Chojnacka Magdalena
II Klinika Psychiatrii IPiN w Warszawie.
Psychiatr Pol. 2009 Sep-Oct;43(5):557-69.
Of the pervasive anxiety disorders diagnosed in late life, generalized anxiety disorder (GAD) is the most prevalent. However GAD often goes unrecognised and untreated because of different clinical presentation in the elderly. Anxiety is also substantially less well studied than other forms of geriatric psychopathology. This dearth of research may result from methodological difficulties. In this paper, the clinical features of GAD among older adults are described. Psychotropic medication is the most common treatment for GAD but is not good enough and psychological treatments for GAD in older adults that are highly preferable and safer have been advocated. One of them is cognitive-behavioral therapy (CBT). In this article, literature investigating the potential usefulness of cognitive-behavioral treatments among older adults with well-diagnosed GAD is reviewed. Then, attention is given to enhancements to standard CBT, which take into account many factors and differences specific of the older cohort.
在晚年诊断出的广泛性焦虑症中，广泛性焦虑障碍（GAD）最为常见。然而，由于老年人的临床表现不同，GAD常常未被识别和治疗。与其他形式的老年精神病理学相比，焦虑症的研究也明显较少。这种研究不足可能是由于方法上的困难。本文描述了老年人中GAD的临床特征。精神药物是治疗GAD最常用的方法，但效果不佳，因此有人主张采用更可取、更安全的针对老年人GAD的心理治疗方法。其中之一是认知行为疗法（CBT）。本文回顾了关于认知行为疗法在已确诊GAD的老年人中的潜在效用的文献。然后，关注对标准CBT的改进，这种改进考虑了老年人群体的许多因素和差异。
