Efficacy of Cognitive Behavioral Therapy for Anxiety Disorders in Older People: A Meta‐Analysis and Meta‐Regression of Randomized Controlled Trials

Gould, Rebecca L.; Coulson, Mark; Howard, Robert

doi:10.1111/j.1532-5415.2011.03824.x

Cited by 197 publications

(126 citation statements)

References 47 publications

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“…Thirdly, the CBT arm needed to have included psycho-education, cognitive restructuring, and exposure as treatment components. 15 Finally, studies needed to have used the PSWQ or the PSWQ-A as an outcome measure.…”

Section: Eligibility Criteriamentioning

confidence: 99%

“…[13][14][15][16] Reviews have also suggested that CBT may be less effective for older adults than it is for younger adults, because of the effect of cognitive decline due to aging and high rates of psychiatric comorbidity. [17][18][19] However, there are two key weaknesses of the evidence base for talking treatments for older adults with GAD: lack of specificity and measurement issues.…”

Section: Introductionmentioning

confidence: 99%

“…Firstly, existing reviews have tended to cover a wide range of psychotherapeutic treatment options or late-life anxiety disorders and have therefore unwittingly masked potential differences between specific psychotherapies. [13][14][15][16]20 Secondly, previous reviews have measured effect sizes using a pooled anxiety composite, which has diluted and obscured treatment effects with respect to the defining feature of GAD:…”

Section: Introductionmentioning

confidence: 99%

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Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Hall

Kellett

Berrios

et al. 2016

The American Journal of Geriatric Psychiatry

120

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Article available under the terms of the CC-BY-NC-ND licence (https://creativecommons.org/licenses/by-nc-nd/4.0/) eprints@whiterose.ac.uk https://eprints.whiterose.ac.uk/ Reuse This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs (CC BY-NC-ND) licence. This licence only allows you to download this work and share it with others as long as you credit the authors, but you can't change the article in any way or use it commercially. More information and the full terms of the licence here: https://creativecommons.org/licenses/ Takedown If you consider content in White Rose Research Online to be in breach of UK law, please notify us by emailing eprints@whiterose.ac.uk including the URL of the record and the reason for the withdrawal request. and six-month follow-up, significant treatment effects favoring CBT were found in comparison to a waitlist or treatment-as-usual. When CBT was compared with active controls, a small non-significant treatment advantage was found for CBT at the end of treatment, with equivalence of outcomes at follow-up. Treatment effect size of CBT for GAD was significantly associated with attrition rates and depression outcomes. Conclusions: CBT is more helpful than having no treatment for GAD in later life. However, whether CBT shows long-term durability, or is superior to other commonly available treatments (such as supportive psychotherapy), remains to be tested. The relationship between treatment effects for GAD and depression following CBT warrants further research. Efficacy of CBT for GAD in

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Section: Eligibility Criteriamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Hall

Kellett

Berrios

et al. 2016

The American Journal of Geriatric Psychiatry

120

View full text Add to dashboard Cite

show abstract

“…The goal of CBT is to reduce depressive symptoms by challenging and reversing these beliefs and attitudes and encouraging people to change their maladaptive preconceptions and behaviours in real life [87]. Although CBT has been shown to reduce symptoms of anxiety and depression in elderly populations [88,89], the evidence in people with COPD is rather limited [90]. A review based on small studies in people with COPD suggests that there is only limited evidence that CBT is effective in reducing symptoms of anxiety and depression when added to exercise and education [91].…”

Section: Promoting Mental Healthmentioning

confidence: 99%

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Hill¹,

Vogiatzis²,

Burtin³

2013

European Respiratory Review

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Comprehensive pulmonary rehabilitation is an important component in the clinical management of people with chronic obstructive pulmonary disease (COPD). Although supervised exercise training is considered the cornerstone of effective pulmonary rehabilitation, there are many other components that should be considered to manage the impairments and symptom burden, as well as the psychosocial and lifestyle changes imposed by COPD. These include approaches designed to: 1) facilitate smoking cessation; 2) optimise pharmacotherapy; 3) assist with early identification and treatment of acute exacerbations; 4) manage acute dyspnoea; 5) increase physical activity; 6) improve body composition; 7) promote mental health; 8) facilitate advance care planning; and 9) establish social support networks. This article will describe these approaches, which may be incorporated within pulmonary rehabilitation, to optimise effective chronic disease self-management. @ERSpublications This paper describes several components of comprehensive pulmonary rehabilitation, other than simply exercise training http://ow.ly/mMNRp Pulmonary rehabilitation for chronic obstructive pulmonary diseaseChronic obstructive pulmonary disease (COPD) is characterised by persistent airflow limitation due to chronic inflammation within the airways and lung in response to noxious particles or gases [1]. People with this condition are limited by dyspnoea and have impaired exercise capacity and health-related quality of life [1]. The prevalence of COPD amongst adults aged o40 years is ,10% [2], and increases to 21% in those with a significant smoking history who are visiting their family physician for any reason [3]. The natural course of COPD is punctuated with episodes of acute worsening, known as exacerbations, which contribute

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“…In view of the research evidence highlighted above, one might argue that as anxiety is a potentially treatable condition [69,[136][137][138][139], intervention may prove am important factor in the management of individuals living with cognitive impairment and dementia [2,62,75], with dissemination of information regarding late-life anxiety disorder vital as evidence-based treatments, pharmacological and psychotherapy, are available [43, [131][132][133][134][135][136][137][138][139][140][141]. There are however important caveats to consider.…”

Section: Discussionmentioning

confidence: 99%

Anxiety in old age and dementia - implications for clinical and research practice

Tales¹,

Basoudan²

2016

Neuropsychiatry (London)

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While extensive research has been performed in relation to anxiety in general, there is a marked paucity of investigation on older adulthood, especially in relation to those individuals living with mild cognitive impairment (MCI) and dementia, with the majority of such studies clinically based and focusing upon 'formal' anxiety disorders. It is however becoming increasingly evident that the detrimental effects of anxiety are not limited to clinical anxiety disorders but can instead occur in response to anxiety per se, i.e., sub-syndromal anxiety including various levels of trait and state anxiety. Furthermore, it is increasingly apparent that even non-clinical anxiety can influence many more components of information processing than previously recognized.

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Efficacy of Cognitive Behavioral Therapy for Anxiety Disorders in Older People: A Meta‐Analysis and Meta‐Regression of Randomized Controlled Trials

Cited by 197 publications

References 47 publications

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

Efficacy of Cognitive Behavioral Therapy for Generalized Anxiety Disorder in Older Adults: Systematic Review, Meta-Analysis, and Meta-Regression

The importance of components of pulmonary rehabilitation, other than exercise training, in COPD

Anxiety in old age and dementia - implications for clinical and research practice

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