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DSM-IV criteria for generalized anxiety disorder in older adults: Distinguishing the worried from the well.
Abstract
This study compared 36 older adults with generalized anxiety disorder (GAD), 22 older adults with subsyndromal anxiety symptoms, and 32 normal controls on criteria of the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) for GAD. GAD patients reported more frequent and uncontrollable worry, somewhat different worry content, higher prevalence of most associated symptoms, and more distress or impairment than the subsyndromal group or normal controls. Individuals with subsyndromal anxiety reported more excessive, frequent, and uncontrollable worry than asymptomatic individuals, along with more sleep disturbance, fatigue, and distress or impairment. Results indicate that the key features of late-life GAD are distress and impairment, frequency and uncontrollability of worry, muscle tension, and sleep disturbance and that clinicians treating older adults with GAD should monitor and treat residual symptoms.
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“sub-clinical, “healthy” samples often report meaningful anxiety symptoms that impact one’s well-being and quality of life (59–63)”
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Metadata
- Authors
- Wetherell, J. L., Le Roux, H., & Gatz, M.
- Affiliations
- University of California San Diego (US)
- University of Southern California (US)
- Venue
- Psychology and Aging
- Published
- 2003-09
- Volume
- 18
- Issue
- 3
- Pages
- 622-627
- ISSN
- 0882-7974 (ISSN-L)
- 1939-1498
- OpenAlex
- W2104022065
- Cited by
- 103
- References
- 38
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 3 · 2017: 7 · 2016: 1 · 2015: 9 · 2014: 8 · 2013: 4 · 2012: 6
- FWCI
- 8.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychology and Aging (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (T32 MH19934, F31 MH11972, F31MH011972, T32MH019934)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- generalized anxiety disorder, older adults, late-life anxiety, DSM-IV diagnostic criteria, worry, sleep disorders, fatigue, muscle tension, residual symptoms
- MeSH terms
- Aged, Aged, 80 and over, Aging, Anxiety, Anxiety Disorders, Diagnosis, Differential, Female, Persons with Disabilities, Humans, Male, Middle Aged, Psychiatric Status Rating Scales, Sensitivity and Specificity, Sleep Wake Disorders, Stress, Psychological, Diagnostic and Statistical Manual of Mental Disorders
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