Faculty of Education, University of Ottawa, Ontario, Canada.
J Clin Psychol. 2010 Apr;66(4):430-41. doi: 10.1002/jclp.20663.
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.
这项初步试验评估了一种多信仰基于精神的干预（SBI）治疗广泛性焦虑症（GAD）的疗效。符合 DSM-IV 标准的至少中度严重程度 GAD 患者被随机分配到 12 节 SBI（n=11）或 12 节心理学家实施的认知行为疗法（CBT；n=11）。在基线、治疗后以及 3 个月和 6 个月随访时完成了结局测量。主要疗效指标包括汉密尔顿焦虑量表、贝克焦虑量表和宾夕法尼亚州担忧问卷。采用最后观察结转法对意向治疗样本进行数据分析。18 名患者（82%）完成了研究。SBI 可显著减少 GAD 的精神和躯体症状，疗效与 CBT 相当。抑郁症状也有所减轻，社会适应能力有所改善。SBI 治疗组和 CBT 治疗组的治疗反应率分别为 63.6%和 72.3%。在 3 个月和 6 个月的随访中，疗效得以维持。这些初步发现令人鼓舞，表明多信仰 SBI 可能是 GAD 的有效治疗选择。需要进一步的随机对照试验来确定该干预措施的疗效。
