Ramos Katherine, Stanley Melinda A
Geriatric, Education, Research and Clinical Center (GRECC), Durham VA Medical Center, 508 Fulton Street (GRECC 182), Durham, NC 27705, USA.
Baylor College of Medicine, Center for Innovations in Quality, Effectiveness and Safety, Michael E. DeBakey VA Medical Center, (MEDVAMC 152), 2002 Holcombe Boulevard, Houston, TX 77030, USA.
Psychiatr Clin North Am. 2018 Mar;41(1):55-64. doi: 10.1016/j.psc.2017.10.005. Epub 2017 Dec 7.
Anxiety disorders in later life are some of the most significant mental health problems affecting older adults. Prevalence estimates of anxiety disorders in late life vary considerably based on multiple methodological issues. Current diagnostic criteria may not adequately capture the nature and experience of anxiety in older people, particularly those in ethnic and racial minority groups. This article reviews late-life anxiety disorders. Pharmacologic and psychotherapy approaches to treat late-life anxiety are reviewed, including a summary of current innovations in clinical care across settings, treatment models, and treatment delivery.
晚年焦虑症是影响老年人的一些最为严重的心理健康问题。基于多种方法学问题，对晚年焦虑症的患病率估计差异很大。当前的诊断标准可能无法充分体现老年人焦虑的本质和体验，尤其是那些属于少数族裔和种族群体的老年人。本文对晚年焦虑症进行了综述。文中回顾了治疗晚年焦虑症的药物和心理治疗方法，包括对当前跨环境、治疗模式及治疗实施方面临床护理创新的总结。
