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Open AccessJournal ArticleDOI

Anxiety disorders in older adults: a comprehensive review†

TLDR
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.
Abstract
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-Vare 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. r 2010 Wiley-Liss, Inc.

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Determining the predictors of change in quality of life self-ratings and carer-ratings for community-dwelling people with Alzheimer disease

TL;DR: The aim of this study was to determine the factors that mediate changes in Health Related Quality of Life ratings by community-dwelling people with Alzheimer disease (AD) and carers over a period of 18 months.
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The Association Between Anxiety and Falls: A Meta-Analysis

TL;DR: Clinical anxiety is associated with falls, however, further research is required to elucidate the factors that might moderate or mediate this relationship, the casual pathways through which they are related, and the associations between different types of anxiety and falls.
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Factors associated with happiness in the elderly persons living in the community.

TL;DR: It is indicated that psychological factors and age influence the levels of happiness in older adults living in the community and better screening, diagnosis, and treatment of mental health disorders could increase the feeling of happiness among older adults.
Journal ArticleDOI

Anxiety and mortality risk in community-dwelling elderly people.

TL;DR: This study suggests a gender-specific association of anxiety and mortality in community-dwelling elderly people and finds that anxiety trait symptoms became non-significant as a result of the confounding effect of depressive symptoms.
Journal ArticleDOI

Ability for self-care in urban living older people in southern Norway

TL;DR: Self-care agency, perceived good health, being active, being frequently active, good mental health, not being at risk of undernutrition, and satisfaction with life were all positively related to self-care ability; negative factors were perceived helplessness, receiving home nursing, being anxious, and being at a more advanced age.
References
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Journal ArticleDOI

Lifetime Prevalence and Age-of-Onset Distributions of DSM-IV Disorders in the National Comorbidity Survey Replication

TL;DR: Lifetime prevalence estimates are higher in recent cohorts than in earlier cohorts and have fairly stable intercohort differences across the life course that vary in substantively plausible ways among sociodemographic subgroups.
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One-month prevalence of mental disorders in the United States. Based on five Epidemiologic Catchment Area sites.

TL;DR: One-month prevalence results were determined from 18571 persons interviewed in the first-wave community samples of all five sites that constituted the National Institute of Mental Health Epidemilogic Catchment Area Program as mentioned in this paper.
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The effect of age on positive and negative affect : a developmental perspective on happiness

TL;DR: Findings lend support to recent life span theories of emotion and indicate that personality, contextual, and sociodemographic variables, as well as their interactions, are all needed to fully understand the age-affect relationship.
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Emotional experience in everyday life across the adult life span.

TL;DR: Age differences in emotional experience over the adult life span were explored, focusing on the frequency, intensity, complexity, and consistency of emotional experience in everyday life, and individual factor analyses computed for each participant revealed that age was associated with more differentiated emotional experience.
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Anxiety and Anxiety Disorders in Children and Adolescents: Developmental Issues and Implications for DSM-V

TL;DR: Epidemiological evidence covering prevalence, incidence, course, and risk factors of anxiety disorders among children and adolescents is reviewed for improved early recognition and differential diagnosis as well as prevention and treatment.
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