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Treatment of generalized anxiety dis...

Wetherell, Julie Loebach.

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Treatment of generalized anxiety disorder in older adults.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Treatment of generalized anxiety disorder in older adults./
Author:	Wetherell, Julie Loebach.
Description:	154 p.
Notes:	Adviser: Margaret Gatz.
Contained By:	Dissertation Abstracts International63-05B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3054823
ISBN:	0493701451

Treatment of generalized anxiety disorder in older adults.
Wetherell, Julie Loebach.

Treatment of generalized anxiety disorder in older adults. - 154 p.

Adviser: Margaret Gatz.

Thesis (Ph.D.)--University of Southern California, 2001.

Seventy-five older adults with generalized anxiety disorder (GAD; mean age = 67.1 years) were randomly assigned to 12 weekly sessions of group-administered cognitive-behavioral therapy (CBT), a discussion group (DG) organized around worry-provoking topics, or a waiting period followed by CBT. Most participants were medically ill, 40% were taking psychotropic medications, and the average duration of anxiety symptoms was almost 30 years. Both CBT and DG yielded modest gains relative to the waiting list on a number of self-reported measures and blind assessor ratings of worry and anxiety. CBT participants improved on twice as many measures as DG participants, including measures of depression and health-related quality of life, and the few significant differences between treatment conditions favored CBT. Across both conditions, one third of participants showed clinically meaningful response to treatment and one fifth achieved high end-state functioning. Effect sizes were smaller than in younger samples, and therapist factors were related to outcome for CBT participants. CBT responders did more homework than nonresponders, whereas less severe worry predicted response to DG, suggesting that different mechanisms may have been responsible for change in the two conditions. Overall, results indicate that brief treatment of late life GAD is beneficial and provide limited support for the superiority of CBT to a credible nondirective group intervention.

ISBN: 0493701451Subjects--Topical Terms:

533633
Gerontology.

Treatment of generalized anxiety disorder in older adults.
LDR:02330nam 2200277 a 45 001 929386
005 20110427
008 110427s2001 eng d
020 $a 0493701451
035 $a (UnM)AAI3054823
035 $a AAI3054823
040 $a UnM $c UnM
100 1 $a Wetherell, Julie Loebach. $3 1252871
245 1 0 $a Treatment of generalized anxiety disorder in older adults.
300 $a 154 p.
500 $a Adviser: Margaret Gatz.
500 $a Source: Dissertation Abstracts International, Volume: 63-05, Section: B, page: 2613.
502 $a Thesis (Ph.D.)--University of Southern California, 2001.
520 $a Seventy-five older adults with generalized anxiety disorder (GAD; mean age = 67.1 years) were randomly assigned to 12 weekly sessions of group-administered cognitive-behavioral therapy (CBT), a discussion group (DG) organized around worry-provoking topics, or a waiting period followed by CBT. Most participants were medically ill, 40% were taking psychotropic medications, and the average duration of anxiety symptoms was almost 30 years. Both CBT and DG yielded modest gains relative to the waiting list on a number of self-reported measures and blind assessor ratings of worry and anxiety. CBT participants improved on twice as many measures as DG participants, including measures of depression and health-related quality of life, and the few significant differences between treatment conditions favored CBT. Across both conditions, one third of participants showed clinically meaningful response to treatment and one fifth achieved high end-state functioning. Effect sizes were smaller than in younger samples, and therapist factors were related to outcome for CBT participants. CBT responders did more homework than nonresponders, whereas less severe worry predicted response to DG, suggesting that different mechanisms may have been responsible for change in the two conditions. Overall, results indicate that brief treatment of late life GAD is beneficial and provide limited support for the superiority of CBT to a credible nondirective group intervention.
590 $a School code: 0208.
650 4 $a Gerontology. $3 533633
650 4 $a Psychology, Clinical. $3 524864
690 $a 0351
690 $a 0622
710 2 0 $a University of Southern California. $3 700129
773 0 $t Dissertation Abstracts International $g 63-05B.
790 $a 0208
790 1 0 $a Gatz, Margaret, $e advisor
791 $a Ph.D.
792 $a 2001
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3054823