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Lack of interventions for anxiety in older people

  • Richard C. Oude Voshaar (a1)
Summary

Although anxiety disorders are common in later life, only a minority of patients receive appropriate treatment. The scarcity of clinical trials and decreasing effectiveness of current treatment modalities with advancing age, as shown by Wetherell and colleagues in this issue, argue for more clinical trials and development of age-specific psychotherapeutic techniques.

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References
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1 Wolitzky-Taylor, KB, Castriotta, N, Lenze, EJ, Stanley, MA, Craske, MG. Anxiety disorders in older adults: a comprehensive review. Depress Anxiety 2010; 27: 190211.
2 Grenier, S, Préville, M, Boyer, R, O'Connor, K, Béland, SG, Potvin, O, et al The impact of DSM-IV symptom and clinical significance criteria on the prevalence estimates of subthreshold anxiety in the older adult population. Am J Geriatr Psychiatry 2011; 19: 316–26.
3 De Beurs, E, Beekman, AT, van Balkom, AJ, Deeg, DJ, van Dyck, R, van Tilburg, W. Consequences of anxiety in older persons: its effect on disability, well-being and use of health services. Psychol Med 1999; 29: 583–93.
4 Pinquart, M, Duberstein, PR. Treatment of anxiety disorders in older adults: a meta-analytic comparison of behavioral and pharmacological interventions. Am J Geriatr Psychiatry 2007; 15: 639–51.
5 Hendriks, GJ, Oude Voshaar, RC, Keijsers, GPJ, Hoogduin, CAL, van Balkom, AJLM. Cognitive-behavioural therapy for late-life anxiety disorders: a systematic review and meta-analysis. Acta Psychiatr Scand 2008; 117: 403–11.
6 Thorp, SR, Ayers, CR, Nuevo, R, Stoddard, JA, Sorrell, JT, Wetherell, JL. Meta-analysis comparing different behavioural treatments for late-life anxiety. Am J Geriatr Psychiatry 2009; 17: 105–15.
7 Gould, RL, Coulson, MC, Howard, RJ. Efficacy of cognitive behavioral therapy for anxiety disorders in older people: a meta-analysis and meta-regression of randomized controlled trials. J Am Geriatr Soc 2012; 60: 218–29.
8 Hendriks, GJ, Keijsers, GP, Kampman, M, Oude Voshaar, RC, Verbraak, MJ, Broekman, TG, et al A randomized controlled study of paroxetine and cognitive–behavioural therapy for late-life panic disorder. Acta Psychiatr Scand 2010; 122: 11–9.
9 Stanley, MA, Wilson, NL, Novy, DM, Rhoades, HM, Wagener, PD, Greisinger, AJ, et al Cognitive behaviour therapy for generalized anxiety disorder among older adults in primary care. JAMA 2009; 301: 1460–7.
10 Wetherell, JL, Petkus, AJ, Thorp, SR, Stein, MB, Chavira, DA, Campbell-Sills, L, et al Age differences in treatment response to a collaborative care intervention for anxiety disorders. Br J Psychiatry 2013; 203: 6572.
11 Mohlman, J, Gorenstein, EE, Kleber, M, de Jesus, M, Gorman, JM, Papp, LA. Standard and enhanced cognitive-behavior therapy for late-life generalised anxiety disorder. Two pilot investigations. Am J Geriatr Psychiatry 2003; 11: 2432.
12 Wetherell, JL, Afari, N, Ayers, CR, Stoddard, JA, Ruberg, J, Sorrell, JT, et al Acceptance and commitment therapy for generalized anxiety disorder in older adults: a preliminary report. Behav Ther 2011; 42: 127–34.
13 Wetherell, JL, Stoddard, JA, White, KS, Kornblith, S, Nguyen, H, Andreescu, C, et al Augmenting antidepressant medication with modular CBT for geriatric anxiety disorder: a pilot study. Int J Geriatr Psychiatry 2011; 26: 869–75.
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The British Journal of Psychiatry
  • ISSN: 0007-1250
  • EISSN: 1472-1465
  • URL: /core/journals/the-british-journal-of-psychiatry
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Lack of interventions for anxiety in older people

  • Richard C. Oude Voshaar (a1)
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