Acceptance and Commitment Therapy for late-life treatment-resistant generalised anxiety disorder: A feasibility study

摘要: Background Generalised anxiety disorder (GAD) is the most common in older people. First-line management includes pharmacological and psychological therapies, but many do not find these effective or acceptable. Little known about how to manage treatment-resistant generalised (TR-GAD) Objectives To examine acceptability, feasibility preliminary estimates of effectiveness acceptance commitment therapy (ACT) for people with TR-GAD. Participants People aged ≥65 years TR-GAD (defined as responding GAD treatment, tolerate it refused treatment) recruited from primary secondary care services community. Intervention received up 16 one-to-one sessions ACT, developed specifically TR-GAD, addition usual care. Measurements Co-primary outcomes were recruitment ≥32 participants retention ≥60% at follow-up) acceptability attending ≥10 scoring ≥21/30 on satisfaction subscale). Secondary included measures anxiety, worry, depression flexibility (assessed 0 20 weeks). Results Thirty-seven recruited, 30 (81%) retained 26 (70%) attended sessions. A total 18/30 (60%) scored subscale. There was evidence suggesting that ACT may improve flexibility. Conclusions good although scores suggested further refinement intervention be necessary. indicate a larger-scale randomised controlled trial feasible warranted.