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Anxiety disorders in late life.

A J Flint1

  • 1Department of Psychiatry, University of Toronto, Ont. alastair.flint@uhn.on.ca

Canadian Family Physician Medecin De Famille Canadien
|December 10, 1999
PubMed
Summary

Anxiety disorders in late life are common, with generalized anxiety disorder and agoraphobia being most prevalent. Treatment should prioritize antidepressants and behavioral therapy over benzodiazepines for better outcomes in older adults.

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Area of Science:

  • Geriatric Psychiatry
  • Clinical Psychology
  • Epidemiology

Background:

  • Anxiety disorders affect a significant portion of the elderly population.
  • Understanding the unique epidemiology and clinical presentation in late life is crucial.
  • Limited specific treatment data exists for anxiety in older adults.

Purpose of the Study:

  • To review the epidemiology of anxiety disorders in late life.
  • To describe the clinical characteristics of anxiety in the elderly.
  • To evaluate current and recommended treatment strategies for anxiety in older adults.

Main Methods:

  • Review of epidemiologic and comorbidity data from community surveys.
  • Extrapolation of treatment guidelines from randomized controlled trials in younger populations.
  • Analysis of clinical characteristics and treatment efficacy for late-life anxiety.

Main Results:

  • Generalized anxiety disorder and agoraphobia are the most common anxiety disorders in older adults.
  • Late-onset generalized anxiety often co-occurs with depression, responding to antidepressant medication.
  • Exposure therapy is recommended for agoraphobia without panic attacks in the elderly.

Conclusions:

  • Physicians should increase the use of antidepressant medications for anxiety in late life.
  • Behavioral therapy is a recommended treatment modality for anxiety disorders in older adults.
  • Reduced reliance on benzodiazepines is advised for treating anxiety in the elderly.

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