Sudden gains during cognitive-behavioral group therapy for anxiety disorders.

Journal of Anxiety Disorders
Peter J NortonTerri L Barrera

Abstract

Sudden gains in psychotherapy are characterized by large and relatively stable decreases in psychiatric symptoms and have been associated with cognitive shifts in clients and shown to predict superior treatment outcomes in studies of depression and, to a lesser extent, anxiety disorders. The purpose of this study was to examine prevalence and impact of sudden gains during a transdiagnostic cognitive-behavioral group therapy (CBGT) for anxiety disorders, as well as the temporal relationship between sudden gains and cognitive changes. Data were used from two trials of transdiagnostic CBGT for anxiety disorders (n=130). Criteria for determining sudden gains in anxiety symptoms were based upon previous research on sudden gains from trials of cognitive-behavioral treatments for major depressive disorder. A total of 17 out of 98 (17.3%) clients experienced at least one sudden gain, with three clients showing two sudden gains during treatment. Three patients showing a sudden gain experienced a reversal of these gains, although one of these three had a subsequent second sudden gain. Clients experiencing sudden gains showed greater overall improvement following treatment than did clients who did not experience a sudden gain, with 65% of...Continue Reading

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Citations

Jun 20, 2012·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Christoph FlückigerBruce E Wampold
May 6, 2015·Journal of Anxiety Disorders·Ellen J TengMelinda A Stanley
Jul 17, 2013·Behaviour Research and Therapy·Halina J DourUNKNOWN Research Network on Youth Mental Health
Jul 19, 2014·Behaviour Research and Therapy·Julia KönigWilli Butollo
May 12, 2017·Clinical Psychology & Psychotherapy·Raquel Nogueira-ArjonaMiquel A Fullana
Oct 6, 2018·Clinical Psychology & Psychotherapy·Andrew Koffmann
Sep 1, 2018·Child and Adolescent Mental Health·Matthew P MychailyszynBrittany Gibby
Dec 31, 2020·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Terry SinghLes Greenberg
Feb 28, 2021·Behaviour Research and Therapy·Idan M Aderka, Jonathan G Shalom
May 4, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Anne-Katharina DeisenhoferWolfgang Lutz
Jul 8, 2021·Behaviour Research and Therapy·Idan M AderkaThröstur Björgvinsson

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