Prevalence and Correlates of Agoraphobia in Older Adults

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

doi:10.1097/01.jgp.0000203177.54242.14

Cited by 37 publications

(13 citation statements)

References 22 publications

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“…The average age of these participants was 67 years (range 55-103) and just over half were female (53.2%). We chose the lower age limit of 55 years to be consistent with previous research examining mental health among older adults using the CCHS-1.2 (e.g., Corna et al, 2007;McCabe, Cairney, Veldhuizen, Herrmann, & Streiner, 2006;Scott, Mackenzie, Chipperfield, & Sareen, 2010), to increase the sample size, and because individuals are increasingly retiring well before 65 years of age or much later in life.…”

Section: Samplementioning

confidence: 95%

Treatment satisfaction, perceived treatment effectiveness, and dropout among older users of mental health services

Lippens

Mackenzie

2011

J Clin Psychol

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Section: Samplementioning

confidence: 95%

Treatment satisfaction, perceived treatment effectiveness, and dropout among older users of mental health services

Lippens

Mackenzie

2011

J Clin Psychol

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“…[58] In addition, one study using a large national sample of older adults aged 55 and older found that the majority of those with AG did not meet diagnostic criteria for PD, a finding which differs from the general literature on PD consisting primarily of younger adult samples. [59] Taken together, data with regard to potential differences in PD symptoms and severity between older and younger adults are contradictory. More research is needed to clarify any potential differences.…”

Section: Effects Of Advancing Age Upon Symptom Experience and Expressionmentioning

confidence: 99%

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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“…Little is known about comorbid psychiatric disorders among the elderly, although recent studies indicate that comorbidity between depression and anxiety disorders, as well as between different anxiety disorders, is very high also in old age, 1,2,4,29,32,75,78,[84][85][86][87][88][89] with reported comorbidity of 50% to 90%. This comorbidity was already noted by Kay et al,90 who found that most affective disorders in the elderly were an admixture of depressive and anxiety symptoms.…”

Section: Comorbiditymentioning

confidence: 99%

“…32,84,85 This emphasizes the close relation between psychiatric disorders, and the difficulty of making diagnostic demarcations. Psychiatric comorbidity is also related to greater subjective impairment and disability, and more limitations in activities of daily living.…”

Section: Comorbiditymentioning

confidence: 99%

Psychiatric Disorders in the Elderly

Skoog

2011

Can J Psychiatry

112

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Recent research has shown that depression, anxiety disorders, and psychosis are more common than previously supposed in elderly populations without dementia. It is unclear whether the frequency of these disorders increases or decreases with age. Clinical expression of psychiatric disorders in old age may be different from that seen in younger age groups, with less and often milder symptoms. Concurrently, comorbidity between different psychiatric disorders is immense, as well as comorbidity with somatic disorders. Cognitive function is often decreased in people with depression, anxiety disorders, and psychosis, but whether these disorders are risk factors for dementia is unclear. Psychiatric disorders in the elderly are often related to cerebral neurodegeneration and cerebrovascular disease, although psychosocial risk factors are also important. Psychiatric disorders, common among the elderly, have consequences that include social deprivation, poor quality of life, cognitive decline, disability, increased risk for somatic disorders, suicide, and increased nonsuicidal mortality.Can J Psychiatry. 2011;56 (7):387-397. Key Words: depression, anxiety, psychosis, elderly, epidemiologic methods, prevalence, risk factors, comorbidityM ost research on mental disorders have been concerned with dementia and to some extent with depression. Other mental disorders, such as anxiety disorders and psychotic disorders, have received less attention. This review will discuss the frequency of mental disorders in the elderly, and its relation to age. Aspects of mental disorders in the elderly without dementia, such as clinical expression and comorbidity, cognitive function and dementia, cerebral neurodegeneration and cerebrovascular disease, and risk factors and consequences, will also be discussed. Frequency of Mental Disorders in the ElderlyThe prevalence of mental disorders is high among the elderly, 1-4 with a prevalence of almost 20% in people without dementia aged 65 years and older.2 While most people in epidemiologic studies are below age 90 years, it was recently reported that almost one-third of people without dementia aged 95 years fulfilled criteria for a psychiatric disorder: 17% had depression, 9% anxiety, and 7% a psychotic disorder. 5Most studies on the epidemiology of mental disorders in the elderly without dementia have been concerned with depression. Cross-sectional studies report prevalence figures of around 5% to 10% for depression, 3,[6][7][8][9][10][11][12] and 1% to 5% for major depression.2,3,13 These figures may be even higher in the developing world.14 This makes depression more common than dementia in people aged 65 years and older. The prevalence of depressive symptoms are even more common than the clinical diagnoses. Such subsyndromal forms of depression are nevertheless associated with adverse outcomes, such as stroke, disability, and mortality. 15-18Anxiety disorders include GAD, agoraphobia, panic anxiety disorder, OCD, social phobia, and specific phobias. Recent research suggests that anxiety disorder...

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Prevalence and Correlates of Agoraphobia in Older Adults

Cited by 37 publications

References 22 publications

Treatment satisfaction, perceived treatment effectiveness, and dropout among older users of mental health services

Treatment satisfaction, perceived treatment effectiveness, and dropout among older users of mental health services

Anxiety disorders in older adults: a comprehensive review

Psychiatric Disorders in the Elderly

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