Evidence map›Paper›PMID 23647281›Full record

Trial reportJournal of consulting and clinical psychology2013

A randomized clinical trial comparing an acceptance-based behavior therapy to applied relaxation for generalized anxiety disorder.

Sarah A Hayes-Skelton, Lizabeth Roemer, Susan M Orsillo

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
12.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.

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  6. A randomized controlled trial of a smartphone-based application for the treatment of anxiety.Psychotherapy research : journal of the Society for Psychotherapy Research · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Sarah A Hayes-SkeltonDepartment of Psychology.
Lizabeth Roemer
Susan M Orsillo
University of Massachusetts Boston · USSuffolk University · US

Funding

An RCT of Acceptance-based Behavior Therapy for GADR01MH074589 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI ROEMER, LIZABETH · 2007 to 2011
$2.3M
Change Mechanisms in Cognitive Behavioral Therapy for Social Anxiety DisorderR00MH085060 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI HAYES-SKELTON, SARAH A · 2011 to 2013
$708k
Change Mechanisms in Cognitive Behavioral Therapy for Social Anxiety DisorderK99MH085060 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI HAYES-SKELTON, SARAH A · 2009 to 2010
$178k
NIMH NIH HHS K99 MH085060NIMH NIH HHS MH074589NIMH NIH HHS MH085060NIMH NIH HHS R00 MH085060NIMH NIH HHS R01 MH074589
6 · The paper itself

Abstract

objectiveTo examine whether an empirically and theoretically derived treatment combining mindfulness- and acceptance-based strategies with behavioral approaches would improve outcomes in generalized anxiety disorder (GAD) over an empirically supported treatment.

methodThis trial randomized 81 individuals (65.4% female, 80.2% identified as White, average age 32.92) diagnosed with GAD to receive 16 sessions of either an acceptance-based behavior therapy (ABBT) or applied relaxation (AR). Assessments at pretreatment, posttreatment, and 6-month follow-up included the following primary outcome measures: GAD clinician severity rating, Structured Interview Guide for the Hamilton Anxiety Rating Scale, Penn State Worry Questionnaire, Depression Anxiety Stress Scale, and the State-Trait Anxiety Inventory. Secondary outcomes included the Beck Depression Inventory-II, Quality of Life Inventory, and number of comorbid diagnoses.

resultsMixed effect regression models showed significant, large effects for time for all primary outcome measures (ds = 1.27 to 1.61) but nonsignificant, small effects for condition and Condition × Time (ds = 0.002 to 0.20), indicating that clients in the 2 treatments improved comparably over treatment. For secondary outcomes, time was significant (ds = 0.74 to 1.38), but condition and Condition × Time effects were not (ds = 0.004 to 0.31). No significant differences emerged over follow-up (ds = 0.03 to 0.39), indicating maintenance of gains. Between 63.3 and 80.0% of clients in ABBT and 60.6 and 78.8% of clients in AR experienced clinically significant change across 5 calculations of change at posttreatment and follow-up.

conclusionABBT is a viable alternative for treating GAD. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

Indexed as

Acceptance and Commitment TherapyAdultAnxiety DisordersFemaleFollow-Up StudiesHumansMaleMiddle AgedPsychiatric Status Rating ScalesRelaxation TherapyTreatment OutcomeYoung Adult

Identifiers

PMID23647281
PMCPMC3783580
OpenAlexW1991979798

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.