Extending Cognitive-Behavioral Therapy for Late-Life Anxiety to Home Care: Program Development and Case Examples
Abstract
Data suggesting that cognitive-behavioral therapy (CBT) is efficacious for late-life anxiety are accumulating; however, effectiveness has not been well established. Incorporating CBT for anxiety into home care is needed to facilitate access to evidenced-based treatment for a growing population of community-dwelling, functionally impaired elderly people. In this article, the authors describe the development of a home-based CBT program for late-life anxiety, outlining their experience partnering with a community care management organization. They also describe the CBT protocol and present data form two participants who completed the treatment. The two case examples illustrate multiple barriers to achieving successful treatment outcomes with this population. Future research needs to determine the extent to which adaptations are necessary to optimize the success of CBT for anxiety in a home care setting.
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Older adults' worries generally focus on health changes or possible developmental losses.
“Additionally, the worry content of older adults generally tends to center around changes in health or possible developmental losses (Diefenbach, Tolin, Gilliam, & Meunier, 2008).”
From Acceptance and Commitment Therapy With Older Adults: Rationale and Considerations (2013) · cites this paper as Diefenbach, Tolin, Gilliam, & Meunier, 2008
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“The cost of anxiety disorders in the general population is estimated at $42 billion per year, with the majority of these costs attributed to nonpsychiatric medical care (Greenberg et al., 1999).”
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Acceptance and Commitment Therapy With Older Adults: Rationale and Considerations
Petkus, A. J., & Wetherell, J. L. (2013) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2011.07.004 · Cited by 108 · see citing works
Anxiety Disorders in Late Life
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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
- Authors
- Diefenbach, G. J., Tolin, D. F., Gilliam, C. M., & Meunier, S. A.
- Affiliations
- Hartford Hospital (US)
- Venue
- Behavior Modification
- Publisher
- SAGE Publications
- Published
- 2008-03-11
- Volume
- 32
- Issue
- 5
- Pages
- 595-610
- ISSN
- 0145-4455 (ISSN-L)
- 1552-4167
- OpenAlex
- W2150584017
- Cited by
- 9
- References
- 6
- Citations by year
- 2021: 1 · 2020: 1 · 2017: 2 · 2016: 1
- FWCI
- 1.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behavior Modification (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (R03MH071575)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- cognitive behavioral therapy, late-life anxiety, home-based therapy, home care, older adults, community-dwelling older adults, functional disability, community care management, barriers to treatment
- MeSH terms
- Aged, Anxiety Disorders, Community Mental Health Services, Community-Institutional Relations, Connecticut, Female, Health Services for the Aged, Home Care Services, Humans, Cognitive Behavioral Therapy, Program Development, Treatment Outcome
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