Towards a Unified Worry Exposure Protocol for Generalised Anxiety Disorder: A Pilot Study.

Cameron McIntosh, Rocco Crino

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Worry exposure is a cognitiveâ€Â'behaviour therapy (CBT) techniquefrequently used to treat GAD, yet there are only a few studies on its effectiveness.Aim: To compare two worry exposure protocols developed for GAD to make apreliminary determination about the most effective way in which to present thefeared stimuli to participants. Method: Nine university students suffering fromGADwere administered four 1-hour treatment sessions. Exposure was conducted by eitherdirectly imagining (DI) or via audio-recording/playback (AR) exposure to theirfeared event. General worry and intolerance of uncertainty (IOU) were the primarydependent variables. Results: All participants in the DI and half of theARconditionreported subclinical GAD at post-treatment, with results being maintained at 3-month follow-up and the treatment responders also reported decreased depression,anxiety and stress. Conclusions: The DI protocol was more effective than the ARmethodology in this sample, and may be an appropriate standard for worry exposureresearch and clinical practice.
Original languageEnglish
Pages (from-to)210-225
Number of pages16
JournalBehaviour Change
Issue number3
Publication statusPublished - Sep 2013


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