Executive skills in older adults with GAD: Relations with clinical variables and CBT outcome

Mohlman, Jan

doi:10.1016/j.janxdis.2012.12.001

Cited by 49Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPsychotherapy Techniques and ApplicationsPsychological Treatments and Assessments

Executive skills in older adults with GAD: Relations with clinical variables and CBT outcome

Mohlman, Jan·2013·Journal of Anxiety Disorders

DOI 10.1016/j.janxdis.2012.12.001

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Abstract

Although cognitive behavior therapy (CBT) is an effective intervention for treating generalized anxiety disorder (GAD) in older adults, researchers are now considering augmenting the therapy to enhance outcome. We are also long overdue in identifying moderators of CBT response (e.g., cognitive abilities) in late life anxiety. The goals of the current investigation were to examine performance on verbal versus nonverbal tests of executive skills (ES) and to test the relation between ES and clinical indices in older GAD patients. Hierarchical and logistic regression models identified baseline ES predictors of premature termination, homework compliance and quality, and indices of cognitive restructuring, an essential component of CBT. Although the analyses of response on symptom measures did not reveal any significant baseline predictors, an alternative ES grouping scheme showed that those whose ES improved during CBT also responded best in terms of worry reduction. These findings can be applied to the optimization of treatment for older anxiety patients, who are an underserved demographic group.

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CBT 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].”
From Effectiveness of an age-modified mindfulness-based cognitive therapy (MBCT) in improving mental health in older people with depressive symptoms: a non-randomised controlled trial. (2025) · cites this paper as [21]

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Authors: Mohlman, J.
Affiliations: William Paterson University (US)
Corresponding author: Mohlman, Jan
ORCID: Mohlman, Jan
Venue: Journal of Anxiety Disorders
Publisher: Elsevier BV
Published: 2013-01
Volume: 27
Issue: 1
Pages: 131-139
ISSN: 0887-6185 (ISSN-L)
DOI: 10.1016/j.janxdis.2012.12.001
OpenAlex: W2083607387
Cited by: 49
References: 79
Citations by year: 2026: 2 · 2025: 3 · 2024: 4 · 2023: 7 · 2022: 4 · 2021: 2 · 2020: 9 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 4 · 2015: 4 · 2014: 4
FWCI: 3.43
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Journal of Anxiety Disorders (publishedVersion)
PubMed (publishedVersion)
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: executive competencies, generalized anxiety disorder, older adults, cognitive behavioral therapy, cognitive restructuring, early termination, homework compliance, worry reduction, treatment moderators, late-life anxiety
MeSH terms: Aged, Aged, 80 and over, Anxiety Disorders, Female, Humans, Male, Middle Aged, Neuropsychological Tests, Cognitive Behavioral Therapy, Treatment Outcome, Executive Function

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Executive skills in older adults with GAD: Relations with clinical variables and CBT outcome

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