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Late-life anxiety disorders: a review
Josien Schuurmans1, Anton van Balkom
1Department for Older Adults, GGZinGeest, Osdorpplein 880, 1068 TD, Amsterdam, The Netherlands. j.schuurmans@ggzingeest.nl
Current Psychiatry Reports
|May 4, 2011
Summary
Late-life anxiety disorders are common and impactful but often missed. Increased awareness and knowledge are vital for implementing effective treatments in older adults.
Area of Science:
- Geriatrics
- Psychiatry
- Mental Health
Background:
- Anxiety disorders affect 6-10% of older adults, posing a significant clinical challenge comparable to depression.
- These disorders are frequently underdiagnosed and undertreated in the elderly due to patient and clinical practice factors.
- Misattribution to personality traits and diagnostic challenges from symptom differences and comorbidities complicate identification.
Purpose of the Study:
- To highlight the prevalence and impact of anxiety disorders in older adults.
- To discuss barriers to diagnosis and treatment in late-life anxiety.
- To emphasize the need for knowledge dissemination regarding effective interventions.
Main Methods:
- Review of existing literature on late-life anxiety disorders.
- Analysis of factors contributing to underdiagnosis and undertreatment.
- Examination of evidence-based treatment options and their limitations.
Main Results:
- Anxiety disorders are a major issue in older adults, often overlooked.
- Patient factors (e.g., help-seeking behavior) and clinical factors (e.g., lack of knowledge, ageism) contribute to underdiagnosis.
- Cognitive-behavioral therapy and serotonergic antidepressants show effectiveness but face challenges with dropout rates and generalizability.
Conclusions:
- Effective treatments for late-life anxiety disorders exist but are underutilized.
- Disseminating knowledge about late-life anxiety is crucial for improving patient outcomes.
- Addressing barriers to diagnosis and treatment is essential for better mental healthcare in older populations.
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