Telephone-based cognitive behavioral therapy for anxiety in rural older adults

August 5, 2015

Telephone-based cognitive behavioral therapy was better at reducing worry, generalized anxiety disorder symptoms and depressive symptoms in older adults who live in rural areas, where access to mental health treatment may be limited, according to an article published online by JAMA Psychiatry.

Generalized anxiety disorder (GAD) is one of the most common in and is associated with poor quality of life, increased health care utilization and impaired memory. Medications and psychotherapy are the primary treatments. Many older adults prefer psychotherapy to medication for the treatment of anxiety. However, older adults who live in can face a number of barriers, including living in an area where psychotherapy is not available, so alternate methods of providing treatment could increase utilization, according to the study background.

Gretchen A. Brenes, Ph.D., of the Wake Forest School of Medicine, Winston-Salem, N.C., and coauthors compared telephone-delivered (CBT) with telephone-delivered nondirective supportive therapy (NST) in a randomized clinical trial of 141 adults 60 or older with generalized anxiety disorder. The participants (70 were assigned to telephone CBT and 71 to telephone NST) were followed up at two months and four months.

Telephone CBT consisted of up to 11 sessions (nine required) and focused on, among other things, anxiety symptom recognition, cognitive restructuring, relaxation, coping statements and problem solving. Telephone NST was 10 sessions where participants discussed their feelings but no direct suggestions for coping were provided.

The clinical trial demonstrated both treatments reduced symptoms of worry, depression and GAD, but telephone CBT was superior to telephone NST and resulted in a greater reduction of symptoms.

At four month's follow-up there was greater decline in worry severity among telephone CBT participants but no significant differences in general anxiety symptoms. At four months' follow-up there also was greater decline in self-reported GAD symptoms and among participants in the telephone CBT, according to the results.

"Telephone-delivered psychotherapy is one way to overcome some barriers to that rural older adults face," the study concludes.

Explore further: Long-term benefits of mindfulness psychotherapy in diabetes

More information: JAMA Psychiatry. Published online August 5, 2015. DOI: 10.1001/jamapsychiatry.2015.1154

Related Stories

Long-term benefits of mindfulness psychotherapy in diabetes

June 24, 2015

In the last issue of Psychotherapy and Psychosomatic, a group of Dutch investigators headed by professor Paul Emmelkamp reports on the long-term outcome of a psychotherapy study in diabetes. Depressive symptoms are very common ...

Medication plus talk therapy for anxiety in seniors

June 25, 2013

(Medical Xpress)—A study of older adults has found that combining antidepressant medication with a type of psychotherapy called cognitive behavioral therapy (CBT) appears to be very effective as a treatment for anxiety. ...

Recommended for you

Video games can change your brain

June 22, 2017

Scientists have collected and summarized studies looking at how video games can shape our brains and behavior. Research to date suggests that playing video games can change the brain regions responsible for attention and ...

Researchers discover brain inflammation in people with OCD

June 21, 2017

A new brain imaging study by the Centre for Addiction and Mental Health (CAMH) shows for the first time that brain inflammation is significantly elevated - more than 30 per cent higher - in people with obsessive-compulsive ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.