Lack of interventions for anxiety in older people
Open accessAbstract
Summary: Although anxiety disorders are common in later life, only a minority of patients receive appropriate treatment. The scarcity of clinical trials and decreasing effectiveness of current treatment modalities with advancing age, as shown by Wetherell and colleagues in this issue, argue for more clinical trials and development of age-specific psychotherapeutic techniques.
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?
It is challenging for clinicians and patients to differentiate between functional and pathological anxiety in older adults, and anxiety in elderly adults is regularly considered an epiphenomenon of a physical condition or part of normal aging.
“Also, it seems challenging for both clinicians and patients to differentiate between functional and pathological anxiety in older adults; anxiety in elderly adults is regularly considered to be an epiphenomenon of a physical condition or part of the normal aging process [4, 6].”
From An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial. (2018) · cites this paper as [6]
Split into 2 atoms — 1 confirmed, 1 partially supported, 0 disputed, 0 misattributed, 0 unverifiable. Expand the claim to see per-atom verdicts.
Experimental — accuracy not yet measuredThe effect sizes for CBT in anxious older adults are relatively small.
“However, researchers suggest investigating other treatment approaches as well, since the effect sizes for CBT in anxious older adults are relatively small and several analyses suggest that older adults benefit less from CBT for anxiety than the younger adult population [2, 6, 28, 31, 32].”
From An Internet-based Acceptance and Commitment Therapy intervention for older adults with anxiety complaints: study protocol for a cluster randomized controlled trial. (2018) · cites this paper as [6]
In “Towards treatment possibilities in later life” (page unavailable), the paper says CBT might be less effective in older than younger people and that antidepressants may be more effective than CBT in later life. It does not report CBT effect sizes or establish that they are relatively small; the “relatively small” studies discussed in “Available evidence” refer to sample sizes, not treatment effects. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOnly a small proportion of anxious older adults receive adequate psychological help.
“Despite the repeatedly demonstrated negative impact of anxiety in later life, only a small proportion of anxious older adults receive adequate psychological help [7-9].”
Older adults benefit less from CBT for anxiety than the younger adult population.
“However, researchers suggest investigating other treatment approaches as well, since the effect sizes for CBT in anxious older adults are relatively small and several analyses suggest that older adults benefit less from CBT for anxiety than the younger adult population [2, 6, 28, 31, 32].”
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
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
de BEURS, E., BEEKMAN, A. T. F., van BALKOM, A. J. L. M., DEEG, D. J. H., van DYCK, R., & van TILBURG, W. (1999) · Psychological Medicine · doi:10.1017/s0033291799008351 · Cited by 378 · 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
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-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
Self-citationWetherell, 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 · see citing works
Grenier, S., Préville, M., Boyer, R., O’Connor, K., Béland, S.-G., Potvin, O., Hudon, C., & Brassard, J. (2011) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e3181ff416c · Cited by 153 · 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
Meta-analysis comparing different behavioral treatments for late-life anxiety
Thorp, S. R., Ayers, C. R., Nuevo, R., Stoddard, J. A., Sorrell, J. T., & Wetherell, J. L. (2009) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31818b3f7e · Cited by 134 · see citing works
Pinquart, M., & Duberstein, P. R. (2007) · The American Journal of Geriatric Psychiatry · doi:10.1097/jgp.0b013e31806841c8 · Cited by 126 · see citing works
Hendriks, G., Keijsers, G. P. J., Kampman, M., Voshaar, R. C. O., Verbraak, M. J. P. M., Broekman, T. G., & Hoogduin, C. A. L. (2009) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2009.01517.x · Cited by 95 · see citing works
Self-citationAge differences in treatment response to a collaborative care intervention for anxiety disorders
Wetherell, J. L., Petkus, A. J., Thorp, S. R., Stein, M. B., Chavira, D. A., Campbell-Sills, L., Craske, M. G., Sherbourne, C., Bystritsky, A., Sullivan, G., et al. (2013) · British Journal of Psychiatry · doi:10.1192/bjp.bp.112.118547 · Cited by 65 · see citing works
Wetherell, J. L., Stoddard, J. A., White, K. S., Kornblith, S. J., Nguyen, H., Andreescu, C., Zisook, S., & Lenze, E. J. (2010) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.2619 · Cited by 25 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- [9]9. Stanley MA, Wilson NL, Novy DM, Rhoades HM, Wagener PD, Greisinger AJ, et al. Cognitive behaviour therapy for generalized anxiety disorder among older adults in primary care. JAMA 2009; 301: 1460-7.
Cited by
Sorted by citations
Baldwin, D. S., Anderson, I. M., Nutt, D. J., Allgulander, C., Bandelow, B., den Boer, J. A., Christmas, D. M., Davies, S., Fineberg, N., Lidbetter, N., et al. (2014) · Journal of Psychopharmacology · doi:10.1177/0269881114525674 · Cited by 676 · see citing works
Witlox, M., Garnefski, N., Kraaij, V., de Waal, M. W. M., Smit, F., Bohlmeijer, E., & Spinhoven, P. (2021) · Journal of Medical Internet Research · doi:10.2196/24366 · Cited by 43 · see citing works
“Despite the repeatedly demonstrated negative impact of anxiety in later life, only a small proportion of anxious older adults receive adequate psychological help [7-9].”
Barton, S., Karner, C., Salih, F., Baldwin, D. S., & Edwards, S. J. (2014) · Health Technology Assessment · doi:10.3310/hta18500 · Cited by 36 · see citing works
“Although there is an increasing awareness of the difficulties in treating anxiety in older adults, there is a lack of an evidence base in this population.(98) Records after duplicates removed (n = 3644) Records identified through database searching (n = 4810) • The Cochrane Library, n = 931 • EMBASE, n = 1116 • MEDLIN…”
Suicide in patients suffering from late-life anxiety disorders; a comparison with younger patients
Voshaar, R. C. O., van der Veen, D. C., Kapur, N., Hunt, I. M., Williams, A., & Pachana, N. A. (2015) · International Psychogeriatrics · doi:10.1017/s1041610215000125 · Cited by 35 · see citing works
Self-citationWitlox, M., Kraaij, V., Garnefski, N., de Waal, M. W. M., Smit, F., Hoencamp, E., Gussekloo, J., Bohlmeijer, E. T., & Spinhoven, P. (2018) · Trials · doi:10.1186/s13063-018-2731-3 · Cited by 23 · see citing works
Voshaar, R. C. O., Dhondt, T. D. F., Fluiter, M., Naarding, P., Wassink‐Vossen, S., Smeets-Janssen, M. M. J., Pelzers, L. P. R. M., Lugtenburg, A., Veenstra, M. S., Marijnissen, R. M., et al. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2176-6 · Cited by 13 · see citing works
Self-citationvan Dijk, S. D. M., Bouman, R., Folmer, E. H., van Alphen, S. P. J., van den Brink, R. H. S., & Voshaar, R. C. O. (2022) · Clinical Gerontologist · doi:10.1080/07317115.2022.2099330 · Cited by 9 · see citing works
Self-citationGeneral practice nurse–led screening for anxiety in later life in Australian primary care settings
Hills, D., Hills, S., Robinson, T., Northam, H. L., & Hungerford, C. L. (2019) · Australian Journal on Ageing · doi:10.1111/ajag.12637 · Cited by 4 · see citing works
Hills, D., Hills, S., Robinson, T., & Hungerford, C. L. (2019) · Issues in Mental Health Nursing · doi:10.1080/01612840.2018.1517285 · Cited by 4 · see citing works
Cognitive Behaviour Therapy for Insomnia in Co-morbid Psychiatric Disorders
O'Regan, D. J. (2018) · Springer eBooks · doi:10.1007/978-3-642-54836-9_9 · Cited by 2 · see citing works
'Is it me, my aging body, or the doctor?' Medically unexplained symptoms in later life
Hanssen, D. J. C. (2017) · Radboud Repository (Radboud University)
Voshaar, R. C. O., & Gulpers, B. J. A. (2020) · Bohn Stafleu van Loghum eBooks · doi:10.1007/978-90-368-2453-8_32
Self-citationVoshaar, R. C. O. (2015) · Kernboek · doi:10.1007/978-90-368-0444-8_24
Self-citation
- Authors
- Voshaar, R. C. O.
- Affiliations
- University Medical Center Groningen (NL)
- Corresponding author
- Voshaar, Richard C. Oude
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2013-07
- Volume
- 203
- Issue
- 1
- Pages
- 8-9
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2125712165
- Cited by
- 13
- References
- 13
- Citations by year
- 2022: 1 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 2 · 2017: 1 · 2015: 2 · 2014: 2
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (publishedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- anxiety disorders, older adults, geriatric mental health, treatment gap, clinical trials
- MeSH terms
- Anxiety Disorders, Female, Humans, Male, Therapy, Computer-Assisted, Anti-Anxiety Agents, Cognitive Behavioral Therapy
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
