The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings
The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings
复制标题
老年初级保健患者广泛性焦虑的本质:初步发现
DOI:
10.1023/a:1025903214019
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发表时间:
2003
影响因子:
1.6
通讯作者:
Paula D Wagener
中科院分区:
文献类型:
--
作者:
M. Stanley;G. Diefenbach;D. Hopko;D. Novy;M. Kunik;N. Wilson;Paula D Wagener
Clinical features of older primary care patients with GAD (PC-GAD; n = 22) were examined relative to older patients with GAD recruited for two academic clinical trials (M. A. Stanley, J. G. Beck, et al., 2003; J. L. Wetherell, M. Gatz, & M. G, Craske, 2003) and to a sample of older primary care patients without psychiatric diagnoses (No Dx; n = 10). Comparisons revealed similar levels of worry, anxiety, depressive symptoms, quality of life, and functional status between the PC-GAD subsample and patients recruited for academic trials, although primary care patients were older, less well educated, and more ethnically diverse. The PC-GAD subgroup, however, reported greater symptom severity, reduced quality of life, and poorer perceived general health, mental health, and vitality than the No Dx subgroup (η2 = .23–.43). Service utilization was not different between PC-GAD and No Dx subgroups, with the exception of psychotropic medication use. The Penn State Worry Questionnaire (PSWQ) and an abbreviated version of this measure may be useful for identifying late-life GAD in primary care. Cutoff scores of 50 and 22 on the full and abbreviated versions of the PSWQ, respectively, demonstrated excellent specificity, sensitivity, and positive predictive value. Negative predictive value was less impressive, probably as a result of high base rates for GAD in this sample.
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影响因子:
5.9
作者:
Wetherell,JulieLoebach;Gatz,Margaret;Craske,MichelleG
通讯作者:
Craske,MichelleG
影响因子:
5.6
作者:
Daniel J Buysse;C. Reynolds;T. Monk;C. C. Hoch-C.;A. Yeager;D. Kupfer
通讯作者:
Daniel J Buysse;C. Reynolds;T. Monk;C. C. Hoch-C.;A. Yeager;D. Kupfer
DOI:
10.1176/ajp.152.3.352
发表时间:
1995
期刊:
The American journal of psychiatry.
影响因子:
--
作者:
Simon,G;Ormel,J;VonKorff,M;Barlow,W
通讯作者:
Barlow,W
影响因子:
5.9
作者:
Stanley,MelindaA;Beck,JGayle;Novy,DianeM;Averill,PatriciaM;Swann,AlanC;Diefenbach,GretchenJ;Hopko,DerekR
通讯作者:
Hopko,DerekR
影响因子:
4.1
作者:
MEYER, TJ;MILLER, ML;BORKOVEC, TD
通讯作者:
BORKOVEC, TD