TY - JOUR PY - 2010// TI - Medical conditions and depressive, anxiety, and somatic symptoms in older adults with and without generalized anxiety disorder JO - Aging and mental health A1 - Wetherell, Julie Loebach A1 - Ayers, Catherine R. A1 - Nuevo, Roberto A1 - Stein, Murray B. A1 - Ramsdell, Joe A1 - Patterson, Thomas L. SP - 764 EP - 768 VL - 14 IS - 6 N2 - OBJECTIVE: The objective of this study was to examine medical illness and anxiety, depressive, and somatic symptoms in older medical patients with generalized anxiety disorder (GAD).

METHOD: A case-control study was designed and conducted in the University of California, San Diego (UCSD) Geriatrics Clinics. A total of fifty-four older medical patients with GAD and 54 matched controls participated. MEASUREMENTS: The measurements used for this study include: Brief Symptom Inventory-18, Mini International Neuropsychiatric Interview, and the Anxiety Disorders Interview Schedule.

RESULTS: Older medical patients with GAD reported higher levels of somatic symptoms, anxiety, and depression than other older adults, as well as higher rates of diabetes and gastrointestinal conditions. In a multivariate model that included somatic symptoms, medical conditions, and depressive and anxiety symptoms, anxiety symptoms were the only significant predictors of GAD.

CONCLUSION: These results suggest first, that older medical patients with GAD do not primarily express distress as somatic symptoms; second, that anxiety symptoms in geriatric patients should not be discounted as a byproduct of medical illness or depression; and third, that older adults with diabetes and gastrointestinal conditions may benefit from screening for anxiety.

Language: en

LA - en SN - 1360-7863 UR - http://dx.doi.org/10.1080/13607861003713240 ID - ref1 ER -