared social situations is one of the fundamental therapeutic ingredients.