Trajectories of change in well-being during cognitive-behavior therapies for anxiety disorders: quantifying the impact and covariation with improvements in anxiety

Abstract

Despite substantial evidence supporting the efficacy of cognitive behavioral therapy for reducing many forms of mental illness, less is known about whether CBT also promotes mental health or well being. We will discuss results of a recent study (Gallagher et al., 2019) examining changes in well being d uring different CBT treatments for anxiety disorders and how these changes relate to anxiety. In that study, 223 adults (55.6% female, Mage=31.1 yrs) were randomized to one of five CBT protocols for anxiety disorders at an outpatient clinic. Effect sizes w ere calculated to examine the timing and magnitude of changes in well being as a result of CBT. Further, parallel process latent growth curve models were conducted to examine the extent to which trajectories of changes in well being correlated with the tra jectories of change in both clinician rated and self reported anxiety during active treatment. Results indicated that there were moderate to large increases in overall well being and the three components of subjective, psychological, and social well being, mainly during the second half of CBT, and these increases were maintained at a 6 month follow up. Further, trajectories of change in well being across treatment were strongly correlated with trajectories of change in clinician rated and self reported anxi ety. Together, these findings suggest that different CBT protocols for anxiety consistently produce robust and lasting changes in different domains of positive mental health and increases in well being are strongly linked to changes in anxiety during treatment.Published versio