Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.

INTRODUCTION: Generalized anxiety disorder (GAD) is one of the most common anxiety disorders in later life, with widespread consequences for individuals and society. OBJECTIVE: To perform a systematic review of the efficacy of controlled interventions for GAD in adults aged 55 years and older. METH...

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Үндсэн зохиолчид: Gonçalves, D, Byrne, G
Формат: Journal article
Хэл сонгох:English
Хэвлэсэн: 2012
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author Gonçalves, D
Byrne, G
author_facet Gonçalves, D
Byrne, G
author_sort Gonçalves, D
collection OXFORD
description INTRODUCTION: Generalized anxiety disorder (GAD) is one of the most common anxiety disorders in later life, with widespread consequences for individuals and society. OBJECTIVE: To perform a systematic review of the efficacy of controlled interventions for GAD in adults aged 55 years and older. METHOD: Direct search of digital databases and the main publications on aging and iterative searches of the references from retrieved articles. RESULTS: Twenty-seven trials (14 pharmacological, 13 psychotherapeutic) fulfilled the inclusion criteria, reporting results from 2373 baseline participants. There were no differences between trials in their overall quality. Pooled treatment effects for pharmacological (OR=0.32, 95% CI: 0.18, 0.54) and psychotherapeutic (OR=0.33, 95% CI: 0.17, 0.66) trials were similar, with findings in each case favoring active interventions over control conditions. CONCLUSIONS: Older adults with GAD benefited from both pharmacological and psychotherapeutic interventions. Future studies should investigate combined treatment with medication and psychotherapy.
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spelling oxford-uuid:ff17af5c-8839-4d04-a906-cff997e65c8d2022-03-27T13:41:52ZInterventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:ff17af5c-8839-4d04-a906-cff997e65c8dEnglishSymplectic Elements at Oxford2012Gonçalves, DByrne, G INTRODUCTION: Generalized anxiety disorder (GAD) is one of the most common anxiety disorders in later life, with widespread consequences for individuals and society. OBJECTIVE: To perform a systematic review of the efficacy of controlled interventions for GAD in adults aged 55 years and older. METHOD: Direct search of digital databases and the main publications on aging and iterative searches of the references from retrieved articles. RESULTS: Twenty-seven trials (14 pharmacological, 13 psychotherapeutic) fulfilled the inclusion criteria, reporting results from 2373 baseline participants. There were no differences between trials in their overall quality. Pooled treatment effects for pharmacological (OR=0.32, 95% CI: 0.18, 0.54) and psychotherapeutic (OR=0.33, 95% CI: 0.17, 0.66) trials were similar, with findings in each case favoring active interventions over control conditions. CONCLUSIONS: Older adults with GAD benefited from both pharmacological and psychotherapeutic interventions. Future studies should investigate combined treatment with medication and psychotherapy.
spellingShingle Gonçalves, D
Byrne, G
Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title_full Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title_fullStr Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title_full_unstemmed Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title_short Interventions for generalized anxiety disorder in older adults: systematic review and meta-analysis.
title_sort interventions for generalized anxiety disorder in older adults systematic review and meta analysis
work_keys_str_mv AT goncalvesd interventionsforgeneralizedanxietydisorderinolderadultssystematicreviewandmetaanalysis
AT byrneg interventionsforgeneralizedanxietydisorderinolderadultssystematicreviewandmetaanalysis