Anxiety and Related Symptoms in Older Persons With Dementia: Directions for Practice

McClive-Reed, Kimberly P.; Gellis, Zvi D.

doi:10.1080/01634372.2010.524284

Cited by 7 publications

(5 citation statements)

References 128 publications

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“…These potentially promising approaches include behavioral and cognitive-behavioral therapies, music therapies, animal assisted therapies, exercise therapies and touch therapies (McClive-Reed and Gellis, 2010). In particular, music as therapy is a popular intervention in the treatment of anxiety and related symptoms in dementia, despite the lack of conclusive evidence on how music addresses anxiety (Vasionyte and Madison, 2013;Sackett et al, 1997).…”

Section: Music Therapy a Popular Non-pharmacological Treatment For Dmentioning

confidence: 98%

Group music interventions for dementia-associated anxiety: A systematic review

Ing-Randolph

Phillips

Williams

2015

International Journal of Nursing Studies

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Section: Music Therapy a Popular Non-pharmacological Treatment For Dmentioning

confidence: 98%

Group music interventions for dementia-associated anxiety: A systematic review

Ing-Randolph

Phillips

Williams

2015

International Journal of Nursing Studies

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“…(13) Among older adults with anxiety and no cognitive impairment, randomized clinical trials (RCTs) demonstrate positive effects of both antidepressant treatment and cognitive behavior therapy (CBT), (14, 15) although effects following CBT are smaller than for younger adults and small relative to active control conditions. (16, 17) Data addressing the treatment of anxiety in dementia, however, are largely limited to post-hoc analyses of outcomes following medication for Alzheimer’s disease (18) and case series of patients with anxiety and dementia treated with pharmacological and psychosocial treatments.…”

Section: Objectivementioning

confidence: 99%

The Peaceful Mind Program: A Pilot Test of a Cognitive–Behavioral Therapy–Based Intervention for Anxious Patients with Dementia

Stanley

Calleo

Bush

et al. 2013

The American Journal of Geriatric Psychiatry

134

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Objectives To assess feasibility and to conduct a preliminary evaluation of outcomes following Peaceful Mind, a CBT-based intervention for anxiety in dementia, relative to usual care (UC). Design Pilot randomized controlled trial including assessments at baseline, 3 and 6 months Setting Houston, TX Participants 32 outpatients diagnosed with mild (47%) or moderate (53%) dementia receiving care through outpatient clinics at the Veterans Affairs medical center, Baylor College of Medicine, Harris County Hospital District and community day centers for dementia, and their collaterals, who spent at least 8 hours a week with them. Intervention Peaceful Mind included up to 12 weekly in-home sessions (mean = 8.7, SD = 2.27) during the initial 3 months and up to eight brief telephone sessions (mean = 5.4, SD = 3.17) during months 3 to 6, involving self-monitoring for anxiety, deep breathing, and optional skills (coping self-statements, behavioral activation and sleep management). Patients learned skills, and collaterals served as coaches. In UC, patients received diagnostic feedback; and providers were informed of inclusion status. Measurements Neuropsychiatric Inventory-Anxiety subscale, Rating Anxiety in Dementia scale, Penn State Worry Questionnaire-Abbreviated, Geriatric Anxiety Inventory, Geriatric Depression Scale, Quality of Life in Alzheimer’s disease, Patient Health Questionnaire, Client Satisfaction Questionnaire Results Feasibility was demonstrated with regard to recruitment, attrition, and treatment characteristics. At 3 months, clinicians rated patients receiving Peaceful Mind as less anxious, and patients rated themselves as having higher quality of life; collaterals reported less distress related to loved ones’ anxiety. Although significant positive effects were not noted in other outcomes or at 6-month follow-up, the pilot nature of the trial prohibits conclusions about efficacy. Conclusions Results support that Peaceful Mind is ready for future comparative clinical trials.

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“…However, anxiety symptoms such as restlessness, being easily fatigued, and difficulty in concentrating can also frequently occur in dementia patients without anxiety 10. It might also be difficult to distinguish between symptoms of anxiety and other behavioral and psychological symptoms of dementia (BPSD) such as irritability, aggression, wandering, and sleep disturbance 14. Therefore, anxiety symptoms are often considered a part of dementia itself and sometimes it regarded as a nonspecific result of severe dementia,2 but this is still unknown 15…”

Section: Introductionmentioning

confidence: 99%

Anxiety in Dementia

Kwak

Yang

Koo

2017

Dement Neurocognitive Disord

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Until recently, there is considerable mess regarding the nature of anxiety in dementia. However, anxiety is common in this population affecting from 8% to 71% of prevalence, and resulted in poor outcome and quality of life, even after controlling for depression. Because a presentation of anxiety in the context of dementia can be different from typical early-onset anxiety disorder, it is not easy one to identify and quantify anxiety reliably. Moreover, differentiating anxiety from the depression and/or dementia itself also can be formidable task. Anxiety gradually decreases at the severe stages of dementia and this symptom may be more common in vascular dementia than in Alzheimer's disease. Due to the lack of large randomized clinical trials, optimal treatment and the true degree of efficacy of treatment is not clear yet in this population. However, these treatments can reduce adverse impact of anxiety on patients and caregivers. This article provides a brief review for the diagnosis, evaluation and treatment of anxiety in dementia.Key Words anxiety, dementia, vascular dementia, Alzheimer's disease.

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Anxiety and Related Symptoms in Older Persons With Dementia: Directions for Practice

Cited by 7 publications

References 128 publications

Group music interventions for dementia-associated anxiety: A systematic review

Group music interventions for dementia-associated anxiety: A systematic review

The Peaceful Mind Program: A Pilot Test of a Cognitive–Behavioral Therapy–Based Intervention for Anxious Patients with Dementia

Anxiety in Dementia

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