Combined pharmacotherapy and cognitive-behavioural therapy for anxiety disorders

被引:28
作者
Pull, Charles B. [1 ]
机构
[1] Ctr Hosp Luxembourg, Dept Neurosci, L-1210 Luxembourg, Luxembourg
关键词
anxiety disorders; cognitive-behavioural therapy; combined treatment; pharmacotherapy; treatment; OBSESSIVE-COMPULSIVE DISORDER; GENERALIZED SOCIAL PHOBIA; PLACEBO-CONTROLLED TRIAL; EXPOSURE THERAPY; PANIC DISORDER; FOLLOW-UP; D-CYCLOSERINE; PSYCHOTHERAPY; CLOMIPRAMINE; COMBINATION;
D O I
10.1097/YCO.0b013e3280115e52
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Purpose of review Both pharmacotherapy and cognitive-behavioural therapy are effective treatments for anxiety disorders. The present editorial reviews the current status of combination treatments with a focus on randomized controlled trials, meta-analyses and reviews that have been published in the past 3 years. Recent findings Recent studies on treatments combining pharmacotherapy and cognitive-behavioural therapy for anxiety disorders have found little benefit for combination therapies versus monotherapies. New investigations have explored the potential benefits of sequential treatments versus the concomitant ones as well as the use of cognitive enhancers as adjuncts to psychotherapy. Summary Uncertainty exists as to whether the combination of cognitive-behavioural therapy and pharmacotherapy in the treatment of anxiety disorders is associated with greater overall efficacy than with either treatment when given alone. New ways for combining the two types of treatments are being investigated.
引用
收藏
页码:30 / 35
页数:6
相关论文
共 20 条
[1]   Evidence-based pharmacotherapy of generalized anxiety disorder [J].
Baldwin, DS ;
Polkinghorn, C .
INTERNATIONAL JOURNAL OF NEUROPSYCHOPHARMACOLOGY, 2005, 8 (02) :293-302
[2]  
Cahill S. P., 2003, ANN CONV ANX DIS ASS
[3]   Cognitive therapy versus fluoxetine in generalized social phobia: A randomized placebo-controlled trial [J].
Clark, DM ;
Ehlers, A ;
McManus, F ;
Hackmann, A ;
Fennell, M ;
Campbell, H ;
Flower, T ;
Davenport, C ;
Louis, B .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 2003, 71 (06) :1058-1067
[4]   Recent developments in the research on generalized anxiety disorder [J].
Cottraux, J .
CURRENT OPINION IN PSYCHIATRY, 2004, 17 (01) :49-52
[5]  
Cottraux Jean, 2005, Cognitive Behaviour Therapy, V34, P185, DOI 10.1080/16506070510043750
[6]   Fluoxetine, comprehensive cognitive behavioral therapy, and placebo in generalized social phobia [J].
Davidson, JRT ;
Foa, EB ;
Huppert, JD ;
Keefe, FJ ;
Franklin, ME ;
Compton, JS ;
Zhao, N ;
Connor, KM ;
Lynch, TR ;
Gadde, KM .
ARCHIVES OF GENERAL PSYCHIATRY, 2004, 61 (10) :1005-1013
[7]   Sequential treatment of mood and anxiety disorders [J].
Fava, GA ;
Ruini, C ;
Rafanelli, C .
JOURNAL OF CLINICAL PSYCHIATRY, 2005, 66 (11) :1392-1400
[8]   Randomized, placebo-controlled trial of exposure and ritual prevention, clomipramine, and their combination in the treatment of obsessive-compulsive disorder [J].
Foa, EB ;
Liebowitz, MR ;
Kozak, MJ ;
Davies, S ;
Campeas, R ;
Franklin, ME ;
Huppert, JD ;
Kjernisted, K ;
Rowan, V ;
Schmidt, AB ;
Simpson, HB ;
Tu, X .
AMERICAN JOURNAL OF PSYCHIATRY, 2005, 162 (01) :151-161
[9]   Psychotherapy plus antidepressant for panic disorder with or without agoraphobia - Systematic review [J].
Furukawa, TA ;
Watanabe, N ;
Churchill, R .
BRITISH JOURNAL OF PSYCHIATRY, 2006, 188 :305-312
[10]   One-year follow-up of pharmacotherapy-resistant patients with panic disorder treated with cognitive-behavior therapy: Outcome and predictors of remission [J].
Heldt, Elizeth ;
Manfro, Gisele Gus ;
Kipper, Leticia ;
Blaya, Carolina ;
Isolan, Luciano ;
Otto, Michael W. .
BEHAVIOUR RESEARCH AND THERAPY, 2006, 44 (05) :657-665