A Multifaith Spiritually Based Intervention for Generalized Anxiety Disorder: A Pilot Randomized Trial

作者：Koszycki Diana^*; Raab Kelley; Aldosary Fahad; Bradwejn Jacques

来源：Journal of Clinical Psychology, 2010, 66(4): 430-441.

DOI：10.1002/jclp.20663

• spirituality
• generalized anxiety disorder
• cognitive behavior therapy
• randomized trial
• spiritual psychotherapy

This pilot trial evaluated the efficacy of a multifaith spiritually based intervention (SBI) for generalized anxiety disorder (GAD). Patients meeting DSM-IV criteria for GAD of at least moderate severity were randomized to either 12 sessions of the SBI (n = 11) delivered by a spiritual care counselor or 12 sessions of psychologist-administered cognitive-behavioral therapy (CBT; n = 11). Outcome measures were completed at baseline, post-treatment, and 3-month and 6-month follow-ups. Primary efficacy measures included the Hamilton Anxiety Rating Scale, Beck Anxiety Inventory, and Penn State Worry Questionnaire. Data analysis was performed on the intent-to-treat sample using the Last Observation Carried Forward method. Eighteen patients (82%) completed the study. The SBI produced robust and clinically significant reductions from baseline in psychic and somatic symptoms of GAD and was comparable in efficacy to CBT. A reduction in depressive symptoms and improvement in social adjustment was also observed. Treatment response occurred in 63.6% of SBI-treated and 72.3% of CBT-treated patients. Gains were maintained at 3-month and 6-month follow-ups. These preliminary findings are encouraging and suggest that a multifaith SBI may be an effective treatment option for GAD. Further randomized controlled trials are needed to establish the efficacy of this intervention.

• 出版日期2010-4
• 单位上海市精神卫生中心