Question:
In older adults with anxiety disorders, how effective is cognitive behaviour therapy (CBT) compared with other forms of psychotherapy or treatment as usual or wait-list control, for improving patient outcomes?
Answer:
Evidence from four systematic reviews, all with significant
methodological weaknesses, particularly with respect to evidence
synthesis, and one additional small RCT of moderate quality,
indicates that CBT may be effective in reducing symptoms of
anxiety, worry and depression in older adults with anxiety disorder
when compared to a non-active control condition. However, these
effects were observed immediately post-treatment and there was no
consistent evidence to indicate that effects were sustained in the
long-term. Available evidence suggested no consistent differences
in effectiveness between CBT and other active treatments (including
psychotherapies, supportive therapy or pharmacotherapy). Further
research is needed to explore the long term effects of CBT and to
provide data on its effectiveness compared to individual
alternative treatments.
To view the full summary, click the Download Document
link to the right.
To view the Cochrane review which is included in this summary,
click the Related Document link, below.