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Related Experiment Videos

Assessing and treating anxiety in elderly persons

S L Smith1, K A Sherrill, C C Colenda

  • 1Department of Family Practice, University of Minnesota Medical School, Minneapolis 55414.

Psychiatric Services (Washington, D.C.)
|January 1, 1995
PubMed
Summary

Anxiety in older adults, though less frequent, causes significant morbidity. Research on non-pharmacologic treatments like psychotherapy is needed, while medications require cautious use.

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Area of Science:

  • Geriatric Psychiatry
  • Anxiety Disorders
  • Clinical Psychology

Background:

  • Subsyndromal anxiety and anxiety comorbid with other conditions are significant in the elderly.
  • Anxiety etiology theories span psychodynamic to neurobiological perspectives.
  • Older adults may present anxiety with somatic symptoms and stigma concerns.

Purpose of the Study:

  • To review the presentation and management of anxiety in older adults.
  • To highlight the need for research into non-pharmacologic interventions for geriatric anxiety.
  • To emphasize careful consideration in pharmacologic treatment approaches.

Main Methods:

  • Literature review of anxiety in the elderly.
  • Analysis of psychodynamic and neurobiological theories.

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  • Evaluation of treatment strategies, including non-pharmacologic and pharmacologic options.

    • Main Results:

    • Anxiety disorders may be underdiagnosed in the elderly.
    • Non-pharmacologic treatments show promise but require further research in older populations.
    • Pharmacologic treatments are effective but necessitate caution due to potential side effects.

    Conclusions:

    • Comprehensive diagnostic evaluation is crucial for elderly patients with anxiety.
    • Non-pharmacologic interventions warrant further investigation for efficacy and safety in older adults.
    • Pharmacologic anxiety management in the elderly demands careful dosing and monitoring.