Anxiety disorders in older adults: a comprehensive review

  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},
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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  • 2013

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  • 1994
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  • A. GumB. King-KallimanisR. Kohn
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  • 2009
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