The evaluation of generalized anxiety disorder in older adults
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https://doi.org/10.5455/GMJ-30-2012-99Keywords:
Comorbidity, generalized anxiety disorder, older ageAbstract
Generalized anxiety disorder (GAD) is a common disorder in older adults. The aim of this study is to evaluate the severity and associated factors of generalized anxiety disorder in older adults. 45 patients (26 women, 19 male) over 65 years and 46 patients younger than 65 years (27 women, 21 male), diagnosed as generalized anxiety disorder have applied to the outpatient department of a state hospital were included in the study. As a result of the study Hamilton Anxiety Scale (HAM-A) total score, somatic and psychic anxiety subscale scores were significantly higher in group of patients over the age of 65 than young people. There was no difference in Hamilton Depression Rating Scale (HAM-D) scores between the groups. As a result; GAD symptoms were more severe in patients over 65 years. To recognize and treat this disease impairing quality of life in elderly is important.
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Wittchen HU, Hoyer J. Generalized anxiety disorder:nature and course. J Clin Psychiatry 2001;62(Suppl. 11):15-19.
Wittchen HU, Zhao S, Kessler RC, Eaton WW. DSM-III-R generalized anxiety disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1994;51(5):355-64.
Özcan M, Uğuz F, Çilli AS. Ayaktan Psikiyatri Hastalarında Yaygın Anksiyete Bozukluğunun Yaygınlığı ve Ek Tanılar. Türk Psikiyatri Dergisi 2006;17(4):276-285.
Le Roux H, Gatz M, Wetherell JL. Age at onset of generalized anxiety disorder in older adults. Am J Geriatr Psychiatry 2005;13(1):23-30.
Mantella RC, Butters MA, Amico JA, Mazumdar S, Rollman BL, Begley AE, et al. Salivary cortisol is associated with diagnosis and severity of late-life generalized anxiety disorder. Psychoneuroendocrinology 2008;33(6):773–781.
Alwahhabi F. Anxiety symptoms and generalized anxiety disorder in the elderly: a review. Harv Rev Psychiatry 2003;11(4):180-93.
Kirmizioglu Y, Doğan O, Kuğu N, Akyüz G. Prevalence of anxiety disorders among elderly people. Int J Geriatr Psychiatry 2009;24(9):1026-33.
Lenze EJ, Mulsant BH, Mohlman J, Shear MK, Dew MA, Schulz R, et al. Generalized anxiety disorder in late life: lifetime course and comorbidity with major depressive disorder.Am J Geriatr Psychiatry 2005;13(1):77-80.
Gonçalves DC, Byrne GJ. Sooner or later: age at onset of generalized anxiety disorder in older adults. Depress Anxiety 2012;29(1):39-46.
Caudle DD, Senior AC, Wetherell JL, Rhoades HM, Beck JG, Kunik ME, et al. Cognitive errors, symptom severity, and response to cognitive behavior therapy in older adults with generalized anxiety disorder. Am J Geriatr Psychiatry 2007;15(8):680-9.
First MB, Spitzer RL, Gibbon M, Williams JBW . Structured Clinical Interview for DSM-IV Clinical Version (SCID-I/CV). American Psychiatric Press, Washington D.C.1997.
Özkürkçügil A, Aydemir O, Yıldız M. DSM-IV Eksen I bozuklukları için yapılandırılmış klinik görüşmenin Türkçe’ye uyarlanması ve güvenilirlik çalışması. İlaç ve Tedavi Dergisi 1999;12:233-6.
Yazıcı MK, Demir B, Tanrıverdi N, Karaağaoğlu E, Yolaç P. Hamilton Anksiyete Değerlendirme Ölçeği, değerlendiriciler arası güvenirlik ve geçerlilik çalışması. Turk Psikiyatri Derg 1998;9:114-7.
Akdemir A, Örsel S, Dağ İ, Türkçapar H, İşcan N, Özbay H. Hamilton depresyon derecelendirme ölçeği (HDDÖ)’nin geçerliliği, güvenilirliği ve klinikte kullanımı. Psikiyatri Psikoloji Psikofarmakoloji Dergisi 1996;4(4):251-9.
Beck JG, Stanley MA, Zebb BJ. Characteristics of generalized anxiety disorder in older adults: a descriptive study. Behav Res Ther 1996;34(3):225-34.
Kubzansky LD, Kawachi I, Spiro A, Weiss ST, Vokonas PS, Sparrow D. Is worrying bad for your heart? A prospective study of worry and coronary heart disease in the Normative Aging Study. Circulation 1997;95(4):818-24.
Sevinçok L.Yaygın anksiyete bozukluğunda tanı ve eştanı sorunları. Duygudurum dizisi 2001;1(3);144-151.
Beekman AT, de Beurs E, van Balkom AJ, Deeg DJ, van Dyck R, van Tilburg W. Anxiety and depression in later life:cooccurence and communality of risk factors. Am J Psychiatry 2000;157(1):89-95.
Lenze EJ, Mulsant BH, Shear MK, Schulberg HC, Dew MA, Begley AE, Pollock BG, Reynolds CF. Comorbid anxiety disorders in depressed elderly patients. Am J Psychiatry 2000;157(5):722-8.
Buturak ŞV, Başterzi AD, Ertekin Yazıcı A, Yazıcı K, Tot Acar Ş. Comorbid Disorders In Outpatients With Major DepressiveDisorder And Their Sociodemographical Aspects. Journal of Mood Disorders 2011;1:7-13.
Annagür BB, Tamam L. Major Depresyon Hastalarında Diğer Psikiyatrik Bozukluklar. Anatol J Clin Investig. 2010;4:111-17.
Annagür BB, Savaş HA. Depresyonda Ek Hastalık, Ek Hastalık Olarak Depresyon:Türkiye’de Yapılmış Çalışmaların Gözden Geçirilmesi. Journal of Mood Disorders 2011;1(2):87-94.
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