Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07579897

Generalized Anxiety Disorder: A Randomized Non-inferiority Trial Comparing Group Metacognitive Therapy With Individual Metacognitive Therapy

Led by Sorlandet Hospital HF · Updated on 2026-05-12

64

Participants Needed

2

Research Sites

26 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are comparing two ways to deliver metacognitive therapy (MCT) for adults with generalized anxiety disorder (GAD), a long-lasting condition that causes excessive worry and reduces quality of life and work functioning. This randomized controlled trial aims to find out if group-based MCT is not less effective than individual MCT. The study's goal is to provide evidence that could help make therapy more accessible and efficient in real-world clinical care. Participants will receive either individual MCT with a trained clinician in weekly 45-minute sessions for 10 weeks or group-based MCT delivered by two clinicians in small groups of 4-6 participants meeting weekly for 90 minutes over 10 weeks. Both treatments follow established protocols focusing on reducing worry, changing unhelpful beliefs about worry, and improving attention control. During the study, participants will complete questionnaires and clinical assessments before, during, and after treatment, including follow-ups at 3 and 12 months. Researchers will collect data on anxiety symptoms, work participation, and social functioning using validated tools like the GAD-7. The study will also gather health information from official registries. The total participation includes treatment and long-term follow-up to assess outcomes and satisfaction.

CONDITIONS

Brief Title

Group vs. Individual Metacognitive Therapy for Generalized Anxiety Disorder

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults with a primary diagnosis of generalized anxiety disorder (GAD)
  • GAD-7 score of 10 or higher at screening or baseline
  • Experience problems with excessive worry
Not Eligible

You will not qualify if you...

  • Bipolar disorder
  • Psychosis
  • Ongoing substance abuse or dependence
  • Intellectual disability based on medical history
  • Eating disorder requiring medical attention
  • Unwillingness to avoid anxiolytic drugs during treatment
  • Current suicidal thoughts with a plan and intent
  • Unstable antidepressant dose or recent dose change within 4 weeks
  • Known cluster A or B personality disorder
  • Serious medical conditions such as cancer or severe kidney failure
  • Language difficulties requiring an interpreter

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Outpatient Treatment

Duration - 10 weeks

Participants receive metacognitive therapy for generalized anxiety disorder either individually or in small groups. Treatment focuses on reducing worry, modifying maladaptive metacognitive beliefs, and promoting flexible attentional control.

Weekly visits for 10 weeks

Follow-up

Duration - Up to 12 months after treatment

Participants are followed up to assess treatment outcomes and maintain improvements after therapy ends.

Visits at 3 months and 12 months post-treatment

Trial Site Locations

Total: 2 locations

1

Sørlandet Hospital HF

Kristiansand, Agder, Norway

Actively Recruiting

2

Sørlandet Hospital HF

Kristiansand, Norway

Actively Recruiting

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Research Team

G

Gunvor Launes, MD Phd

A

Anna Sorte Grindvik, MD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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