Treatment of Late-life Anxiety in Primary Care Settings

Wake Forest University (WFU)

Status: Completed

Conditions: Panic Disorder; Generalized Anxiety Disorder; Anxiety Disorder Not Otherwise Specified

Treatments: Behavioral: Enhanced usual care; Behavioral: Cognitive behavioral therapy

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT00938093

MH65281

Details and patient eligibility

About

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.

Enrollment: 60 patients

Sex: All

Ages: 60+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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60 participants in 2 patient groups, including a placebo group

Cognitive-behavioral therapy

Active Comparator group

Description:

cognitive-behavioral therapy

Treatment:

Behavioral: Cognitive behavioral therapy

Enhanced usual care

Placebo Comparator group

Description:

enhanced usual care

Treatment:

Behavioral: Enhanced usual care