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dc.contributor.authorNordahl, Hans Morten
dc.contributor.authorBorkovec, Thomas D
dc.contributor.authorHagen, Roger
dc.contributor.authorKennair, Leif Edward Ottesen
dc.contributor.authorHjemdal, Odin
dc.contributor.authorSolem, Stian
dc.contributor.authorHansen, Bjarne
dc.contributor.authorHaseth, Svein
dc.contributor.authorWells, Adrian
dc.PublishedNordahl HM, Borkovec TD, Hagen R, Kennair LEO, Hjemdal O, Solem S, Hansen B, Haseth S, Wells A. Metacognitive therapy versus cognitive–behavioural therapy in adults with generalised anxiety disorder. BJPsych Open. 2018;4(5):393-400eng
dc.description.abstractBackground: Cognitive–behavioural therapy (CBT) is the treatment of choice for generalised anxiety disorder (GAD), yielding significant improvements in approximately 50% of patients. There is significant room for improvement in the outcomes of treatment, especially in recovery. Aims: We aimed to compare metacognitive therapy (MCT) with the gold standard treatment, CBT, in patients with GAD ( identifier: NCT00426426). Method: A total of 246 patients with long-term GAD were assessed and 81 were randomised into three conditions: CBT (n = 28), MCT (n = 32) and a wait-list control (n = 21). Assessments were made at pre-treatment, post-treatment and at 2 year follow-up. Results: Both CBT and MCT were effective treatments, but MCT was more effective (mean difference 9.762, 95% CI 2.679–16.845, P = 0.004) and led to significantly higher recovery rates (65% v. 38%). These differences were maintained at 2 year follow-up. Conclusions: MCT seems to produce recovery rates that exceed those of CBT. These results demonstrate that the effects of treatment cannot be attributed to non-specific therapy factors.en_US
dc.publisherCambridge University Presseng
dc.rightsAttribution CC BYeng
dc.titleMetacognitive therapy versus cognitive–behavioural therapy in adults with generalised anxiety disordereng
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2018 The Royal College of Psychiatrists 2018eng
dc.source.journalBJPsych Open

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