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Screening for generalized anxiety disorder in geriatric primary care patients
- Authors:
- WETHERELL Julie Loebach, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 22(2), February 2007, pp.115-123.
- Publisher:
- Wiley
Compares two brief screening measures as tools for detecting generalized anxiety disorder (GAD) among older primary care patients. Receiver operating characteristic curve analysis was used to compare the Hospital Anxiety and Depression Scale (HADS) and the Brief Symptom Inventory-18 (BSI-18) against GAD diagnoses obtained from a structured diagnostic interview. The HADS Anxiety subscale was the only measure that distinguished individuals with and without GAD. A cutpoint greater than or equal to 8 on the HADS Anxiety subscale resulted in a sensitivity of 0.967 and a specificity of 0.667 for detecting GAD. The HADS Anxiety subscale appears to show some advantages over the BSI-18 Anxiety subscale as a brief, self-report measure of anxiety symptoms among older medical patients.
Age moderates response to acceptance and commitment therapy vs. cognitive behavioral therapy for chronic pain
- Authors:
- WETHERELL Julie Loebach, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 31(3), 2016, p.302–308.
- Publisher:
- Wiley
Objective: The purpose of this study was to examine age differences in response to different forms of psychotherapy for chronic pain. Methods: The authors performed a secondary analysis of 114 adults (ages 18–89 years) with a variety of chronic, nonmalignant pain conditions randomly assigned to 8 weeks of group-administered acceptance and commitment therapy (ACT) or cognitive behavioral therapy (CBT). Treatment response was defined as a drop of at least three points on the Brief Pain Inventory-interference subscale. Results: Older adults were more likely to respond to ACT, and younger adults to CBT, both immediately following treatment and at 6-month follow-up. There were no significant differences in credibility, expectations of positive outcome, attrition, or satisfaction, although there was a trend for the youngest adults (ages 18–45 years) to complete fewer sessions. Conclusions: These data suggest that ACT may be an effective and acceptable treatment for chronic pain in older adults. (Edited publisher abstract)