Anxiety disorders in older adults.

被引:14
|
作者
Sable J.A. [1 ]
Jeste D.V. [1 ]
机构
[1] University of California, San Diego VA San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, 92161, CA
关键词
Anxiety Disorder; Fluvoxamine; Panic Disorder; Mirtazapine; Buspirone;
D O I
10.1007/s11920-001-0023-0
中图分类号
学科分类号
摘要
In the population of older adults, anxiety disorders are underdiagnosed and undertreated. Epidemiologic studies have generally found that the prevalence of anxiety disorders declines with age. Recognition of anxiety disorders in older adults is, however, complicated by several age-related factors including the presence of depression, cognitive impairment, and physical illness. A variety of medications have been used to treat anxiety disorders across the life span; however, few studies have evaluated their use specifically in older adults. Choice of medication requires consideration of the effects of aging on safety, tolerability, and adherence. Available data suggest that cognitive and behavioral treatments may be effective for anxiety disorders in older adults. Appropriate medical evaluation and psychosocial interventions are recommended prior to initiating pharmacotherapy. When pharmacologic treatment is warranted, antidepressant medications at low doses may be useful for late-life anxiety disorders; other agents may be considered for augmentation or second-line use in certain types of patients.
引用
收藏
页码:302 / 307
页数:5
相关论文
共 50 条
  • [1] Anxiety disorders in adults.
    Hettema, J
    [J]. PSYCHOLOGICAL MEDICINE, 2005, 35 (08) : 1234 - 1234
  • [2] Assessment of anxiety disorders in a general medical sample of older adults.
    Rankin, E
    Dudley, K
    Bangera, A
    [J]. GERONTOLOGIST, 2001, 41 : 392 - 393
  • [3] Mental disorders in older adults.
    Soltys, FG
    [J]. JOURNAL OF WOMEN & AGING, 2000, 12 (3-4) : 197 - 198
  • [4] Anxiety disorders in older adults
    Lauderdale, SA
    Sheikh, JI
    [J]. CLINICS IN GERIATRIC MEDICINE, 2003, 19 (04) : 721 - +
  • [5] Anxiety disorders in older adults
    Chand S.
    Ravi C.
    Manepalli J.
    [J]. Current Geriatrics Reports, 2014, 3 (4) : 273 - 281
  • [6] Anxiety disorders in older adults
    Bruno, Mathieu
    Lepetit, Alexis
    [J]. GERIATRIE ET PSYCHOLOGIE NEUROPSYCHIATRIE DU VIEILLISSEMENT, 2015, 13 (02) : 205 - 213
  • [7] Characterization and treatment of mixed anxiety and depression in older adults.
    Cassidy, EL
    Sheikh, JI
    Gandy, S
    [J]. AMERICAN JOURNAL OF GERIATRIC PSYCHIATRY, 2002, 10 (02): : 71 - 71
  • [8] Assessment of Personality Disorders in Older Adults. A Practice Guide
    van Alphen, Sebastiaan P. J.
    van der Werff, Sanne
    Rosowsky, Erlene
    Segal, Daniel L.
    Rossi, Gina
    [J]. JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2023, 36 (06) : 470 - 478
  • [9] Older Adults' Knowledge of Anxiety Disorders
    Beaunoyer, Elisabeth
    Landreville, Philippe
    Carmichael, Pierre-Hugues
    [J]. JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES, 2019, 74 (05): : 806 - 814
  • [10] Specificities of anxiety disorders in older adults
    Clery-Melin, P.
    [J]. EUROPEAN PSYCHIATRY, 2015, 30 (08) : S53 - S54