Anxiety Mood.
2024 Oct;20(2):65-71. 10.24986/anxmod.2024.20.2.005.
Korean Guidelines for the Treatment of Generalized Anxiety Disorder 2024 Part II: Psychological Treatment Strategies
- Affiliations
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- 1Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea
- 2Department of Psychiatry, Yonsei University Wonju College of Medicine, Wonju, Korea
- 3Department of Psychiatry, CHA Ilsan Medical Center, CHA University, Ilsan, Korea
- 4Division of Psychiatry, Health Screening and Promotion Center, Asan Medical Center, Seoul, Korea
- 5Department of Psychiatry, College of Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea
- 6Department of Psychiatry, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea
- 7Department of Psychiatry, Pusan National University School of Medicine, Yangsan, Korea
- 8Department of Psychiatry, Uijeongbu St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Uijeongbu, Korea
- 9Suh Hosuk Yonsei Psychiatry Clinic for Healthy Mind, Seoul, Korea
- KMID: 2561319
- DOI: http://doi.org/10.24986/anxmod.2024.20.2.005
Abstract
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 cate-gories (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.
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