Trial Outcomes & Findings for Testing Beliefs About Uncertainty in the Treatment of Generalized Anxiety Disorder (NCT NCT01958788)

NCT ID: NCT01958788

Last Updated: 2016-02-23

Results Overview

The CSR is a severity rating scale ranging from 0-8. Scores of 4 or greater represent clinically significant symptoms, whereas scores lower than 4 indicate subclinical symptoms. Lower scores represent improved outcome. This measure was used to evaluate change from baseline in the severity of GAD symptoms as assessed by the ADIS-IV, a semi-structured clinical interview for Axis I disorders.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

7 participants

Primary outcome timeframe

Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

Results posted on

2016-02-23

Participant Flow

The study was approved by Human Research Ethics Committees of Concordia University and the Hôpital du Sacré-Coeur de Montréal. Participants self-referred to the Hôpital du Sacré-Coeur de Montréal anxiety clinic via advertisements placed in a local newspaper. Recruitment occurred between April 2013 to March 2014.

Participant milestones

Participant milestones
Measure
Cognitive-Behavioural Treatment
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Overall Study
STARTED
7
Overall Study
COMPLETED
7
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Testing Beliefs About Uncertainty in the Treatment of Generalized Anxiety Disorder

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
7 Participants
n=93 Participants
Age, Categorical
>=65 years
0 Participants
n=93 Participants
Sex: Female, Male
Female
5 Participants
n=93 Participants
Sex: Female, Male
Male
2 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants
Race (NIH/OMB)
White
7 Participants
n=93 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Region of Enrollment
Canada
7 participants
n=93 Participants

PRIMARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The CSR is a severity rating scale ranging from 0-8. Scores of 4 or greater represent clinically significant symptoms, whereas scores lower than 4 indicate subclinical symptoms. Lower scores represent improved outcome. This measure was used to evaluate change from baseline in the severity of GAD symptoms as assessed by the ADIS-IV, a semi-structured clinical interview for Axis I disorders.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Clinician's Severity Rating (CSR) Scale of Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)
Pretreatment ADIS-IV
5.5 units on a scale
Standard Deviation 0.82
Clinician's Severity Rating (CSR) Scale of Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)
Posttreatment ADIS-IV
3.14 units on a scale
Standard Deviation 1.03
Clinician's Severity Rating (CSR) Scale of Anxiety Disorders Interview Schedule for DSM-IV (ADIS-IV)
6-month follow-up ADIS-IV
2.43 units on a scale
Standard Deviation 1.90

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The WAQ is a questionnaire assessing self-reported symptoms of GAD. Scores range from 0 to 56, with higher scores indicating greater severity of self-rated GAD symptoms. The measure was used to assess change from baseline in self-reported GAD symptoms (WAQ).

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Worry and Anxiety Questionnaire (WAQ)
Pretreatment WAQ
38.36 units on a scale
Standard Deviation 5.25
Worry and Anxiety Questionnaire (WAQ)
Posttreatment WAQ
24.36 units on a scale
Standard Deviation 9.06
Worry and Anxiety Questionnaire (WAQ)
6-month follow-up WAQ
25.43 units on a scale
Standard Deviation 6.42

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The IUS is a self-report questionnaire assessing intolerance of uncertainty, or the tendency to view uncertainty and its consequences as negative. Scores range from 27 to 135, with higher scores representing greater intolerance of uncertainty. The IUS was used to assess change from baseline in self-reported intolerance of uncertainty.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Intolerance of Uncertainty Scale (IUS)
Pretreatment IUS
85.71 units on a scale
Standard Deviation 14.71
Intolerance of Uncertainty Scale (IUS)
Posttreatment IUS
55.00 units on a scale
Standard Deviation 15.55
Intolerance of Uncertainty Scale (IUS)
6-month follow-up IUS
54.29 units on a scale
Standard Deviation 12.30

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The PSWQ is a self-report questionnaire assessing excessive and uncontrollable worry. Scores range from 16 to 80, with greater scores indicating greater worry. The PSWQ was used to evaluate change from baseline in self-reported worry.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Penn State Worry Questionnaire (PSWQ)
Pretreatment PSWQ
61.57 units on a scale
Standard Deviation 6.00
Penn State Worry Questionnaire (PSWQ)
Posttreatment PSWQ
50.00 units on a scale
Standard Deviation 8.25
Penn State Worry Questionnaire (PSWQ)
6-month follow-up PSWQ
51.14 units on a scale
Standard Deviation 6.15

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The GAD-SBQ is a self-report questionnaire assessing the tendency to use safety behaviours to cope with anxiety, such as reassurance-seeking and overpreparation. Scores range from 18 to 90, with greater scores indicating greater use of safety behaviours. The GA-SBQ was used to evaluate change from baseline in self-reported safety behaviours.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
GAD Safety Behaviours Questionnaire (GAD-SBQ)
Pretreatment GAD-SBQ
47.00 units on a scale
Standard Deviation 9.95
GAD Safety Behaviours Questionnaire (GAD-SBQ)
Posttreatment GAD-SBQ
32.71 units on a scale
Standard Deviation 5.53
GAD Safety Behaviours Questionnaire (GAD-SBQ)
6-month follow-up GAD-SBQ
36.14 units on a scale
Standard Deviation 5.11

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The BAI is a self-report questionnaire assessing affective, cognitive, and somatic anxiety over the preceding week. Scores range from 0 to 63, with greater scores representing greater self-reported anxiety. The BAI was used to evaluate change from baseline in self-reported anxiety.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Beck Anxiety Inventory (BAI)
Pretreatment BAI
23.71 units on a scale
Standard Deviation 10.47
Beck Anxiety Inventory (BAI)
Posttreatment BAI
9.86 units on a scale
Standard Deviation 10.56
Beck Anxiety Inventory (BAI)
6-month follow-up BAI
12.57 units on a scale
Standard Deviation 12.12

SECONDARY outcome

Timeframe: Pretreatment to posttreatment (12 weeks) and 6-month Follow-Up

The BDI-II is a self-report questionnaire assessing a variety of depressive symptoms, including low mood, anhedonia, and worthlessness. Scores range from 0 to 63, with greater scores indicating greater depressive symptoms. The BDI-II was used to evaluate change from baseline in self-reported depressive symptoms.

Outcome measures

Outcome measures
Measure
Cognitive-Behavioural Treatment
n=7 Participants
12 weekly sessions of individual cognitive-behavioural treatment (CBT) targeting intolerance of uncertainty via behavioural experiments.
Beck Depression Inventory, 2nd Edition (BDI-II)
Pretreatment BDI-II
14.71 units on a scale
Standard Deviation 4.39
Beck Depression Inventory, 2nd Edition (BDI-II)
Posttreatment BDI-II
4.00 units on a scale
Standard Deviation 5.69
Beck Depression Inventory, 2nd Edition (BDI-II)
6-month follow-up BDI-II
5.57 units on a scale
Standard Deviation 5.16

Adverse Events

Cognitive-Behavioural Treatment

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Elizabeth Hebert

Concordia University

Phone: 1-514-848-2424

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place