COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC:

Get the latest research information from NIH: Menu

Cognitive Behavior Treatment of Older Adults With Generalized Anxiety Disorder in Primary Care

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00765219
Recruitment Status : Completed
First Posted : October 2, 2008
Last Update Posted : July 23, 2015
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
Melinda Stanley, Baylor College of Medicine

Brief Summary:
The purpose of this study is to determine whether cognitive behavior treatment (CBT) can be delivered effectively by providers of different expertise levels in adults age 60 and older in a primary care setting.

Condition or disease Intervention/treatment Phase
Generalized Anxiety Disorder Behavioral: CBT Other: Usual Care Not Applicable

Detailed Description:

Generalized Anxiety Disorder (GAD) is one of the most common anxiety disorders among older adults. Anxiety in older adults is associated with decreased physical activity, poorer self-perceptions of health, decreased life satisfaction, and increased loneliness. Because many older adults with anxiety seek assistance in a medical setting, treatment has been primarily pharmacological. There is, however, limited evidence of the effectiveness of psychotropic medications in later life. Given the potential difficulties in prescribing psychotropic medications in later life(e.g., increased adverse effects, potential drug interactions), psychosocial treatments may be important alternatives or adjuncts.

The treatment phase of this study lasts 6 months, during which patients will be randomly assigned to either cognitive behavior treatment (CBT) with an Anxiety Clinic Specialist (ACS) or Counselor or to Usual Care (UC). All participants will complete telephone assessments at baseline, 1, 2, and 3 months during the treatment phase. During the first 12 weeks, those assigned to CBT will also complete 10-12 weekly sessions, either in person or over the telephone. During the second 12 weeks, CBT patients will receive follow-up telephone booster calls, weekly for the first 4 weeks and biweekly for the last 8 weeks. During the treatment phase, UC participants will receive no treatment from study clinicians but will continue to receive their usual care from their current medical providers.

At 6 months, all participants will complete a telephone assessment. CBT patients will enter a one year follow-up period, with telephone assessments at 12 and 18 months. UC participants will be offered the option to receive brief CBT after completion of the 6 month telephone assessment. Those who choose to participate in CBT will complete telephone assessments at 9 and 12 months.

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 222 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Participant)
Primary Purpose: Treatment
Official Title: Treating Late-life GAD in Primary Care: Enhancing Outcomes and Translational Value
Study Start Date : May 2008
Actual Primary Completion Date : December 2013
Actual Study Completion Date : April 2015

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Anxiety

Arm Intervention/treatment
Experimental: 1
CBT with ACS
Behavioral: CBT
10-12 weekly sessions of CBT in person or over the telephone.
Other Name: Cognitive Behavior Treatment, Cognitive Behavior Therapy

Experimental: 2
CBT with Counselor
Behavioral: CBT
10-12 weekly sessions of CBT in person or over the telephone.
Other Name: Cognitive Behavior Treatment, Cognitive Behavior Therapy

Active Comparator: 3
Usual Care
Other: Usual Care
Treatment as usual provided by participants' physician(s)
Other Name: Treatment as Usual

Primary Outcome Measures :
  1. Anxiety [ Time Frame: 18 months ]

Secondary Outcome Measures :
  1. Depression [ Time Frame: 18 months ]
  2. Sleep quality [ Time Frame: 18 months ]
  3. Use of alcohol [ Time Frame: 18 months ]
  4. Functional and health status [ Time Frame: 18 months ]
  5. Quality of life [ Time Frame: 18 months ]
  6. Pain [ Time Frame: 18 months ]
  7. Satisfaction with CBT and general health care [ Time Frame: 18 months ]
  8. Service utilization [ Time Frame: 18 months ]
  9. Use of psychotropic medications [ Time Frame: 18 months ]

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Layout table for eligibility information
Ages Eligible for Study:   60 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Age 60 and older
  • Principal or Co-principal GAD diagnosis
  • Patient at participating clinic

Exclusion Criteria:

  • Active suicidal intent
  • Current psychosis or bipolar disorder
  • Substance abuse within the past month
  • Cognitive impairment according to a Mini Cog screener score of 3 or lower

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00765219

Layout table for location information
United States, Texas
Houston Center for Quality of Care and Utilization Studies
Houston, Texas, United States, 77030
Sponsors and Collaborators
Baylor College of Medicine
National Institute of Mental Health (NIMH)
Layout table for investigator information
Principal Investigator: Melinda A. Stanley, PhD Baylor College of Medicine
Publications automatically indexed to this study by Identifier (NCT Number):
Layout table for additonal information
Responsible Party: Melinda Stanley, Professor, Baylor College of Medicine Identifier: NCT00765219    
Other Study ID Numbers: H23798
R01MH053932-10A1 ( U.S. NIH Grant/Contract )
First Posted: October 2, 2008    Key Record Dates
Last Update Posted: July 23, 2015
Last Verified: July 2015
Keywords provided by Melinda Stanley, Baylor College of Medicine:
Generalized Anxiety Disorder
Additional relevant MeSH terms:
Layout table for MeSH terms
Anxiety Disorders
Mental Disorders