Evidence map›Paper›PMID 41947092›Full record

Trial reportBMC psychiatry2026

Increased brain-derived neurotrophic factor following successful psychological treatment in generalized anxiety disorder: a randomized clinical trial.

Lucas Gandarela, Thiago P de A Sampaio, Lia Marçal, Emmanuel A Burdmann, Francisco Lotufo Neto, Marcio A Bernik

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03930095 (A Randomized Clinical Trial of an Acceptance-based Behavioral Therapy With Mindfulness and Exposure Interventions for Generalized Anxiety Disorder), which is not on this map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–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.

NCT03930095 nacompletednot on this map

A Randomized Clinical Trial of an Acceptance-based Behavioral Therapy With Mindfulness and Exposure Interventions for Generalized Anxiety Disorder

TypeinterventionalSponsorUniversity of Sao Paulo General HospitalRan2016 to 2016Enrolled92ConditionsGeneralized Anxiety DisorderArmsAcceptance-based Behavior Therapy, Non-directive Supportive Therapy
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Lucas GandarelaExperimental Pathophysiology Program, School of Medicine, University of São Paulo, São Paulo, Brazil. lucasgandarela@hotmail.com.
Thiago P de A SampaioDepartment and Institute of Psychiatry, Anxiety Disorders Program, University of São Paulo, São Paulo, Brazil.
Lia MarçalLIM 12, Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil.
Emmanuel A BurdmannLIM 12, Division of Nephrology, School of Medicine, University of São Paulo, São Paulo, Brazil.
Francisco Lotufo NetoDepartment and Institute of Psychiatry, Anxiety Disorders Program, University of São Paulo, São Paulo, Brazil.
Marcio A BernikExperimental Pathophysiology Program, School of Medicine, University of São Paulo, São Paulo, Brazil.

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 2018/18932-0
6 · The paper itself

Abstract

backgroundBrain-derived neurotrophic factor (BDNF) has emerged as a key regulator of neuronal plasticity in the central nervous system. Successful biological interventions upregulate the expression of BDNF in generalized anxiety disorder (GAD) patients, but no study of psychological treatments has been found. The present study aimed to evaluate changes in plasma BDNF levels following two psychological treatments with established clinical efficacy in patients with GAD. Methods: Participants were recruited for a 14-week, 10-session clinical trial of either group acceptance-based behavior therapy (ABBT) or supportive therapy (ST). Eligible patients were GAD patients aged 18–65 years. Plasma BDNF was measured in 82 patients before and after the intervention (ABBT = 41, ST = 41). Correlation with anxiety symptom severity was also assessed using the Hamilton Anxiety Scale at pre- and post-treatment. Results: BDNF increased in both groups over time (ST: difference = 2042.6, t = 4.81, p < 0.001 vs. ABBT: difference = 1947.8, t = 4.46, p < 0.001). Although anxiety symptoms decreased in both groups, no correlation between BDNF and anxiety severity was found. Conclusions: The present study suggests that a short-term trial of two clinically effective psychotherapeutic interventions was associated with increases in plasma BDNF levels in GAD patients. Given the absence of associations between BDNF changes and symptom severity, these findings should be interpreted cautiously and not as evidence of treatment-specific or mechanistic effects.

trial registrationNCT03930095|| https://www.clinicaltrials.gov / retrospectively registered on 15 April 2019.

Indexed as

Acceptance and Commitment TherapyBrain-Derived Neurotrophic FactorGeneralized Anxiety DisorderAdolescentAdultAgedFemaleHumansMaleMiddle AgedSeverity of Illness IndexTreatment OutcomeYoung AdultBDNF protein, humanBrain-Derived Neurotrophic FactorAcceptanceBDNFBiomarkersCognitive-behavior therapyGeneralized anxiety disorder

Identifiers

PMID41947092
PMCPMC13181974

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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.