Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression
Abstract
Objective Generalized anxiety disorder (GAD) is a common disorder in older adults producing functional impairment, and psychotherapy is the preferred treatment option. Meta-analytic methods sought to determine the efficacy of outpatient cognitive behavioral therapy (CBT) with respect to the hallmark feature of GAD-uncontrolled and excessive worry. In order to optimize clinical applicability, variables associated with GAD treatment outcomes were also examined.Methods Systematic search of relevant databases and iterative searches of references from articles retrieved. All studies were required to have been a randomized control trial (RCT), to have used the Penn State Worry Questionnaire (PSWQ) or its abbreviated version (PSWQ-A) as an outcome measure, and to have conducted CBT with outpatient older adults. Fourteen RCTs (N = 985) were suitable and random-effects meta-analyses and univariate meta-regressions were conducted.Results At the end of treatment, and at 6-month follow-up, significant treatment effects favoring CBT were found in comparison to a waitlist or treatment-as-usual. When CBT was compared with active controls, a small nonsignificant treatment advantage was found for CBT at the end of treatment, with equivalence of outcomes at follow-up. Treatment effect size of CBT for GAD was significantly associated with attrition rates and depression outcomes.Conclusions CBT is more helpful than having no treatment for GAD in later life. Nevertheless, whether CBT shows long-term durability, or is superior to other commonly available treatments (such as supportive psychotherapy), remains to be tested. The relationship between treatment effects for GAD and depression following CBT warrants further research.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
CBT also works well when delivered remotely, and to a lesser extent in the elderly.
“CBT also works well when delivered remotely [107], and to a lesser extent in the elderly [108,109].”
From Cognitive behavioral therapy and acceptance and commitment therapy for the discontinuation of long-term benzodiazepine use in insomnia and anxiety disorders (2021) · cites this paper as [108]
The Discussion reports that CBT is efficacious for older adults with generalized anxiety disorder compared with a waitlist or treatment as usual. It says the treatment effects add to evidence *suggesting* CBT may be less effective for older adults than younger adults; the citing sentence presents that relative difference more definitively. This source is cited for the elderly clause, not the remote-delivery clause. (LLM, conf=0.85)
Experimental — accuracy not yet measuredCBT may be less effective when applied to older adults as compared with younger populations.
“Furthermore, several studies have suggested that CBT may be less effective when applied to older adults as compared with younger populations, potentially because of age-related cognitive decline [20, 21], comorbidities such as generalised anxiety disorder [22–24], or general low perceived need or reluctance to seek for mental health treatment due to poor expectancies or stigma [25, 26].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Diagnostic and Statistical Manual of Mental Disorders
Williams, J. B. W., & First, M. B. (2013) · Oxford University Press eBooks · doi:10.1093/acrefore/9780199975839.013.104 · Cited by 109,841 · see citing works
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: the PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & for the PRISMA Group (2009) · BMJ · doi:10.1136/bmj.b2535 · Cited by 83,823 · see citing works
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement.
(2009) · PubMed Central · Cited by 44,859 · see citing works
Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement
Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & the PRISMA Group* (2009) · Annals of Internal Medicine · doi:10.7326/0003-4819-151-4-200908180-00135 · Cited by 37,554 · see citing works
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763 · see citing works
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Operating characteristics of a rank correlation test for publication bias
Begg, C. B., & Mazumdar, M. (1994) · Biometrics · doi:10.2307/2533446 · Cited by 16,955 · see citing works
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2009) · doi:10.1002/9780470743386 · Cited by 14,225 · see citing works
Diagnostic and Statistical Manual of Mental Disorders
&NA; (1988) · Alzheimer Disease & Associated Disorders · doi:10.1097/00002093-198802020-00022 · Cited by 12,603 · see citing works
Borenstein, M., Hedges, L. V., Higgins, J. P. T., & Rothstein, H. R. (2021) · doi:10.1002/9781119558378 · Cited by 9,799 · see citing works
Cohen, J. (1992) · Psychological Bulletin · doi:10.1037//0033-2909.112.1.155 · Cited by 8,771 · see citing works
Measuring nominal scale agreement among many raters.
Fleiss, J. L. (1971) · Psychological Bulletin · doi:10.1037/h0031619 · Cited by 8,733 · see citing works
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
Distribution Theory for Glass's Estimator of Effect Size and Related Estimators
Hedges, L. V. (1981) · Journal of Educational Statistics · doi:10.2307/1164588 · Cited by 5,695 · see citing works
Development and validation of the Penn State Worry Questionnaire
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990) · Behaviour Research and Therapy · doi:10.1016/0005-7967(90)90135-6 · Cited by 5,099 · see citing works
The size and burden of mental disorders and other disorders of the brain in Europe 2010
Wittchen, H. U., Jacobi, F., Rehm, J., Gustavsson, A., Svensson, M., Jönsson, B., Olesen, J., Allgulander, C., Alonso, J., Faravelli, C., et al. (2011) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2011.07.018 · Cited by 3,754 · see citing works
How should meta‐regression analyses be undertaken and interpreted?
Thompson, S. G., & Higgins, J. P. T. (2002) · Statistics in Medicine · doi:10.1002/sim.1187 · Cited by 3,026 · see citing works
Publication and related bias in meta-analysis
Sterne, J. A. C., Gavaghan, D., & Egger, M. (2000) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00242-0 · Cited by 2,282 · see citing works
Investigating and dealing with publication and other biases in meta-analysis
Sterne, J. A. C., Egger, M., & Smith, G. D. (2001) · BMJ · doi:10.1136/bmj.323.7304.101 · Cited by 2,225 · see citing works
What is meant by intention to treat analysis? Survey of published randomised controlled trials
Hollis, S., & Campbell, F. (1999) · BMJ · doi:10.1136/bmj.319.7211.670 · Cited by 2,160 · see citing works
Bias and Efficiency of Meta-Analytic Variance Estimators in the Random-Effects Model
Viechtbauer, W. (2005) · Journal of Educational and Behavioral Statistics · doi:10.3102/10769986030003261 · Cited by 1,699 · see citing works
A comparison of methods to detect publication bias in meta‐analysis
Macaskill, P., Walter, S. D., & Irwig, L. (2001) · Statistics in Medicine · doi:10.1002/sim.698 · Cited by 1,286 · see citing works
Size of Treatment Effects and Their Importance to Clinical Research and Practice
KRAEMER, H. C., & Kupfer, D. J. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.09.014 · Cited by 850 · see citing works
Anxiety disorders in older adults: a comprehensive review
Wolitzky-Taylor, K. B., Castriotta, N., Lenze, E. J., Stanley, M. A., & Craske, M. G. (2010) · Depression and Anxiety · doi:10.1002/da.20653 · Cited by 726 · see citing works
Furukawa, T. A., Noma, H., Caldwell, D. M., Honyashiki, M., Shinohara, K., Imai, H., Chen, P., Hunot, V., & Churchill, R. (2014) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.12275 · Cited by 521 · see citing works
Wilamowska, Z. A., Thompson-Hollands, J., Fairholme, C. P., Ellard, K. K., Farchione, T. J., & Barlow, D. H. (2010) · Depression and Anxiety · doi:10.1002/da.20735 · Cited by 314 · see citing works
A meta-analysis of CBT for pathological worry among clients with GAD
Covin, R., Ouimet, A. J., Seeds, P. M., & Dozois, D. J. A. (2008) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2007.01.002 · Cited by 293 · see citing works
Late-Life Anxiety and Cognitive Impairment: A Review
Beaudreau, S. A., & O'Hara, R. M. (2008) · American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31817945c3 · Cited by 290 · see citing works
Generalized worry disorder: a review of DSM-IV generalized anxiety disorder and options for DSM-V
Andrews, G., Hobbs, M. J., Borkovec, T. D., Beesdo, K., Craske, M. G., Heimberg, R. G., Rapee, R. M., Ruscio, A. M., & Stanley, M. A. (2010) · Depression and Anxiety · doi:10.1002/da.20658 · Cited by 273 · see citing works
Hopko, D. R., Reas, D. L., Beck, J. G., Stanley, M. A., Wetherell, J. L., Novy, D. M., & Averill, P. M. (2003) · Psychological Assessment · doi:10.1037/1040-3590.15.2.173 · Cited by 271 · see citing works
Gould, R. L., Coulson, M. C., & Howard, R. J. (2012) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2011.03824.x · Cited by 267 · see citing works
The role of method in treatment effectiveness research: Evidence from meta-analysis.
Wilson, D. B., & Lipsey, M. W. (2001) · Psychological Methods · doi:10.1037/1082-989x.6.4.413 · Cited by 261 · see citing works
Porensky, E. K., Dew, M. A., Karp, J. F., Skidmore, E., Rollman, B. L., Shear, M. K., & Lenze, E. J. (2009) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31819b87b2 · Cited by 255 · see citing works
Stanley, M. A., Wilson, N. L., Novy, D. M., Rhoades, H. M., Wagener, P. D., Greisinger, A. J., Cully, J. A., & Kunik, M. E. (2009) · JAMA · doi:10.1001/jama.2009.458 · Cited by 247 · see citing works
Cognitive-behavioral treatment of late-life generalized anxiety disorder
Stanley, M. A., Beck, J. G., Novy, D. M., Averill, P. M., Swann, A. C., Diefenbach, G. J., & Hopko, D. R. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.2.309 · Cited by 247 · see citing works
Evidence-based psychological treatments for late-life anxiety
Ayers, C. R., Sorrell, J. T., Thorp, S. R., & Wetherell, J. L. (2007) · Psychology and Aging · doi:10.1037/0882-7974.22.1.8 · Cited by 235 · see citing works
The role of executive functioning in CBT: a pilot study with anxious older adults
Mohlman, J., & Gorman, J. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2004.03.007 · Cited by 229 · see citing works
Interventions for generalized anxiety disorder in older adults: Systematic review and meta-analysis
Gonçalves, D. C., & Byrne, G. J. (2012) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2011.08.010 · Cited by 227 · see citing works
Jackson, D., Bowden, J., & Baker, R. (2010) · Journal of Statistical Planning and Inference · doi:10.1016/j.jspi.2009.09.017 · Cited by 226 · see citing works
Treatment of generalized anxiety disorder in older adults.
Wetherell, J. L., Gatz, M., & Craske, M. G. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.1.31 · Cited by 205 · see citing works
Treatment of generalized anxiety disorder in older adults.
Wetherell, J. L., Gatz, M., & Craske, M. G. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.71.1.31 · Cited by 198 · see citing works
Watts, S. E., Turnell, A., Kladnitski, N., Newby, J. M., & Andrews, G. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.12.025 · Cited by 188 · see citing works
Development of a quality assessment instrument for trials of treatments for depression and neurosis
Moncrieff, J., Churchill, R., Drummond, D. C., & McGuire, H. (2001) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.108 · Cited by 185 · see citing works
Stanley, M. A., Beck, J. G., & Glassco, J. D. (1996) · Behavior Therapy · doi:10.1016/s0005-7894(96)80044-x · Cited by 184 · see citing works
Cognitive-behavioural therapy for late-life anxiety disorders: a systematic review and meta-analysis
Hendriks, G. J., Oude Voshaar, R. C., Keijsers, G. P. J., Hoogduin, C. A. L., & Van Balkom, A. J. L. M. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01190.x · Cited by 184 · see citing works
Siev, J., & Chambless, D. L. (2007) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.75.4.513 · Cited by 182 · see citing works
Crittendon, J., & Hopko, D. R. (2006) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2005.11.006 · Cited by 177 · see citing works
The Influence of Anxiety on the Progression of Disability
Brenes, G. A., Guralnik, J. M., Williamson, J. D., Fried, L. P., Simpson, C. F., Simonsick, E. M., & Penninx, B. W. J. H. (2004) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.2005.53007.x · Cited by 177 · see citing works
Wetherell, J. L., Liu, L., Patterson, T. L., Afari, N., Ayers, C. R., Thorp, S. R., Stoddard, J. A., Ruberg, J., Kraft, A., Sorrell, J. T., et al. (2011) · Behavior Therapy · doi:10.1016/j.beth.2010.07.002 · Cited by 175 · cited 1× · see citing works
“…Glassco (1996) 61 48 Group (14) (12x90min) Supportive psychotherapy 35.0 (31.0) (35.0) 6 (6) 20% reduction in 75% of OM 19.2 (35.0) 32 Medium- high Wetherell et al. (2011) 62 21 Individual (12) (12x60min) Acceptance and commitment Therapy 42.3 (44.4) (00) 6 (6) Not stated N/A…”
InfluentialHumanistic and economic burden of generalized anxiety disorder in North America and Europe
Revicki, D. A., Travers, K., Wyrwich, K. W., Svedsäter, H., Locklear, J., Mattera, M. S., Sheehan, D. V., & Montgomery, S. (2012) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.11.014 · Cited by 172 · see citing works
Wetherell, J. L., Petkus, A. J., White, K. S., Nguyen, H., Kornblith, S. J., Andreescu, C., Zisook, S., & Lenze, E. J. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.12081104 · Cited by 153 · see citing works
Brenes, G. A., Danhauer, S. C., Lyles, M. F., Hogan, P. E., & Miller, M. E. (2015) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2015.1154 · Cited by 143 · see citing works
Mohlman, J., Gorenstein, E. E., Kleber, M. S., de Jesus, M., Gorman, J. M., & Papp, L. A. (2003) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200301000-00005 · Cited by 139 · see citing works
A meta-analysis of cognitive therapy for worry in generalized anxiety disorder
Hanrahan, F., Field, A. P., Jones, F. W., & Davey, G. C. L. (2013) · Clinical Psychology Review · doi:10.1016/j.cpr.2012.10.008 · Cited by 135 · see citing works
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. (2001) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(00)00030-9 · Cited by 128 · see citing works
Anxiety and Its Association With Depression Among Institutionalized Elderly
Parmelee, P. A., Katz, I. R., & Lawton, M. P. (1993) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-199300110-00007 · Cited by 125 · see citing works
Dynamic mutations and psychiatric genetics
O’Donovan, M. C., & Owen, M. J. (1996) · Psychological Medicine · doi:10.1017/s0033291700033663 · Cited by 113 · see citing works
Andreescu, C., Sheu, L. K., Tudorascu, D., Gross, J. J., Walker, S. E., Banihashemi, L., & Aizenstein, H. J. (2014) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2014.05.003 · Cited by 97 · see citing works
Stanley, M. A., Wilson, N. L., Amspoker, A. B., Kraus-Schuman, C., Wagener, P. D., Calleo, J. S., Cully, J. A., Teng, E., Rhoades, H. M., Williams, S., et al. (2014) · Depression and Anxiety · doi:10.1002/da.22239 · Cited by 96 · see citing works
Stanley, M. A., Hopko, D. R., Diefenbach, G. J., Bourland, S. L., Rodriguez, H., & Wagener, P. D. (2003) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200301000-00012 · Cited by 94 · see citing works
Modular psychotherapy for anxiety in older primary care patients
Wetherell, J. L., Ayers, C. R., Sorrell, J. T., Thorp, S. R., Nuevo, R., Belding, W., Gray, E., Stanley, M. A., Areán, P. A., Donohue, M., et al. (2009) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181a31fb5 · Cited by 78 · see citing works
A community based survey of older adults' preferences for treatment of anxiety.
Mohlman, J. (2011) · Psychology and Aging · doi:10.1037/a0023126 · Cited by 71 · see citing works
Wuthrich, V., Johnco, C., & Knight, A. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.07.005 · Cited by 66 · see citing works
Wuthrich, V. M., Rapee, R. M., Kangas, M., & Perini, S. J. (2015) · Psychological Medicine · doi:10.1017/s0033291715002251 · Cited by 61 · see citing works
Mohlman, J. (2008) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2007.07.002 · Cited by 56 · see citing works
The spectrum of worry in the community-dwelling elderly
Golden, J., Conroy, R. M., Bruce, I., Denihan, A., Greene, E., Kirby, M., & LAWLOR, B. A. (2011) · Aging & Mental Health · doi:10.1080/13607863.2011.583621 · Cited by 52 · see citing works
The Nature of Generalized Anxiety in Older Primary Care Patients: Preliminary Findings
Stanley, M. A., Diefenbach, G. J., Hopko, D. R., Novy, D. M., Kunik, M. E., WILSON, N. L., & Wagener, P. D. (2003) · Journal of Psychopathology and Behavioral Assessment · doi:10.1023/a:1025903214019 · Cited by 46 · see citing works
Cognitive-Behavioral Therapy for Management of Anxiety and Medication Taper in Older Adults
Mohlman, J., Gorman, J. M., Gorenstein, E. E., Kleber, M. S., Dejesus, M., & Papp, L. A. (2005) · American Journal of Geriatric Psychiatry · doi:10.1097/00019442-200510000-00010 · Cited by 43 · see citing works
Stanley, M. A. (2003) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.11.1.92 · Cited by 34 · see citing works
Threshold and Subthreshold Generalized Anxiety Disorder in Later Life
Miloyan, B. H., Byrne, G. J., & Pachana, N. A. (2014) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2014.08.010 · Cited by 33 · see citing works
Cognitive-Behavioral Therapy for Management of Anxiety and Medication Taper in Older Adults
Gorenstein, E. E. (2005) · American Journal of Geriatric Psychiatry · doi:10.1176/appi.ajgp.13.10.901 · Cited by 32 · see citing works
Barrera, T. L., Cully, J. A., Amspoker, A. B., Wilson, N. L., Kraus-Schuman, C., Wagener, P. D., Calleo, J. S., Teng, E. J., Rhoades, H. M., Masozera, N., et al. (2015) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2015.04.005 · Cited by 28 · see citing works
Telephone-delivered psychotherapy for late-life anxiety.
Brenes, G. A., Ingram, C. W., & Danhauer, S. C. (2012) · Psychological Services · doi:10.1037/a0025950 · Cited by 12 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [37]37. Stanley MA, Wilson NL, Amspoker AB: Lay providers can deliver effective cognitive behavior therapy for older adults with generalized anxiety disorder: A randomized trial. Depress Anxiety 2014; 31:391-401
Cited by
Sorted by citations
Treatment of anxiety disorders
Bandelow, B., Michaelis, S., & Wedekind, D. (2017) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2017.19.2/bbandelow · Cited by 811 · see citing works
Apolinário-Hagen, J., Drüge, M., & Fritsche, L. (2020) · Advances in Experimental Medicine and Biology · doi:10.1007/978-981-32-9705-0_17 · Cited by 100 · see citing works
Eilert, N., Enrique, A., Wogan, R., Mooney, O., Timulak, L., & Richards, D. (2021) · Depression and Anxiety · doi:10.1002/da.23115 · Cited by 60 · see citing works
“…meta‐analyses of psychological treatments of GAD, some of which included Internet‐delivered interventions (e.g., Carl et al., 2020; Chen et al., 2019; Hall et al., 2016), none specifically set out to evaluate all available evidence for Internet‐delivered interventions (e.g., they only included…”
BackgroundChapoutot, M., Peter-Derex, L., Bastuji, H., Leslie, W., Schoendorff, B., Heinzer, R., Siclari, F., Nicolas, A., Lemoine, P., Higgins, S., et al. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph181910222 · Cited by 59 · see citing works
Dworschak, C., Heim, E., & Maercker, A. (2022) · Internet Interventions · doi:10.1016/j.invent.2022.100498 · Cited by 48 · see citing works
Ogez, D., Péloquin, K., Bertout, L., Bourque, C.-J., Curnier, D., Drouin, S., Laverdière, C., Marcil, V., Ribeiro, R., Callaci, M., et al. (2019) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-019-09612-8 · Cited by 35 · see citing works
ALAVI, N., & HIRJI, A. (2020) · Journal of Psychiatric Practice · doi:10.1097/pra.0000000000000455 · Cited by 33 · see citing works
Anxiety Disorders in Late Life
Ramos, K., & Stanley, M. A. (2018) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2017.10.005 · Cited by 33 · see citing works
Torres-Platas, S. G., Escobar, S., Belliveau, C., Wu, J., Sasi, N., Fotso, J., Potes, A., Thomas, Z., Goodman, A., Looper, K., et al. (2019) · Psychotherapy and Psychosomatics · doi:10.1159/000501214 · Cited by 30 · see citing works
Development of a video-delivered relaxation treatment of late-life anxiety for veterans
Gould, C. E., Zapata, A. M. L., Bruce, J., Bereknyei Merrell, S., Wetherell, J. L., O'Hara, R., Kuhn, E., Goldstein, M. K., & Beaudreau, S. A. (2017) · International Psychogeriatrics · doi:10.1017/s1041610217000928 · Cited by 23 · see citing works
Anxiety Disorders in Late Life
Ramos, K., & Stanley, M. A. (2020) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2019.11.005 · Cited by 20 · see citing works
Anxiety Disorders in Later Life
Johnco, C. J., Matovic, D., & Wuthrich, V. M. (2024) · Psychiatric Clinics of North America · doi:10.1016/j.psc.2024.04.015 · Cited by 12 · see citing works
Sun, Y., Tian, Z., Ma, Y., Zhu, Q., Zheng, R., Guan, Y., & Zhang, X. (2025) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.13138 · Cited by 12 · see citing works
Wang, Y.-H., Wang, Y.-L., Leung, D. K. Y., Ng, Z. L. Y., Chan, O. L. H., Wong, S. M. Y., Chan, R. C. L., Liu, T., Wong, G. H. Y., & Lum, T. Y. S. (2025) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-025-04781-6 · Cited by 5 · see citing works
Hall, J., Kellett, S., Kaur Bains, M., Stonebank, H., & Scott, S. (2020) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465820000235 · Cited by 4 · see citing works
Self-citationMalivoire, B. L., Stewart, K. E., Cameron, D., Rowa, K., & McCabe, R. E. (2024) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465823000632 · Cited by 4 · see citing works
“…has been speculated that older adults may benefit less from treatment due to factors such as cognitive decline and differences in the clinical expression of GAD symptoms (Covin et al ., 2008; Mohlman, 2008; Wolitzky-Taylor et al ., 2010; Hall et al ., 2016), especially when offered in group format.”
Anxiety and Fear-Related Disorders: Generalized Anxiety Disorder
Rosellini, A. J., & Brown, T. A. (2024) · Tasman’s Psychiatry · doi:10.1007/978-3-030-51366-5_74 · Cited by 1 · see citing works
- Authors
- Hall, J., Kellett, S., Berrios, R., Bains, M. K., & Scott, S.
- Affiliations
- University of Sheffield (GB)
- Sheffield Health and Social Care NHS Foundation Trust (GB)
- Corresponding author
- Hall, Jo
- ORCID
- Kellett, Stephen
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2016-11
- Volume
- 24
- Issue
- 11
- Pages
- 1063-1073
- ISSN
- 1064-7481 (ISSN-L)
- OpenAlex
- W2429546986
- Cited by
- 157
- References
- 74
- Citations by year
- 2026: 8 · 2025: 19 · 2024: 17 · 2023: 23 · 2022: 17 · 2021: 22 · 2020: 21 · 2019: 11 · 2018: 9 · 2017: 9 · 2016: 1
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- generalized anxiety disorder, cognitive behavioral therapy, older adults, outpatient psychotherapy, Penn State Worry Questionnaire, worry, treatment discontinuation, depression, treatment durability, psychotherapy efficacy
- MeSH terms
- Aged, Anxiety Disorders, Humans, Regression Analysis, Cognitive Behavioral Therapy, Treatment Outcome
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
