Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease
Abstract
A significant proportion of persons affected by Parkinson's disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are underrecognized in patients with PD and are associated with deleterious effects on physical and interpersonal functioning, negatively impacting quality of life and well-being. We offer a brief overview of salient clinical points with respect to assessment and treatment approaches to enhance efficacy of the treatment of mental health symptoms in older adults with PD. Cognitive behavior therapy involves the patient learning to overcome behavioral avoidance associated with anxiety and challenge unhelpful negative cognitions. It is suggested that cognitive behavior therapy is an effective approach to treatment of anxiety and depression in PD and should be offered as a treatment to patients.
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In Calleo et al. (2015), the assessment cut-off was not adjusted (up to seven as per recommendations) for this clinical group.
“their assessment cut-off was not adjusted (up to seven as per recommendations)”
From Remote delivery of psychological interventions for Parkinson's disease. (2018) · cites this paper as Pachana et al., 2013
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- Authors
- Pachana, N. A., Egan, S. J., Laidlaw, K., Dissanayaka, N., Byrne, G. J., Brockman, S., Marsh, R., & Starkstein, S.
- Affiliations
- The University of Queensland (AU)
- Curtin University (AU)
- University of East Anglia (GB)
- The University of Western Australia (AU)
- Royal Brisbane and Women's Hospital (AU)
- Corresponding author
- Egan, Sarah J.
- Venue
- Movement Disorders
- Publisher
- Wiley
- Published
- 2013-10-09
- Volume
- 28
- Issue
- 14
- Pages
- 1930-1934
- ISSN
- 0885-3185 (ISSN-L)
- 1531-8257
- OpenAlex
- W1571372337
- Cited by
- 82
- References
- 50
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 10 · 2023: 5 · 2022: 3 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 8 · 2017: 5 · 2016: 8 · 2015: 7 · 2014: 4
- FWCI
- 0.82
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Movement Disorders (publishedVersion)
- PubMed (publishedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eSpace (Curtin University) (submittedVersion)
- UEA Digital Repository (University of East Anglia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Neurology › Neurological disorders and treatments
- Keywords
- Parkinson's disease, anxiety, depression, older adults, comorbid depression and anxiety, cognitive behavioral therapy, mental health assessment, quality of life, treatment efficacy
- MeSH terms
- Aged, Aged, 80 and over, Anxiety, Depressive Disorder, Humans, Parkinson Disease, Cognitive Behavioral Therapy
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