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In Reply: Mr Chen and colleagues call attention to potential demographic and clinical characteristics that may have affected the outcome in our randomized controlled trial of CBT among older adults with generalized anxiety disorder. Although we did evaluate a number of patient characteristics that may have differed among patients randomly assigned to CBT and EUC, they point out other variables that we omitted from these comparisons but that might have had an effect.

With regard to socioeconomic status, we reported that attained education level was high and similar in both groups (overall mean, 15.9 years). All patients were recruited through insurance-based primary care, which has implications for socioeconomic status and generalizability of findings. Additional data that were not reported include a median annual income of $40 000, with similar distribution in the CBT and EUC groups (greater than $40 000: CBT, 33/68 [48.5%]; EUC, 36/63 [57.1%]; P = .32). Living situation also did . . . [Full Text of this Article]

Melinda A. Stanley, PhD
mstanley@bcm.edu
Menninger Department of Psychiatry and Behavioral Sciences
Baylor College of Medicine
Houston, Texas

Howard M. Rhoades, PhD
University of Texas Health Science Center at Houston

Mark E. Kunik, MD, MPH
Michael E. DeBakey Veterans Affairs Medical Center
Houston

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