Distinguishing generalized anxiety disorder, panic disorder, and mixed anxiety states in older treatment-seeking adults

Distinguishing generalized anxiety disorder, panic disorder, and mixed anxiety states in older... Eighty treatment-seeking adults age 60 or over with panic disorder, generalized anxiety disorder, and mixed anxiety states (generalized anxiety with panic attacks, panic disorder with secondary generalized anxiety) completed a clinical assessment and battery of self report measures. Several hypotheses were tested from the domains of distinguishing symptoms, associated features, and rates of comorbidity with other disorders. Greater between- than within-group variance was found on a subset of measures suggesting that the distinction between GAD and PD is generally valid in the older adult population. Higher scores on measures of sympathetic arousal, agoraphobic avoidance, and rates of comorbid somatization disorder and alcohol dependence distinguished those with PD from those with GAD. Higher scores on measures of depression and hostility, but not trait anxiety or worry, distinguished the GAD group. Results indicate that distinguishing features of GAD and PD in older treatment-seeking adults may be fewer and slightly different from those of younger adults. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal Of Anxiety Disorders Elsevier

Distinguishing generalized anxiety disorder, panic disorder, and mixed anxiety states in older treatment-seeking adults

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Publisher
Elsevier
Copyright
Copyright © 2002 Elsevier Ltd
ISSN
0887-6185
eISSN
1873-7897
DOI
10.1016/S0887-6185(02)00261-X
pmid
15125977
Publisher site
See Article on Publisher Site

Abstract

Eighty treatment-seeking adults age 60 or over with panic disorder, generalized anxiety disorder, and mixed anxiety states (generalized anxiety with panic attacks, panic disorder with secondary generalized anxiety) completed a clinical assessment and battery of self report measures. Several hypotheses were tested from the domains of distinguishing symptoms, associated features, and rates of comorbidity with other disorders. Greater between- than within-group variance was found on a subset of measures suggesting that the distinction between GAD and PD is generally valid in the older adult population. Higher scores on measures of sympathetic arousal, agoraphobic avoidance, and rates of comorbid somatization disorder and alcohol dependence distinguished those with PD from those with GAD. Higher scores on measures of depression and hostility, but not trait anxiety or worry, distinguished the GAD group. Results indicate that distinguishing features of GAD and PD in older treatment-seeking adults may be fewer and slightly different from those of younger adults.

Journal

Journal Of Anxiety DisordersElsevier

Published: Jan 1, 2004

References

  • Characteristics of generalized anxiety disorder in older adults: a descriptive study
    Beck, J.G.; Stanley, M.A.; Zebb, B.J.
  • Psychometric properties and diagnostic utility of the Beck Anxiety Inventory and the State-Trait Anxiety Inventory with older adult psychiatric outpatients
    Kabacoff, R.I.; Segal, D.L.; Hersen, M.; Van Hasselt, V.B.
  • Assessing older adults with generalized anxiety: a replication and extension
    Stanley, M.A.; Novy, D.M.; Bourland, S.L.; Beck, J.G.; Averill, P.M.

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