Anxiety disorders in older adults: a comprehensive review

@article{WolitzkyTaylor2010AnxietyDI,
  title={Anxiety disorders in older adults: a comprehensive review},
  author={Kate B. Wolitzky-Taylor and Natalie Castriotta and Eric J. Lenze and Melinda A. Stanley and Michelle G. Craske},
  journal={Depression and Anxiety},
  year={2010},
  volume={27}
}
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… 

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References

SHOWING 1-10 OF 187 REFERENCES

Comorbid depression and anxiety in later life: patterns of association, subjective well-being, and impairment.

The results suggest that comorbid depression and anxiety are also prevalent in later life in community-dwelling older adults, and underlines the need to screen forComorbid disorders in this population.

Assessment of anxiety in older adults: current status.

Comorbid anxiety disorders in depressed elderly patients.

A relatively high rate of current and lifetime anxiety disorders in elderly depressed individuals is found and symptoms of generalized anxiety disorder were associated with a more severe presentation of depressive illness in elderly subjects.

Anxiety symptoms and generalized anxiety disorder in the elderly: a review.

There is enough evidence suggesting GAD in the elderly has a potential for negative consequences independent of the common comorbidity with major depressive disorder.

Characteristics of generalized anxiety disorder in older adults: a descriptive study.

Epidemiology and comorbidity of anxiety disorders in the elderly.

  • A. Flint
  • Psychology, Medicine
    The American journal of psychiatry
  • 1994
Empirical data on the prevalence of posttraumatic stress disorder (PTSD) and the first occurrence of generalized anxiety disorder and PTSD in late life are still needed.

Aging and panic disorder: phenomenology, comorbidity, and risk factors.

PD was consistently less severe in older patients across multiple domains, and a later age at onset was associated with less distress due to body sensations, cognitions, and emotions during panic attacks.

Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the national comorbidity survey-replication.

  • A. GumB. King-KallimanisR. Kohn
  • Psychology, Medicine
    The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
  • 2009
The continued pattern of lower rates of formal diagnoses for elders likely underestimate the burden of late-life psychiatric disorders, given the potential for underdiagnosis, clinical significance of subthreshold symptoms, and lack of representation from high-risk older adults.
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