A randomized trial of the effectiveness of cognitive-behavioral therapy and supportive counseling for anxiety symptoms in older adults

The authors used a randomized trial to, compare cognitive-behavioral therap y (CBT) and supportive counseling (SC) in the treatment of anxiety symptoms in older adults who met Diagnostic and Statistical Manual of Mental Disord ers (4th ed., American Psychiatric Association, 1994) criteria for anxiety disorders. Both conditions had a 6-week baseline no-treatment phase. Treatm ent was delivered primarily in patients' own homes and in an individual for mat. Outcomes were assessed at posttreatment and at 3-, 6-, and 12-month fo llow-ups. There was no spontaneous improvement during the baseline phase. B oth groups showed improvement on anxiety measures following treatment, with a better outcome for the CBT group on self-rating of anxiety and depressio n. Over the follow-up period, the CBT group maintained improvement and had significantly greater improvement than the SC group on anxiety and I depres sion measure. Treatment response for anxiety was also superior for the CBT group, although there was no difference between groups in endstate function ing.