Evidence map›Paper›PMID 26005839›Full record

Trial reportJournal of anxiety disorders2015

Cognitive-behavioral therapy for late-life anxiety: Similarities and differences between Veteran and community participants.

Terri L Barrera, Jeffrey A Cully, Amber B Amspoker, Nancy L Wilson, Cynthia Kraus-Schuman, Paula D Wagener, Jessica S Calleo, Ellen J Teng, Howard M Rhoades, Nicholas Masozera and 2 more

Open access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of anxiety disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Long-Term Effects of Telephone-Delivered Psychotherapy for Late-Life GAD.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Trial
  5. Trial
  6. Article
  7. Article
  8. A pilot open trial of video telehealth-delivered exposure and response prevention for obsessive-compulsive disorder in rural Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2022
    Article
  9. Article
  10. Toward Robust Anxiety Biomarkers: A Machine Learning Approach in a Large-Scale Sample.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2020
    Article
  11. Article
  12. Evidence Review-Social Determinants of Health for Veterans.Journal of general internal medicine · 2018
    Review
  13. Article
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

12 authors at 5 institutions in 1 country.

Terri L BarreraHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States. Electronic address: terrib@bcm.edu.
Jeffrey A CullyHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.
Amber B AmspokerHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Nancy L WilsonHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Cynthia Kraus-SchumanMichael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Paula D WagenerHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Jessica S CalleoHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Ellen J TengHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.
Howard M RhoadesHarris County Psychiatric Center, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Nicholas MasozeraMichael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States.
Mark E KunikHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.
Melinda A StanleyHouston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, Houston, TX, United States; Baylor College of Medicine, Houston, TX, United States; South Central Mental Illness Research, Education and Clinical Center (A Virtual Center), Houston, United States.
Michael E. DeBakey VA Medical Center · USBaylor College of Medicine · USCenter for Innovation · USMental Illness Research, Education and Clinical Centers · USThe University of Texas Health Science Center at Houston · US

Funding

TREATMENT OF GENERALIZED ANXIETY DISORDER IN THE ELDERLYR01MH053932 · NIMH · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI STANLEY, MELINDA A · 1996 to 2012
$5.6M
NIMH NIH HHS MH053932NIMH NIH HHS R01 MH053932
6 · The paper itself

Abstract

Cognitive-behavioral therapy (CBT) is an evidence-based treatment for anxiety; however, a growing body of research suggests that CBT effect sizes are smaller in Veteran samples. The aim of this study was to perform secondary data analyses of a randomized controlled trial of CBT for late-life generalized anxiety disorder compared with treatment as usual (TAU) in a Veteran (n = 101) and community-based (n = 122) sample. Veterans had lower income and less education than community participants, greater severity on baseline measures of anxiety and depression, poorer physical health, and higher rates of psychiatric comorbidity. Treatment effects were statistically significant in the community sample (all ps < 0.01), but not in Veterans (all ps > 0.05). Further analyses in Veterans revealed that poorer perceived social support significantly predicted poorer outcomes (all ps < 0.05). Our results underscore the complexity of treating Veterans with anxiety, and suggest that additional work is needed to improve the efficacy of CBT for Veterans, with particular attention to social support.

Indexed as

AgedAnxiety DisordersCognitive Behavioral TherapyDepressive DisorderFemaleHumansMalePatient Acceptance of Health CareSocial SupportTreatment OutcomeVeteransAnxietyCognitive–behavioral therapyPsychotherapyRandomized controlled trialVeterans

Identifiers

PMID26005839
PMCPMC4479977
OpenAlexW236121655

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.