Hope predicts long-term well-being following cognitive behavioral therapy for anxiety and related disorders.

IF 3 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-08-24 DOI:10.1080/10503307.2025.2523479

Laura J Long, Nicole D Cardona, Audrey Hey, Julián Moreno, David H Barlow, Todd J Farchione

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引用次数: 0

Abstract

Objective: Prior research indicates that cognitive behavioral therapy (CBT) results in moderate-to-large increases in hope and well-being, though long-term treatment outcomes are less clear. This study examined whether gains in these outcomes were maintained up to 36 months after CBT and whether hope - an established change mechanism during treatment - was associated with sustained well-being during long-term follow-up when controlling for post-treatment anxiety and depression.

Method: A subset of 69 participants [M_age = 30.29 (SD = 9.94) yrs, 62.32% female, 89.86% White, 89.85% Non-Hispanic/Latinx] with anxiety disorders from a randomized equivalence trial of transdiagnostic and single-diagnosis CBT protocols were re-consented into a long-term follow-up study and completed assessments every 6 months across 3 years.

Results: Standardized mean gain scores and multilevel modeling (MLM) revealed no significant differences in well-being or hope between post-treatment and follow-up timepoints in either condition. MLM indicated that higher hope at the within-person (standardized γ₁₀ = 0.26, p < .001) and between-person levels (standardized γ₀₁ = 0.42, p < .001) were associated with greater well-being across long-term follow-up, whereas post-treatment anxiety and depression were not significant predictors.

Conclusion: Findings suggest sustained increases in hope may help preserve gains in well-being up to 3 years after CBT.

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霍普预测在认知行为疗法治疗焦虑和相关疾病后的长期健康状况。

目的：先前的研究表明，认知行为疗法（CBT）可以使患者的希望和幸福感有中等到较大程度的提高，但长期治疗效果尚不清楚。本研究考察了CBT治疗后这些结果的改善是否能维持到36个月，以及在控制治疗后焦虑和抑郁的情况下，希望（治疗期间建立的改变机制）是否与长期随访期间的持续幸福感有关。方法：从一项跨诊断和单一诊断CBT方案的随机等效试验中，将69名患有焦虑症的参与者[年龄= 30.29 （SD = 9.94）岁，62.32%为女性，89.86%为白人，89.85%为非西班牙裔/拉丁裔]重新纳入长期随访研究，并在3年内每6个月完成一次评估。结果：标准化平均增益评分和多层次建模（MLM）显示，在治疗后和随访时间点之间，两种情况下的幸福感或希望没有显着差异。MLM表明，在个人内部有更高的希望（标准化γ - 10 = 0.26, p 0.01 = 0.42, p）。结论：研究结果表明，持续增加的希望可能有助于在CBT后3年内保持幸福感的增长。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.