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.
Clin Geriatr Med. 2020 May;36(2):237-246. doi: 10.1016/j.cger.2019.11.005.
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.
老年期焦虑障碍是影响老年人的一些最严重的心理健康问题。基于多种方法学问题,老年期焦虑障碍的患病率估计差异很大。目前的诊断标准可能不能充分捕捉老年人,特别是少数民族和种族群体中焦虑的性质和体验。本文回顾了老年期焦虑障碍。本文还回顾了治疗老年期焦虑的药物治疗和心理治疗方法,包括对当前各种环境、治疗模式和治疗提供方式下临床护理创新的总结。