Evidence map›Paper›PMID 26228536›Full record

Trial reportCognitive behaviour therapy2015

Interpersonal Problems, Mindfulness, and Therapy Outcome in an Acceptance-Based Behavior Therapy for Generalized Anxiety Disorder.

Daniel J Millstein, Susan M Orsillo, Sarah A Hayes-Skelton, Lizabeth Roemer

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Cognitive behaviour therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. 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

4 authors.

Daniel J Millsteina Department of Psychology , Suffolk University , 41 Temple Street, Boston , MA 02114 , USA.
Susan M Orsilloa Department of Psychology , Suffolk University , 41 Temple Street, Boston , MA 02114 , USA.
Sarah A Hayes-Skeltonb Department of Psychology , University of Massachusetts Boston , 100 Morrissey Blvd, Boston , MA 02125 , USA.
Lizabeth Roemerb Department of Psychology , University of Massachusetts Boston , 100 Morrissey Blvd, Boston , MA 02125 , USA.

Funding

An RCT of Acceptance-based Behavior Therapy for GADR01MH074589 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI ROEMER, LIZABETH · 2007 to 2011
$2.3M
NIMH NIH HHS MH074589NIMH NIH HHS R01 MH074589
6 · The paper itself

Abstract

objectiveTo better understand the role interpersonal problems play in response to two treatments for generalized anxiety disorder (GAD); an acceptance-based behavior therapy (ABBT) and applied relaxation (AR), and to examine how the development of mindfulness may be related to change in interpersonal problems over treatment and at follow-up.

methodEighty-one individuals diagnosed with GAD (65.4% female, 80.2% identified as white, average age 32.92) were randomized to receive 16 sessions of either ABBT or AR. GAD severity, interpersonal problems, and mindfulness were measured at pre-treatment, post-treatment, 6-month follow-up, and 12-month follow-up.

resultsMixed effect regression models did not reveal any significant effects of pre-treatment interpersonal problems on GAD severity over treatment. After controlling for post-treatment GAD severity, remaining post-treatment interpersonal problems predicted 6- but not 12-month GAD severity. Participants in both conditions experienced a large decrease in interpersonal problems over treatment. Increases in mindfulness over treatment and through follow-up were associated with decreases in interpersonal problems, even when accounting for reductions in overall GAD severity.

conclusionsInterpersonal problems may be an important target of treatment in GAD, even if pre-treatment interpersonal problems are not predictive of outcome. Developing mindfulness in individuals with GAD may help ameliorate interpersonal difficulties among this population.

Indexed as

Acceptance and Commitment TherapyInterpersonal RelationsMindfulnessRelaxation TherapyAdultAnxiety DisordersFemaleHumansMaleTreatment OutcomeYoung Adultacceptance-based treatmentapplied relaxationgeneralized anxiety disorderinterpersonal problemsmindfulness

Identifiers

PMID26228536
PMCPMC4679662

What OpenQuestion holds

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Registered trials

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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.