Treatment of Late-life Anxiety in Primary Care Settings

Wake Forest University Health Sciences60 enrolled

Overview

The research study proposed is designed to examine the outcomes of a cognitive behavioral guided self-care intervention with older adults diagnosed with generalized anxiety disorder and recruited from a primary care setting. It is hypothesized that the cognitive behavioral guided self-care intervention will produce greater declines in worry and anxiety than enhanced usual care.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Generalized Anxiety Disorder Panic Disorder Anxiety Disorder Not Otherwise Specified

Interventions

Cognitive behavioral therapyBEHAVIORAL

Participants receive 10 telephone therapy sessions and an accompanying workbook focused on cognitive-behavioral techniques for managing anxiety.

Enhanced usual careBEHAVIORAL

Participants receive written information about anxiety, referrals for treatment, and an optional letter to their primary care physician.

Eligibility

Sex: ALLMin age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * age ≥ 60 years * a DSM-IV diagnosis of GAD * able to read English. Exclusion Criteria: * current psychotherapy * a DSM-IV diagnosis of alcohol or substance abuse * a diagnosis of dementia or global cognitive impairment operationalized as a score of \< 24 of the Mini-Mental Status Examination * psychotic symptoms * active suicidal ideation

Outcomes

Primary Outcomes

PSWQ-A

Time frame: 4 months

HAM-A

Time frame: 4 months

Data from ClinicalTrials.gov

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