Interventions for generalized anxiety disorder in older adults: Systematic review and meta-analysis

Gonçalves, Daniela Caetano; Byrne, Gerard

doi:10.1016/j.janxdis.2011.08.010

Cited by 211 publications

(97 citation statements)

References 78 publications

(103 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[13][14][15][16] Reviews have also suggested that CBT may be less effective for older adults than it is for younger adults, because of the effect of cognitive decline due to aging and high rates of psychiatric comorbidity. [17][18][19] However, there are two key weaknesses of the evidence base for talking treatments for older adults with GAD: lack of specificity and measurement issues.…”

Section: Introductionmentioning

confidence: 99%

“…Firstly, existing reviews have tended to cover a wide range of psychotherapeutic treatment options or late-life anxiety disorders and have therefore unwittingly masked potential differences between specific psychotherapies. [13][14][15][16]20 Secondly, previous reviews have measured effect sizes using a pooled anxiety composite, which has diluted and obscured treatment effects with respect to the defining feature of GAD:…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Hall

Kellett

Berrios

et al. 2016

The American Journal of Geriatric Psychiatry

123

View full text Add to dashboard Cite

Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) licence. This licence only allows you to download this work and share it with others as long as you credit the authors, but you can't change the article in any way or use it commercially. More information and the full terms of the licence here: https://creativecommons.org/licenses/ Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. and six-month follow-up, significant treatment effects favoring CBT were found in comparison to a waitlist or treatment-as-usual. When CBT was compared with active controls, a small non-significant treatment advantage was found for CBT at the end of treatment, with equivalence of outcomes at follow-up. Treatment effect size of CBT for GAD was significantly associated with attrition rates and depression outcomes. Conclusions: CBT is more helpful than having no treatment for GAD in later life. However, whether CBT shows long-term durability, or is superior to other commonly available treatments (such as supportive psychotherapy), remains to be tested. The relationship between treatment effects for GAD and depression following CBT warrants further research. Efficacy of CBT for GAD in

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Hall

Kellett

Berrios

et al. 2016

The American Journal of Geriatric Psychiatry

123

View full text Add to dashboard Cite

show abstract

“…In view of the research evidence highlighted above, one might argue that as anxiety is a potentially treatable condition [69,[136][137][138][139], intervention may prove am important factor in the management of individuals living with cognitive impairment and dementia [2,62,75], with dissemination of information regarding late-life anxiety disorder vital as evidence-based treatments, pharmacological and psychotherapy, are available [43, [131][132][133][134][135][136][137][138][139][140][141]. There are however important caveats to consider.…”

Section: Discussionmentioning

confidence: 99%

Anxiety in old age and dementia - implications for clinical and research practice

Tales¹,

Basoudan²

2016

Neuropsychiatry (London)

View full text Add to dashboard Cite

While extensive research has been performed in relation to anxiety in general, there is a marked paucity of investigation on older adulthood, especially in relation to those individuals living with mild cognitive impairment (MCI) and dementia, with the majority of such studies clinically based and focusing upon 'formal' anxiety disorders. It is however becoming increasingly evident that the detrimental effects of anxiety are not limited to clinical anxiety disorders but can instead occur in response to anxiety per se, i.e., sub-syndromal anxiety including various levels of trait and state anxiety. Furthermore, it is increasingly apparent that even non-clinical anxiety can influence many more components of information processing than previously recognized.

show abstract

“…Antidepressants, primarily SSRIs (selective serotonin reuptake inhibitors), are the main pharmacological line of treatment for late-life anxiety disorders [10]. Efficacious psychological treatments for anxiety disorders [11] and psychotherapy to augment pharmacotherapy [12] also exist but may not be offered to all patients due to the limited number of qualified providers.…”

Section: Introductionmentioning

confidence: 99%

Implementation of a brief anxiety assessment and evaluation in a Department of Veterans Affairs geriatric primary care clinic

et al. 2016

View full text Add to dashboard Cite

Abstract-Anxiety disorders are common and debilitating in older individuals, yet anxiety is often not formally assessed in primary care. We conducted a quality improvement project to examine the feasibility of implementing a brief anxiety assessment, the Geriatric Anxiety Inventory (GAI), in a Department of Veterans Affairs geriatric primary care clinic. We compared the GAI with a depression assessment, the 15-item Geriatric Depression Scale (GDS-15). Fifty older Veterans (mean age = 78.5 +/-7.4 yr) completed the GAI and GDS-15. Mean completion time and feedback to patients was brief (6.20 min; n = 10). Good internal consistency (alpha = 0.82) was found for GAI scores. Patients with psychiatric diagnoses obtained significantly higher GAI scores (mean = 4.73 +/-1.15) compared with patients without psychiatric diagnoses (mean = 1.15 +/-1.86, t(11.46) = -3.10, p = 0.01). Findings suggest that the GAI is acceptable to patients but may not be suitable for differentiating anxiety symptoms or disorders from depression. Interdisciplinary team members continued to implement the GAI after project completion to screen for and track anxiety symptoms in our geriatric primary care patients. Detecting anxiety with the GAI had the benefit of allowing providers to initiate conversations about available treatments and track symptoms as part of noting treatment progress.

show abstract

Interventions for generalized anxiety disorder in older adults: Systematic review and meta-analysis

Cited by 211 publications

References 78 publications

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Anxiety in old age and dementia - implications for clinical and research practice

Implementation of a brief anxiety assessment and evaluation in a Department of Veterans Affairs geriatric primary care clinic

Contact Info

Product

Resources

About