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Clinicians' experiences of anxiety in patients with dementia
Alka R Goyal1, Knut Engedal2, Siren Eriksen2
1Section of Old Age Psychiatry, Vestre Viken Hospital trust, Norway; Norwegian National Advisory Unit on Aging and Health, Norway; Centre of Old Age Psychiatry Research, Innlandet Hospital Trust, Norway.
Abstract:
Since anxiety in patients with dementia is a complex, understudied phenomenon, this paper presents clinicians' experiences of anxiety in this population. Semi-structured interviews were conducted with seven clinicians experienced with dementia in elderly patients (65 years and above), and then evaluated via qualitative content analysis. Analysis revealed three main categories: A reaction to loss and worries, symptoms of anxiety and depression interfere with each other, and anxiety in dementia-a multidisciplinary task. Anxiety in this population is perhaps best understood as a reaction to loss and worries, and existential in nature by the participants. Care interventions can reduce or prevent anxiety symptoms in this population. However, when anxiety co-exists with depression it might be difficult to attenuate these symptoms through care measures alone. To better identify and treat the condition, valid dementia-specific anxiety-screening instruments are necessary.
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