Sections
Anxiety Symptoms | Generalized Anxiety Disorder
Excerpt
Anxiety disorders are among the most prominent mental disorders
of late life. The prevalence of anxiety disorders among younger
adults was estimated at 7.3% of the population; a slightly
lower rate of 5.5% was reported among older adults (Regier et al. 1988). Review of these reports, however, suggests
that the rate of anxiety disorders in older adults may be underestimated
because of older adults' reluctance to report symptoms,
confusion of anxiety symptoms with symptoms of physical illness,
and a lack of measurement instruments validated for geriatric populations. Across
community surveys, prevalence rates for anxiety disorders in older
adults ranged from 0.7% to 18.6% (Flint 1994; Klap et al. 2003). Another possible explanation
for the range in reported prevalence rates is that the symptomatic
makeup of anxiety disorders in older adults differs from that seen
in younger adults. Older adults tend to report anxiety symptoms
that do not necessarily fit a specific disorder. A naturalistic survey
of primary care patients found that in older adults diagnosed with
anxiety disorders, the most prevalent diagnosis was anxiety disorder
not otherwise specified (Stanley et al. 2001). A portion
of the empirical work on the psychotherapeutic treatment of anxiety
in older adults focuses on symptoms rather than specific diagnostic
categories.