MedPath

Physical Exercise Augmented CBT for GAD

Not Applicable
Active, not recruiting
Conditions
Generalized Anxiety Disorder
Registration Number
NCT02690441
Lead Sponsor
Solli Distriktspsykiatriske Senter
Brief Summary

Generalised anxiety disorder (GAD) is a severe and debilitating anxiety disorder that is highly prevalent among older adults. Anxiety and GAD is a well-documented risk factor for the development of other severe conditions such as depression and dementia, and effective treatments are called for. However, recommended treatment for GAD has consistently been found to yield blunted response rates for older adults compared to younger patients.

The purpose of this study is to evaluate the effects of exercise-augmented cognitive behaviour therapy for older adults with GAD. Exercise augmented CBT is expected to yield better results than standard CBT in terms of greater reduction of symptoms and increased rates of remission. The investigators will also investigate the effects of treatment on biological, physiological and neuropsychological measures.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
53
Inclusion Criteria
  • Primary diagnosis of GAD
Exclusion Criteria
  • Substance abuse
  • Use of benzodiazepines, use of antipsychotica
  • Lack of ability to stabilize other psychotropic medication during participating in the study
  • Medical condition that precludes participation in physical exercise
  • Severe major depression as determined by the MINI International Neuropsychiatric Interview
  • Life-time history of psychosis and/or mania
  • Participation in other ongoing psychotherapy
  • Organic brain disease
  • Positive screening for dementia with Mini Mental State Examination
  • Currently engaged in a regular physical exercise program

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in clinical diagnosis after treatment assessed by independent, blinded rater with Anxiety Disorders Interview Schedule (ADIS-IV)Baseline and post-treatment (up to 20 weeks after baseline)

Remission rates. Assessed by independent, blinded rater with Anxiety Disorders Interview Schedule (ADIS-IV)

Changes in The Penn State Worry QuestionnaireBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up

Assesses symptom severity of GAD

Secondary Outcome Measures
NameTimeMethod
Geriatric Anxiety InventoryBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
Beck Anxiety InventoryBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
Bergen Insomnia ScaleBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
Quality of Life InventoryBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
International Physical Activity Questionnaire (IPAQ)Baseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
Beck Depression Inventory - IIBaseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
Generalized Anxiety Disorder 7-item scale (GAD-7)Baseline, after pre-treatment (up to 8 weeks after baseline), post-treatment (up to 20 weeks after baseline), 6 months follow-up and 12 months follow-up
5-item Treatment Credibility and Expectancy Scale (CES)Baseline

Trial Locations

Locations (1)

Solli DPS

🇳🇴

Bergen, Nesttun, Norway

Solli DPS
🇳🇴Bergen, Nesttun, Norway
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