Modular psychotherapy for anxiety in older primary care patients

Melinda A Stanley; Patricia A Areán; Michael Donohue; Jurgen Unützer; Joe Ramsdell; Ronghui Xu; Thomas L Patterson; Julie Loebach Wetherell; Catherine R. Ayers; John T. Sorrell; Steven R. Thorp; Roberto Nuevo; Wendy Belding; Emily Gray; Melinda A. Stanley; Patricia A. Areán; Michael Donohue; Jurgen Unützer; Joe Ramsdell; Ronghui Xu

doi:10.1097/JGP.0b013e3181a31fb5

Modular psychotherapy for anxiety in older primary care patients

Melinda A Stanley, Patricia A Areán, Michael Donohue, Jurgen Unützer, Joe Ramsdell, Ronghui Xu, Thomas L Patterson, Julie Loebach Wetherell, Catherine R. Ayers, John T. Sorrell, Steven R. Thorp, Roberto Nuevo, Wendy Belding, Emily Gray, Melinda A. Stanley, Patricia A. Areán, Michael Donohue, Jurgen Unützer, Joe Ramsdell, Ronghui Xu

College of Health and Life Sciences

Research output: Contribution to journal › Article › peer-review

Abstract

OBJECTIVE: To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders.

DESIGN: Randomized, controlled pilot study.

SETTING: University-based geriatric medicine clinics.

PARTICIPANTS: Thirty-one elderly primary care patients with generalized anxiety disorder or anxiety disorder not otherwise specified.

INTERVENTION: Modular form of psychotherapy compared with enhanced community treatment.

MEASUREMENTS: Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life.

RESULTS: Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not.

CONCLUSIONS: Results suggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.

Original language	English
Pages (from-to)	483-492
Number of pages	10
Journal	American Journal of Geriatric Psychiatry
Volume	17
Issue number	6
DOIs	https://doi.org/10.1097/JGP.0b013e3181a31fb5
Publication status	Published - Jun 2009

Keywords

anxiety disorders
cognitive therapy
community mental health services
university hospitals
pilot projects
primary health care
psychiatric status rating scales
psychotherapy
psychotropic drugs
quality of life
severity of illness index
socioeconomic factors
treatment outcome

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Stanley, M. A., Areán, P. A., Donohue, M., Unützer, J., Ramsdell, J., Xu, R., Patterson, T. L., Loebach Wetherell, J., Ayers, C. R., Sorrell, J. T., Thorp, S. R., Nuevo, R., Belding, W., Gray, E., Stanley, M. A., Areán, P. A., Donohue, M., Unützer, J., Ramsdell, J., & Xu, R. (2009). Modular psychotherapy for anxiety in older primary care patients. American Journal of Geriatric Psychiatry, 17(6), 483-492. https://doi.org/10.1097/JGP.0b013e3181a31fb5

@article{e80efa9576cf4000b17f22d9cd5bb18b,

title = "Modular psychotherapy for anxiety in older primary care patients",

abstract = "OBJECTIVE: To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders. DESIGN: Randomized, controlled pilot study. SETTING: University-based geriatric medicine clinics. PARTICIPANTS: Thirty-one elderly primary care patients with generalized anxiety disorder or anxiety disorder not otherwise specified. INTERVENTION: Modular form of psychotherapy compared with enhanced community treatment. MEASUREMENTS: Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life. RESULTS: Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not. CONCLUSIONS: Results suggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.",

keywords = "anxiety disorders, cognitive therapy, community mental health services, university hospitals, pilot projects, primary health care, psychiatric status rating scales, psychotherapy, psychotropic drugs, quality of life, severity of illness index, socioeconomic factors, treatment outcome",

author = "Stanley, {Melinda A} and Are{\'a}n, {Patricia A} and Michael Donohue and Jurgen Un{\"u}tzer and Joe Ramsdell and Ronghui Xu and Patterson, {Thomas L} and {Loebach Wetherell}, Julie and Ayers, {Catherine R.} and Sorrell, {John T.} and Thorp, {Steven R.} and Roberto Nuevo and Wendy Belding and Emily Gray and Stanley, {Melinda A.} and Are{\'a}n, {Patricia A.} and Michael Donohue and Jurgen Un{\"u}tzer and Joe Ramsdell and Ronghui Xu",

year = "2009",

month = jun,

doi = "10.1097/JGP.0b013e3181a31fb5",

language = "English",

volume = "17",

pages = "483--492",

journal = "American Journal of Geriatric Psychiatry",

issn = "1064-7481",

publisher = "Lippincott Williams and Wilkins",

number = "6",

}

Stanley, MA, Areán, PA, Donohue, M, Unützer, J, Ramsdell, J, Xu, R, Patterson, TL, Loebach Wetherell, J, Ayers, CR, Sorrell, JT, Thorp, SR, Nuevo, R, Belding, W, Gray, E, Stanley, MA, Areán, PA, Donohue, M, Unützer, J, Ramsdell, J & Xu, R 2009, 'Modular psychotherapy for anxiety in older primary care patients', American Journal of Geriatric Psychiatry, vol. 17, no. 6, pp. 483-492. https://doi.org/10.1097/JGP.0b013e3181a31fb5

TY - JOUR

T1 - Modular psychotherapy for anxiety in older primary care patients

AU - Stanley, Melinda A

AU - Areán, Patricia A

AU - Donohue, Michael

AU - Unützer, Jurgen

AU - Ramsdell, Joe

AU - Xu, Ronghui

AU - Patterson, Thomas L

AU - Loebach Wetherell, Julie

AU - Ayers, Catherine R.

AU - Sorrell, John T.

AU - Thorp, Steven R.

AU - Nuevo, Roberto

AU - Belding, Wendy

AU - Gray, Emily

AU - Stanley, Melinda A.

AU - Areán, Patricia A.

AU - Donohue, Michael

AU - Unützer, Jurgen

AU - Ramsdell, Joe

AU - Xu, Ronghui

PY - 2009/6

Y1 - 2009/6

N2 - OBJECTIVE: To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders. DESIGN: Randomized, controlled pilot study. SETTING: University-based geriatric medicine clinics. PARTICIPANTS: Thirty-one elderly primary care patients with generalized anxiety disorder or anxiety disorder not otherwise specified. INTERVENTION: Modular form of psychotherapy compared with enhanced community treatment. MEASUREMENTS: Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life. RESULTS: Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not. CONCLUSIONS: Results suggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.

AB - OBJECTIVE: To develop and test a modular psychotherapy protocol in older primary care patients with anxiety disorders. DESIGN: Randomized, controlled pilot study. SETTING: University-based geriatric medicine clinics. PARTICIPANTS: Thirty-one elderly primary care patients with generalized anxiety disorder or anxiety disorder not otherwise specified. INTERVENTION: Modular form of psychotherapy compared with enhanced community treatment. MEASUREMENTS: Self-reported, interviewer-rated, and qualitative assessments of anxiety, worry, depression, and mental health-related quality of life. RESULTS: Both groups showed substantial improvements in anxiety symptoms, worry, depressive symptoms, and mental health-related quality of life. Most individuals in the enhanced community treatment condition reported receiving medications or some other form of professional treatment for anxiety. Across both conditions, individuals who reported major life events or stressors and those who used involvement in activities as a coping strategy made smaller gains than those who did not. CONCLUSIONS: Results suggest that modular psychotherapy and other treatments can be effective for anxiety in older primary care patients. Results further suggest that life events and coping through increased activity may play a role in the maintenance of anxiety in older adults.

KW - anxiety disorders

KW - cognitive therapy

KW - community mental health services

KW - university hospitals

KW - pilot projects

KW - primary health care

KW - psychiatric status rating scales

KW - psychotherapy

KW - psychotropic drugs

KW - quality of life

KW - severity of illness index

KW - socioeconomic factors

KW - treatment outcome

U2 - 10.1097/JGP.0b013e3181a31fb5

DO - 10.1097/JGP.0b013e3181a31fb5

M3 - Article

C2 - 19461257

SN - 1064-7481

VL - 17

SP - 483

EP - 492

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

IS - 6

ER -

Modular psychotherapy for anxiety in older primary care patients

Abstract

Keywords

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