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Related Experiment Videos

The relationship between anxiety disorders and age

C Krasucki1, R Howard, A Mann

  • 1Section of Old Age Psychiatry, Institute of Psychiatry, London, UK.

International Journal of Geriatric Psychiatry
|April 4, 1998
PubMed
Summary

Anxiety disorders are common in older adults, with phobias being most prevalent. Prevalence decreases with age, except for generalized anxiety, suggesting cohort effects or other factors may be involved.

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Area of Science:

  • Geriatric psychiatry
  • Epidemiology of mental health
  • Anxiety disorders in the elderly

Background:

  • Anxiety disorders affect a significant portion of the elderly population.
  • Understanding age-related changes in anxiety is crucial for public health.
  • Existing data on anxiety in older adults requires comprehensive review.

Purpose of the Study:

  • To review epidemiological studies on anxiety disorders in individuals aged 65 and over.
  • To examine age-related changes in the prevalence and incidence of anxiety disorders.
  • To identify factors influencing anxiety disorder presentation in older adults.

Main Methods:

  • Comprehensive literature search of major databases (BIDS, EMBASE, Medline, PsychLit).
  • Inclusion of English language studies on anxiety in individuals aged 65+.

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  • Analysis of prevalence and incidence data from community-based epidemiological studies.

    • Main Results:

    • Phobic disorders range from 0.7% to 12% prevalence in those 65+.
    • Agoraphobia accounts for significant variation in phobic disorder prevalence.
    • Obsessive-compulsive disorder (0.1-0.8%), panic disorder (0.1%), and generalized anxiety (4%) also noted.
    • Gender differences in prevalence diminish with age, except for generalized anxiety.
    • Apparent decrease in prevalence for most anxiety disorders with age, except generalized anxiety.

    Conclusions:

    • Prevalence of most anxiety disorders appears to decrease with age, with generalized anxiety being an exception.
    • Cohort effects, anxiety-related mortality, and comorbidity with cognitive impairment are key considerations.
    • A tri-dimensional approach to anxiety measurement is recommended for future research.
    • Reappraisal of generalized anxiety's status as a 'residual category' may be warranted.