Department of Psychiatry, Western Psychiatric Institute and Clinic University of Pittsburgh, Pittsburgh, USA.
Adv Exp Med Biol. 2020;1191:561-576. doi: 10.1007/978-981-32-9705-0_28.
Recent data has linked anxiety and its disorders in late life to increased morbidity and mortality, especially related to a higher cardiovascular burden and an increased cognitive decline. Clinically, anxiety symptoms may be more difficult to elicit in older adults who are less accurate in identifying anxiety symptoms and tend to minimize symptoms and to attribute symptoms to physical illness. Although SSRIs have proven more effective than psychotherapy in late-life anxiety, many elderly anxious subjects prefer psychotherapeutic interventions. These interventions appear to work best when tailored for the needs, expectations, and cultural background of older anxious subjects.
最近的数据表明，老年期焦虑及其障碍与发病率和死亡率的增加有关，尤其是与心血管负担增加和认知能力下降有关。临床上，老年人往往难以识别焦虑症状，且更倾向于将症状最小化并归因于身体疾病，因此他们的焦虑症状可能更难被发现。尽管 SSRI 在老年期焦虑症方面比心理治疗更有效，但许多老年焦虑症患者更喜欢心理治疗干预。这些干预措施在根据老年焦虑症患者的需求、期望和文化背景进行定制时效果最佳。
