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PSY 320 abnormal 15

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Ashley Huebner
Article Critique 15 Abnormal Psych
Sertraline and cognitive behavior therapy (CBT) were compared during a controlled trial
conducted by Schuurmans et al. The CBT and Sertraline were used to counteract anxiety
in people during later-life. Anxiety disorders are the most common mental disorders among
older
adults. It has been said that CBT would not be as effective in alleviating anxiety for people in
later life because cognitive function usually deteriorates with age .
30 participants were assigned randomly the CBT and 17 were assigned to sertraline.
Eight participants refused to cooperate at the one-year follow up so the results were
conducted
with 25 CBT and 14 sertraline. At one-year follow-up, improvement from baseline scores
was
significant on all outcome measures for sertraline completers. For CBT completers,
improvement
from baseline scores was significant on the BAI (Beck Anxiety Inventory), the HARS
(Hamilton
Anxiety Rating Scale) and the WDQ (Worry Domain Questionnaire), but not on the CES-D
(Centre of Epidemiological Studies Depression.”
Sertraline improved worry symptoms, but also on symptoms measured with the HARS.
Long-
term outcome of CBT showed “less optimistic results and we found no evidence of an
improved
effectiveness over time .” Overall anxiety improved due to
CBT vaguely.

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Reference:
Schuurmans, J., Comijs, H., Emmelkamp, P., Weijnen, I, Hout, M., Dyck, R. Long-term
effectiveness and prediction of treatment outcome in cognitive behavioral therapy and
sertraline for late-life anxiety disorders. International Psychogeriatrics, 21(6), p.1148-
1159.

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Anonymous
Very useful material for studying!

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