Trial reportThe British journal of general practice : the journal of the Royal College of General Practitioners2005
Treatment of anxiety disorders in primary care practice: a randomised controlled trial.
Trial report in The British journal of general practice : the journal of the Royal College of General Practitioners, 2005. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- The Efficacy of eHealth Interventions for the Treatment of Adults Diagnosed With Full or Subthreshold Binge Eating Disorder: Systematic Review and Meta-analysis.Journal of medical Internet research · 2021Pooled it
- Contemporary treatment of anxiety in primary care: a systematic review and meta-analysis of outcomes in countries with universal healthcare.BMC family practice · 2021Pooled it
- Media-delivered cognitive behavioural therapy and behavioural therapy (self-help) for anxiety disorders in adults.The Cochrane database of systematic reviews · 2013Pooled it
- Counselling for mental health and psychosocial problems in primary care.The Cochrane database of systematic reviews · 2011Pooled it
- On-site mental health workers delivering psychological therapy and psychosocial interventions to patients in primary care: effects on the professional practice of primary care providers.The Cochrane database of systematic reviews · 2009Pooled it
- Psychological therapies for generalised anxiety disorder.The Cochrane database of systematic reviews · 2007Pooled it
- Trial
- Panic Disorder in Primary Care.Deutsches Arzteblatt international · 2019Trial
- The clinical effectiveness of web-based cognitive behavioral therapy with face-to-face therapist support for depressed primary care patients: randomized controlled trial.Journal of medical Internet research · 2013Trial
- Collaborative stepped care for anxiety disorders in primary care: aims and design of a randomized controlled trial.BMC health services research · 2009Trial
- Randomised controlled trial of a psychiatric consultation model for treatment of common mental disorder in the occupational health setting.BMC health services research · 2007Trial
- Enhancing panic disorder treatment with mobile-aided case management: an exploratory study based on a 3-year cohort analysis.Frontiers in psychiatry · 2023Article
- Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research.Journal of anxiety disorders · 2018Review
- Incentives and disincentives for the treatment of depression and anxiety: a scoping review.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2014Article
- Outcomes for depression and anxiety in primary care and details of treatment: a naturalistic longitudinal study.BMC psychiatry · 2011Article
- The Short Anxiety Screening Test in Greek: translation and validation.Annals of general psychiatry · 2010Article
- The Four-Dimensional Symptom Questionnaire (4DSQ): a validation study of a multidimensional self-report questionnaire to assess distress, depression, anxiety and somatization.BMC psychiatry · 2006Article
- Panic disorder.BMJ (Clinical research ed.) · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnxiety disorders are prevalent in primary care. Psychological treatment is effective but time-consuming, and there are waiting lists for secondary care. Interest has therefore grown in developing guidelines for treatment that would be feasible in primary care.
aimTo compare the effectiveness and feasibility of guided self-help, the Anxiety Disorder Guidelines of the Netherlands College of General Practitioners and cognitive behavioural therapy (CBT). DESIGN OF STUDY: Randomised controlled study lasting 12 weeks with follow-up at 3 and 9 months for primary care patients with panic disorder and/or generalised anxiety disorder.
settingThe first two forms of treatment were carried out by 46 GPs who were randomly assigned to one or the other form. CBT was carried out by cognitive behaviour therapists in a psychiatric outpatient clinic.
methodParticipants (n = 154) were randomly assigned to one of the three forms of treatment. The main outcome measure used was the state subscale of the Spielberger Anxiety Inventory.
resultsAll three forms of treatment gave significant improvement between pre-test and post-test, and this improvement remained stable between post-test and the follow-ups. The results obtained with the three treatment forms did not differ significantly over time. The feasibility of the Anxiety Disorder Guidelines was low compared with that of guided self-help.
conclusionOur results indicate that primary care patients with prevalent anxiety disorders for whom the GP does not find referral necessary can be adequately treated by the GP. Psychiatric outpatient clinic referral does not give superior results. Guided self-help is easier for the GP to carry out than a less highly-structured treatment like that laid down in the Anxiety Disorder Guidelines.
Indexed as
Identifiers
16212851PMC1562341What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.