Panic disorder in later life: results from a national survey of Canadians

Corna, Laurie; Cairney, John; Herrmann, Nathan; Veldhuizen, Scott; McCabe, Laura; Streiner, David L.

doi:10.1017/s1041610207004978

Cited by 28 publications

(25 citation statements)

References 33 publications

(56 reference statements)

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“…[92] Findings from a large nationally representative sample in Canada revealed that among those aged 55 and older (N 5 12,792), psychiatric comorbidity significantly predicted the presence of SOP [22] and PD. [33] In particular, strong associations with PD were observed for MDD and SOP. [33] Data from a large, nationally representative sample of older adults (National Epidemiological Survey on Alcohol and Related Conditions, NESARC; 55 and older) in the United States (N 5 13,420) also observed high comorbidity of MDD for those with SOP (38.5%).…”

Section: Comorbidity and Differential Diagnosismentioning

confidence: 96%

“…[33] In particular, strong associations with PD were observed for MDD and SOP. [33] Data from a large, nationally representative sample of older adults (National Epidemiological Survey on Alcohol and Related Conditions, NESARC; 55 and older) in the United States (N 5 13,420) also observed high comorbidity of MDD for those with SOP (38.5%). [93] In addition, Chou et al [93] found that 35.2% of those who met diagnostic criteria for SOP also met diagnostic criteria for alcohol abuse or dependence.…”

Section: Comorbidity and Differential Diagnosismentioning

confidence: 96%

“…Nationally representative (US) [93] (NESARC) Cairney [22] (CCHS) Corna [33] (CCHS) Streiner [166] ( Schaub and Linden [6] 516 Representative community sample…”

Section: 205mentioning

confidence: 99%

“…It is uncertain if the diagnosis of AG is appropriate in such situations, because the fears may be more related to legitimate safety concerns rather than panic attacks or agoraphobic fears. [31] In addition, Raj et al [32] reported that 58.8% people with PD noted an onset after the age of 60, and the Canadian Community Health Survey [33] indicated that 23% of residents aged 55 and older diagnosed with PD reported an onset of PD after age 55. However, none of these articles teased apart the confounding role that medical illness may play in the development and maintenance of PD in late life.…”

Section: Age Of Onsetmentioning

confidence: 99%

“…Unfortunately, risk factor data are rather limited. The following risk factors have been found to be associated with increased likelihood of having an anxiety disorder in late age: (a) being female; [8,11] (b) having several chronic medical conditions; [5] (c) being single, divorced, or separated (compared to being married); [5,6,8] (d) lower education; [5,8] (e) impaired subjective health; [8] (f) stressful life events; [34,35] (g) physical limitations in daily activities; [33] (h) adverse events in childhood; [36] and (i) neuroticism. [35,36] One study evaluated older (60 and older) and younger adults (younger than 60) affected by the 2004 Florida hurricanes.…”

Section: Risk Factors and Demographicsmentioning

confidence: 99%

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Anxiety disorders in older adults: a comprehensive review

Wolitzky-Taylor¹,

Castriotta²,

Lenze³

et al. 2010

Depress. Anxiety

601

398

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This review aims to address issues unique to older adults with anxiety disorders in order to inform potential changes in the DSM-V. Prevalence and symptom expression of anxiety disorders in late life, as well as risk factors, comorbidity, cognitive decline, age of onset, and treatment efficacy for older adults are reviewed. Overall, the current literature suggests: (a) anxiety disorders are common among older age individuals, but less common than in younger adults; (b) overlap exists between anxiety symptoms of younger and older adults, although there are some differences as well as limitations to the assessment of symptoms among older adults; (c) anxiety disorders are highly comorbid with depression in older adults; (d) anxiety disorders are highly comorbid with a number of medical illnesses; (e) associations between cognitive decline and anxiety have been observed; (f) late age of onset is infrequent; and (g) both pharmacotherapy and CBT have demonstrated efficacy for older adults with anxiety. The implications of these findings are discussed and recommendations for the DSM-V are provided, including extending the text section on age-specific features of anxiety disorders in late life and providing information about the complexities of diagnosing anxiety disorders in older adults. Depression and Anxiety 27:190-211, 2010.

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Section: Comorbidity and Differential Diagnosismentioning

confidence: 96%

Section: Comorbidity and Differential Diagnosismentioning

confidence: 96%

“…Nationally representative (US) [93] (NESARC) Cairney [22] (CCHS) Corna [33] (CCHS) Streiner [166] ( Schaub and Linden [6] 516 Representative community sample…”

Section: 205mentioning

confidence: 99%

Section: Age Of Onsetmentioning

confidence: 99%

Section: Risk Factors and Demographicsmentioning

confidence: 99%

See 3 more Smart Citations

Anxiety disorders in older adults: a comprehensive review

Wolitzky-Taylor¹,

Castriotta²,

Lenze³

et al. 2010

Depress. Anxiety

601

398

View full text Add to dashboard Cite

show abstract

Agoraphobia: a review of the diagnostic classificatory position and criteria

Wittchen¹,

Gloster²,

Beesdo‐Baum³

et al. 2010

Depress. Anxiety

136

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The status of agoraphobia (AG) as an independent diagnostic category is reviewed and preliminary options and recommendations for the fifth edition of The Diagnostic and Statistical Manual (DSM-V) are presented. The review concentrates on epidemiology, psychopathology, neurobiology, vulnerability and risk factors, clinical course and outcome, and correlates and consequences of AG since 1990. Differences and similarities across conventions and criteria of DSM and ICD-10 are considered. Three core questions are addressed. First, what is the evidence for AG as a diagnosis independent of panic disorder? Second, should AG be conceptualized as a subordinate form of panic disorder (PD) as currently stipulated in DSM-IV-TR? Third, is there evidence for modifying or changing the current diagnostic criteria? We come to the conclusion that AG should be conceptualized as an independent disorder with more specific criteria rather than a subordinate, residual form of PD as currently stipulated in DSM-IV-TR. Among other issues, this conclusion was based on psychometric evaluations of the construct, epidemiological investigations which show that AG can exist independently of panic disorder, and the impact of agoraphobic avoidance upon clinical course and outcome. However, evidence from basic and clinic validation studies remains incomplete and partly contradictory. The apparent advantages of a more straightforward, simpler classification without implicit hierarchies and insufficiently supported differential diagnostic considerations, plus the option for improved further research, led to favoring the separate diagnostic criteria for AG as a diagnosis independent of panic disorder.

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Current awareness in geriatric psychiatry

2008

Int J Geriat Psychiatry

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In order to keep subscribers up‐to‐date with the latest developments in their field, John Wiley & Sons are providing a current awareness service in each issue of the journal. The bibliography contains newly published material in the field of geriatric psychiatry. Each bibliography is divided into 9 sections: 1 Reviews; 2 General; 3 Assessment; 4 Epidemiology; 5 Therapy; 6 Care; 7 Dementia; 8 Depression; 9 Psychology. Within each section, articles are listed in alphabetical order with respect to author. If, in the preceding period, no publications are located relevant to any one of these headings, that section will be omitted

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Panic disorder in later life: results from a national survey of Canadians

Cited by 28 publications

References 33 publications

Anxiety disorders in older adults: a comprehensive review

Anxiety disorders in older adults: a comprehensive review

Agoraphobia: a review of the diagnostic classificatory position and criteria

Current awareness in geriatric psychiatry

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