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Published on: January 24, 2020
Anxiety disorders in the elderly
C N Carmin1, P S Wiegartz, C Scher
1University of Illinois at Chicago, Department of Psychiatry (MC 913), 912 South Wood Street, Chicago, IL 60612, USA. ccarmin@psych.uic.edu
Anxiety disorders in older adults are understudied, despite their prevalence. This review highlights key aspects of geriatric anxiety, including its unique presentation and treatment needs.
Area of Science:
- Geriatric Psychiatry
- Clinical Psychology
- Neuroscience
Background:
- Anxiety disorders are prevalent in older adults, yet research often focuses on younger populations.
- Existing knowledge on anxiety in children and adults may not directly apply to the geriatric population.
- The unique aging process may alter anxiety disorder phenomenology.
Purpose of the Study:
- To address the research gap concerning anxiety disorders in the geriatric population.
- To review the epidemiology, neurobiology, and treatment of anxiety in older adults.
- To explore potential age-related differences in anxiety disorder presentation.
Main Methods:
- Literature review of studies on geriatric anxiety.
- Synthesis of findings on epidemiology and neurobiology.
- Analysis of pharmacologic and psychotherapeutic treatment approaches for older adults.
Main Results:
- Significant underrepresentation of geriatric populations in anxiety disorder research.
- Potential evolution of anxiety phenomenology with aging.
- Consideration of medical comorbidity in geriatric anxiety treatment.
Conclusions:
- There is a critical need for more research on anxiety disorders in older adults.
- Understanding age-specific factors is crucial for effective diagnosis and treatment.
- Geriatric anxiety requires tailored approaches considering unique neurobiological and comorbidity factors.
Related Concept Videos
Anxiety: Overview
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Anxiolytic Drugs: Overview
Primary Types of Anxiolytic Drugs
1. Benzodiazepines:
Benzodiazepines bind to the GABA-A receptor in the brain, enhancing GABA's interaction. This action reduces neurotransmission, effectively blocking anxiety-associated limbic circuitry.
Drug Dosing: Geriatric Patients
Pharmacodynamics in Geriatric Patients: Effects of Age
Generalized Anxiety Disorder
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