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    2024 한국형 범불안장애 치료지침 II: 정신치료전략 = Korean Guidelines for the Treatment of Generalized Anxiety Disorder 2024 Part II: Psychological Treatment Strategies

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    https://www.riss.kr/link?id=A109348897

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    다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

    Objective : This study aimed to establish a consensus on treatment strategies for psychological therapy in generalized anxiety disorder (GAD) as outlined in the 2024 Korean guidelines for treating GAD.
    Methods : The executive committee developed questionnaires on treatment strategies for patients with GAD based on previous treatment guidelines and academic articles published internationally and in Korea. Sixty-two experts responded to questionnaires developed. The consensus of expert opinions was classified into three categories (first-line, second-line, and third-line choices) using chi-square test and 95% confidence intervals.
    Results : Findings of this study suggest that individual cognitive behavioral therapy (CBT), group CBT, mindfulness-based cognitive therapy (MBCT), acceptance and commitment therapy (ACT), and applied relaxation are appropriate psychotherapies for GAD. Additionally, it is recommended to initiate CBT early when treating GAD, with eight treatment sessions being the most preferred for both individual and group CBT.
    Conclusion : This expert consensus survey reflected clinical experiences of Korean practitioners. Results of this study provide valuable insights for Korean clinicians when implementing psychotherapy for GAD.
    (Anxiety and Mood 2024;20(2):65-71)
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    Objective : This study aimed to establish a consensus on treatment strategies for psychological therapy in generalized anxiety disorder (GAD) as outlined in the 2024 Korean guidelines for treating GAD. Methods : The executive committee developed quest...

    Objective : This study aimed to establish a consensus on treatment strategies for psychological therapy in generalized anxiety disorder (GAD) as outlined in the 2024 Korean guidelines for treating GAD.
    Methods : The executive committee developed questionnaires on treatment strategies for patients with GAD based on previous treatment guidelines and academic articles published internationally and in Korea. Sixty-two experts responded to questionnaires developed. The consensus of expert opinions was classified into three categories (first-line, second-line, and third-line choices) using chi-square test and 95% confidence intervals.
    Results : Findings of this study suggest that individual cognitive behavioral therapy (CBT), group CBT, mindfulness-based cognitive therapy (MBCT), acceptance and commitment therapy (ACT), and applied relaxation are appropriate psychotherapies for GAD. Additionally, it is recommended to initiate CBT early when treating GAD, with eight treatment sessions being the most preferred for both individual and group CBT.
    Conclusion : This expert consensus survey reflected clinical experiences of Korean practitioners. Results of this study provide valuable insights for Korean clinicians when implementing psychotherapy for GAD.
    (Anxiety and Mood 2024;20(2):65-71)

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    참고문헌 (Reference)

    1 Bandelow B, "World Federation of Societies of Biological Psychiatry(WFSBP)guidelines for treatment of anxiety, obsessive-compulsive and posttraumatic stress disorders–Version 3. Part I : Anxiety disorders" 24 : 79-117, 2023

    2 Tyrer P, "Thirty-year outcome of anxiety and depressive disorders and personality status : comprehensive evaluation of mixed symptoms and the general neurotic syndrome in the follow-up of a randomised controlled trial" 52 : 3999-4008, 2022

    3 Beidel DC, "The impact of social skills training for social anxiety disorder : A randomized controlled trial" 28 : 908-918, 2014

    4 Gearing RE, "The effectiveness of booster sessions in CBT treatment for child and adolescent mood and anxiety disorders" 30 : 800-808, 2013

    5 Andrews G, "Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder" 52 : 1109-1172, 2018

    6 Borkovec TD, "Psychotherapy for generalized anxiety disorder" 62 : 37-45, 2001

    7 Papola D, "Psychotherapies for generalized anxiety disorder in adults : a systematic review and network meta-analysis of randomized clinical trials" 81 : 250-259, 2024

    8 Newman MG, "Psychotherapeutic treatments for generalized anxiety disorder : cognitive and behavioral therapies, enhancement strategies, and emerging efforts" 22 : 751-770, 2022

    9 Cuijpers P, "Psychological treatment of generalized anxiety disorder : a meta-analysis" 34 : 130-140, 2014

    10 Hunot V, "Psychological therapies for generalised anxiety disorder" 2007

    1 Bandelow B, "World Federation of Societies of Biological Psychiatry(WFSBP)guidelines for treatment of anxiety, obsessive-compulsive and posttraumatic stress disorders–Version 3. Part I : Anxiety disorders" 24 : 79-117, 2023

    2 Tyrer P, "Thirty-year outcome of anxiety and depressive disorders and personality status : comprehensive evaluation of mixed symptoms and the general neurotic syndrome in the follow-up of a randomised controlled trial" 52 : 3999-4008, 2022

    3 Beidel DC, "The impact of social skills training for social anxiety disorder : A randomized controlled trial" 28 : 908-918, 2014

    4 Gearing RE, "The effectiveness of booster sessions in CBT treatment for child and adolescent mood and anxiety disorders" 30 : 800-808, 2013

    5 Andrews G, "Royal Australian and New Zealand College of Psychiatrists clinical practice guidelines for the treatment of panic disorder, social anxiety disorder and generalised anxiety disorder" 52 : 1109-1172, 2018

    6 Borkovec TD, "Psychotherapy for generalized anxiety disorder" 62 : 37-45, 2001

    7 Papola D, "Psychotherapies for generalized anxiety disorder in adults : a systematic review and network meta-analysis of randomized clinical trials" 81 : 250-259, 2024

    8 Newman MG, "Psychotherapeutic treatments for generalized anxiety disorder : cognitive and behavioral therapies, enhancement strategies, and emerging efforts" 22 : 751-770, 2022

    9 Cuijpers P, "Psychological treatment of generalized anxiety disorder : a meta-analysis" 34 : 130-140, 2014

    10 Hunot V, "Psychological therapies for generalised anxiety disorder" 2007

    11 Williams M, "Psychological outcomes and mechanisms of mindfulness-based training for generalised anxiety disorder : a systematic review and metaanalysis" 43 : 5318-5340, 2024

    12 Fava G, "Long-term outcome of panic disorder with agoraphobia treated by exposure" 31 : 891-898, 2001

    13 이준엽 ; 김민숙 ; 이상혁 ; 양종철 ; 김찬형 ; 유범희 ; 서호석, "Korean medication algorithm project for generalized anxiety disorder 2009(II) : medication algorithm & long-term medication treatment strategy" 553-563, 2010

    14 김민숙 ; 유범희 ; 김찬형 ; 양종철 ; 이상혁 ; 이준엽 ; 서호석, "Korean Medication Algorithm Project for Generalized Anxiety Disorder 2009(I) : initial treatment strategy" 49 : 546-552, 2010

    15 Kelson J, "Internet-delivered acceptance and commitment therapy for anxiety treatment : systematic review" 21 : e12530-, 2019

    16 Hoffman DL, "Human and economic burden of generalized anxiety disorder" 25 : 72-90, 2008

    17 Stein MB, "Generalized anxiety disorder" 373 : 2059-2068, 2015

    18 Jiang Ss, "Effects of group mindfulness-based cognitive therapy and group cognitive behavioural therapy on symptomatic generalized anxiety disorder : a randomized controlled noninferiority trial" 22 : 481-, 2022

    19 Firth J, "Digital technologies in the treatment of anxiety : recent innovations and future directions" 20 : 1-8, 2018

    20 Hemmings NR, "Development and feasibility of a digital acceptance and commitment therapy–based intervention for generalized anxiety disorder : pilot acceptability study" 5 : e21737-, 2021

    21 Ruscio AM, "Cross-sectional comparison of the epidemiology of DSM-5 generalized anxiety disorder across the globe" 74 : 465-475, 2017

    22 Katzman MA, "Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders" 14 : 1-83, 2014

    23 Berg H, "A randomized clinical trial of behavioral activation and exposure-based therapy for adults with generalized anxiety disorder" 1 : 100004-, 2023

    24 Avdagic E, "A randomised controlled trial of acceptance and commitment therapy and cognitive-behaviour therapy for generalised anxiety disorder" 31 : 110-130, 2014

    25 Covin R, "A meta-analysis of CBT for pathological worry among clients with GAD" 22 : 108-116, 2008

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