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Physical exercise augmented cognitive behaviour therapy for older adults with generalised anxiety disorder (PEXACOG) : a feasibility study for a randomized controlled trial.
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- Sirevåg, Kristine (författare)
- Solli DPS, Bergen, Norway; Department of Clinical Psychology, University of Bergen, Norway
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- Stavestrand, S H (författare)
- Solli DPS, Bergen, Norway; Department of Clinical Psychology, University of Bergen, Norway
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- Sjøbø, T (författare)
- Solli DPS, Bergen, Norway
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- Endal, T B (författare)
- Solli DPS, Bergen, Norway
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- Nordahl, H M (författare)
- Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway
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- Andersson, Eva, 1958- (författare)
- Gymnastik- och idrottshögskolan,Institutionen för fysisk aktivitet och hälsa,Department of Neuroscience, Karolinska Institutet, Stockholm, Sweden
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- Nordhus, I H (författare)
- Department of Clinical Psychology, University of Bergen, Norway; Faculty of Medicine, University of Oslo, Norway
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- Rekdal, Å (författare)
- Solli DPS, Bergen, Norway
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- Specht, K (författare)
- Faculty of humanities, social sciences and education, UiT The Arctic University of Norway, Tromsø, Norway.; Department of Biological and Medical Psychology, University of Bergen, Norway
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- Hammar, Å (författare)
- Department of Biological and Medical Psychology, University of Bergen, Norway; Division of Psychiatry, Haukeland University Hospital, Bergen, Norway.
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- Halmøy, A (författare)
- Department of Psychiatry, Haukeland University Hospital, Kronstad DPS, Bergen, Norway
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- Mohlman, J (författare)
- Department of Psychology, William Paterson University, Wayne, NJ, USA.
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- Hjelmervik, H (författare)
- School of Health Sciences, Kristiania University College, Bergen, Norway
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- Thayer, J F (författare)
- Department of Psychological Science, The University of California, Irvine, CA, USA.
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- Hovland, A (författare)
- Solli DPS, Bergen, Norway; Department of Clinical Psychology, University of Bergen, Norway
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(creator_code:org_t)
- BioMed Central (BMC), 2023
- 2023
- Engelska.
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Ingår i: BioPsychoSocial Medicine. - : BioMed Central (BMC). - 1751-0759. ; 17:1
- Relaterad länk:
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https://doi.org/10.1...
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https://gih.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
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- BACKGROUND: Generalised anxiety disorder (GAD) is a frequent and severe disorder among older adults. For older adults with GAD the effect of the recommended treatment, cognitive behaviour therapy (CBT), is reduced. Physical exercise (PE) may enhance the effect of CBT by improving cognitive function and increasing levels of brain-derived neurotrophic factor (BDNF), a predictor of the effect of CBT in patients with anxiety. The aim of the study was to assess the feasibility of a randomized controlled trial (RCT) investigating treatment effect of the combination of CBT and PE for GAD in a sample of older adults, including procedures for assessment and treatment.METHODS: Four participants aged 62-70 years (M = 65.5, SD = 3.2) with a primary diagnosis of GAD were included. Participants received 15 weeks of PE in combination with 10 weeks of CBT. Participants completed self-report measures, and clinical, biological, physiological and neuropsychological tests at pre-, interim- and post-treatment.RESULTS: Procedures, protocols, and results are presented. One participant dropped out during treatment. For the three participants completing, the total adherence to PE and CBT was 80% and 100%, respectively. An independent assessor concluded that the completers no longer fulfilled the criteria for GAD after treatment. Changes in self-report measures suggest symptom reduction related to anxiety and worry. The sample is considered representative for the target population.CONCLUSIONS: The results indicate that combining CBT and PE for older adults with GAD is feasible, and that the procedures and tests are suitable and manageable for the current sample.TRIAL REGISTRATION: ClinicalTrials.gov, NCT02690441. Registered on 24 February 2016, https://clinicaltrials.gov/ct2/show/NCT02690441 .
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Psykiatri (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Psychiatry (hsv//eng)
Keyword
- CBT
- Cognitive behaviour therapy
- Feasibility study
- GAD
- Generalised anxiety disorder
- Older adults
- Physical exercise
- Medicin/Teknik
- Medicine/Technology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Sirevåg, Kristin ...
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Stavestrand, S H
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Sjøbø, T
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Endal, T B
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Nordahl, H M
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Andersson, Eva, ...
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Nordhus, I H
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Rekdal, Å
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Specht, K
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Hammar, Å
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Halmøy, A
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Mohlman, J
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Hjelmervik, H
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Thayer, J F
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Hovland, A
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- About the subject
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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and Klinisk medicin
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and Psykiatri
- Articles in the publication
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BioPsychoSocial ...
- By the university
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The Swedish School of Sport and Health Sciences
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Karolinska Institutet