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Cognitive-behavioral treatment of Generalized Anxiety Disorder (GAD) for older adults
Author(s)Robert Ladouceur, Éliane Léger, Michel Dugas
Journal titleInternational Psychogeriatrics, vol 16, no 2, June 2004
Pagespp 195-208
Sourcehttp://journals.cambridge.org
KeywordsAnxiety ; Cognitive processes ; Psychiatric treatment ; Therapy ; Longitudinal surveys.
AnnotationGeneralized Anxiety Disorder (GAD) is one of the most prevalent anxiety disorders in older people. Estimates of prevalence vary from 3% to 12%, depending on the minimum age considered and assessment criteria. The present study assesses a GAD-specific instrument recently validated with adults by Ladouceur et al and adapted for older people. 8 older people aged 60-71 were included in a single-case experimental multiple-baseline design across subjects. Assessments were conducted at pre-test, post-test, and at 6- and 12-month follow-ups. The treatment consisted of awareness training, worry interventions and relapse prevention. The worry interventions targeted intolerance of uncertainty, beliefs about worry, problem-solving and cognitive avoidance. According to daily self-monitoring, ADIS-IV ratings and self-reported questionnaire scores, seven out of eight participants showed clinically significant improvement at post-test. These therapeutic gains were maintained at 6- and 12-month follow-ups. The study shows that this cognitive-behaviour treatment that targets intolerance of uncertainty, erroneous beliefs about worry, poor problem orientation and cognitive avoidance is effective for treating GAD in older people. (RH).
Accession NumberCPA-040812221 A
ClassmarkENP: DA: LP: LO: 3J

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