The efficacy of cognitive behavioral treatments (CBT) for anxiety in adults has been supported by multiple meta-analyses. However, most have focused on only 1 diagnosis, thereby disallowing diagnostic comparisons. This study examined the efficacy of CBT across the anxiety disorders. One hundred eight trials of CBT for an anxiety disorder met study criteria. Cognitive therapy and exposure therapy alone, in combination, or combined with relaxation training, were efficacious across the anxiety disorders, with no differential efficacy for any treatment components for any specific diagnoses. However, when comparing across diagnoses, outcomes for generalized anxiety disorder and posttraumatic stress disorder were superior to those for social anxiety disorder, but no other differences emerged. CBT effects were superior to those for no-treatment and expectancy control treatments, although tentative evidence suggested equal effects of CBT when compared with relaxation-only treatments.

译文

:多种荟萃分析支持了认知行为治疗(CBT)对成人焦虑症的疗效。但是,大多数只集中于1个诊断,因此无法进行诊断比较。这项研究检查了CBT对焦虑症的疗效。 CBT治疗焦虑症的108项试验符合研究标准。单独的认知疗法和暴露疗法,或与放松训练相结合,在焦虑症中都是有效的,对于任何特定诊断的任何治疗成分,其疗效均无差异。然而,当比较各个诊断时,广义焦虑症和创伤后应激障碍的结局优于社交焦虑症的结局,但没有其他差异出现。尽管初步证据表明与仅放松疗法相比,CBT的效果相同,但CBT的效果优于未治疗和预期对照的效果。

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