Anxiety Disorders in the Elderly
Anxiety Disorders in the Elderly
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DOI：
10.1007/978-981-32-9705-0_28
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发表时间：
2020-01-01
期刊：
影响因子：
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通讯作者：
Lee, Soyoung
中科院分区：
文献类型：
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作者：
Andreescu, Carmen;Lee, Soyoung
最近的数据表明，晚年的焦虑及其障碍与发病率和死亡率增加有关，特别是与更高的心血管负担和认知能力下降有关。在临床上，焦虑症状可能更难在老年人中引起，他们在识别焦虑症状方面不太准确，并且倾向于将症状最小化并将症状归因于身体疾病。虽然SSRIs已被证明在晚年焦虑中比心理治疗更有效，但许多老年焦虑患者更喜欢心理治疗干预。这些干预措施似乎最适合老年焦虑症患者的需求，期望和文化背景。
Recent data has linked anxiety and its disorders in late life to increased morbidity and mortality, especially related to a higher cardiovascular burden and an increased cognitive decline. Clinically, anxiety symptoms may be more difficult to elicit in older adults who are less accurate in identifying anxiety symptoms and tend to minimize symptoms and to attribute symptoms to physical illness. Although SSRIs have proven more effective than psychotherapy in late-life anxiety, many elderly anxious subjects prefer psychotherapeutic interventions. These interventions appear to work best when tailored for the needs, expectations, and cultural background of older anxious subjects.