Moderators and predictors of outcome in metacognitive and cognitive behavioral therapy for comorbid anxiety disorders.

This study aimed to investigate whether two theoretically derived moderators of treatment, degree of worry and avoidance at pretreatment, moderated anxiety from pretreatment to posttreatment in a randomized controlled trial comparing metacognitive therapy (MCT) and cognitive behavioral therapy (CBT). Personality problems, degree of comorbidity, and demographic characteristics (work status and education) were also investigated. Seventy-four patients with a primary diagnosis of Post Traumatic Stress Disorder, Social Phobia, or Panic Disorder with and without agoraphobia were analyzed using multilevel modeling. There were no significant predictors of treatment outcome, indicating that the slope was not dependent on worry, avoidance, personality problems, degree of comorbidity, and demographic characteristics. Furthermore, no interaction with treatment condition was found. Due to the sample size, the results of the moderator analysis should be interpreted with caution and replicated. Worry, avoidance, personality problems, degree of comorbidity and demographic variables did not moderate the effect of MCT and CBT or predict treatment outcome for comorbid anxiety disorders. Clinical implications are discussed. PMID: 30811709 [PubMed - as supplied by publisher]
Source: Clinical Psychology and Psychotherapy - Category: Psychiatry Tags: Clin Psychol Psychother Source Type: research