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.read more
Citations
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Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders
Martin A Katzman,Pierre Bleau,Pierre Blier,Pratap Chokka,Kevin Kjernisted,Michael Van Ameringen +5 more
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Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology
David S. Baldwin,David S. Baldwin,Ian M. Anderson,David J. Nutt,Christer Allgulander,Borwin Bandelow,Johan A. den Boer,David M Christmas,Simon J. C. Davies,Naomi A. Fineberg,Nicky Lidbetter,Andrea Malizia,Paul McCrone,Daniel Nabarro,Catherine O'Neill,Jan Scott,Nic J.A. van der Wee,Hans-Ulrich Wittchen +17 more
TL;DR: This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions.
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Social Network Type and Subjective Well-being in a National Sample of Older Americans
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References
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Journal ArticleDOI
Depression and generalized anxiety disorder - Cumulative and sequential comorbidity in a birth cohort followed prospectively to age 32 years
Terrie E. Moffitt,HonaLee Harrington,Avshalom Caspi,Julia Kim-Cohen,David Goldberg,Alice M. Gregory,Richie Poulton +6 more
TL;DR: Challenging the prevailing notion that generalized anxiety usually precedes depression and eventually develops into depression, these findings show that the reverse pattern occurs almost as often.
Journal ArticleDOI
Anxiety and Depression in Later Life: Co-Occurrence and Communality of Risk Factors
Aartjan T.F. Beekman,Edwin de Beurs,Anton J. L. M. van Balkom,Dorly J. H. Deeg,Richard van Dyck,Willem van Tilburg +5 more
TL;DR: Although high levels of comorbidity between major depressive Disorder and anxiety disorders were found, comparing risk factors associated with pure major depressive disorder and pure anxiety disorders revealed more differences than similarities.
Journal ArticleDOI
Anxiety disorders in later life: a report from the Longitudinal Aging Study Amsterdam.
Aartjan T.F. Beekman,Marijke A. Bremmer,Dorly J. H. Deeg,Anton J. L. M. van Balkom,Jan Smit,Edwin de Beurs,Richard van Dyck,Willem van Tilburg +7 more
TL;DR: The prevalence and risk factors of anxiety disorders in the older (55–85) population of The Netherlands are studied to find out if older people are more likely to suffer from anxiety disorders.
Journal ArticleDOI
Amygdala Responses to Emotionally Valenced Stimuli in Older and Younger Adults
Mara Mather,Turhan Canli,Tammy English,Sue Whitfield,Peter E. Wais,Kevin N. Ochsner,John D. E. Gabrieli,Laura L. Carstensen +7 more
TL;DR: Both older and younger adults showed greater activation in the amygdala for emotional than for neutral pictures; however, for older adults, seeing positive pictures led to greater amygdala activation than seeing negative pictures, whereas this was not the case for younger adults.
Journal ArticleDOI
Gender and age differences in the prevalence of specific fears and phobias
TL;DR: Fear of flying increased and fear of injections decreased as a function of age in women but not in men, indicating specific fears and phobias are heterogeneous with respect to sex and age distribution.