Characteristics of Generalized Anxiety Disorder in Patients With Dementia

被引:27
作者
Calleo, Jessica S. [1 ,2 ,3 ]
Kunik, Mark E. [1 ,2 ,3 ]
Reid, Dana [3 ]
Kraus-Schuman, Cynthia [2 ,3 ]
Paukert, Amber [4 ,9 ]
Regev, Tziona [5 ,9 ]
Wilson, Nancy [1 ]
Petersen, Nancy J. [1 ]
Snow, A. Lynn [6 ,7 ,8 ]
Stanley, Melinda [1 ,2 ,3 ]
机构
[1] Houston Vet Affairs Hlth Serv Res & Dev Ctr Excel, Houston, TX USA
[2] Michael E DeBakey VA Med Ctr, Houston, TX USA
[3] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Houston, TX 77030 USA
[4] Puget Sound Hlth Care Syst, Dept Vet Affairs, Seattle, WA USA
[5] Quentin Mease Community Hosp, Geriatr Clin, Houston, TX USA
[6] Univ Alabama, Ctr Mental Hlth & Aging, Tuscaloosa, AL USA
[7] Univ Alabama, Dept Psychol, Tuscaloosa, AL 35487 USA
[8] Tuscaloosa Vet Affairs Med Ctr, Tuscaloosa, AL USA
[9] Baylor Coll Med, Dept Med, Houston, TX 77030 USA
来源
AMERICAN JOURNAL OF ALZHEIMERS DISEASE AND OTHER DEMENTIAS | 2011年 / 26卷 / 06期
关键词
generalized anxiety disorder; dementia; anxiety symptoms; dementia symptoms; differential diagnosis for generalized anxiety disorder/dementia; STATE WORRY QUESTIONNAIRE; PSYCHOMETRIC PROPERTIES; ALZHEIMERS-DISEASE; OLDER-ADULTS; DEPRESSION; PREVALENCE; PEOPLE;
D O I
10.1177/1533317511426867
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: Overlap of cognitive and anxiety symptoms (i.e., difficulty concentrating, fatigue, restlessness) contributes to inconsistent, complicated assessment of generalized anxiety disorder (GAD) in persons with dementia. Methods: Anxious dementia patients completed a psychiatric interview, the Penn State Worry Questionnaire-Abbreviated, and the Rating for Anxiety in Dementia scale. Analyses to describe the 43 patients with and without GAD included the Wilcoxon Mann-Whitney two-sample test, Fisher's exact test. Predictors of GAD diagnosis were identified using logistic regression. Results: Those with GAD were more likely to be male, have less severe dementia and endorsed more worry, and anxiety compared to patients without GAD. Gender, muscle tension and fatigue differentiated those with GAD from those without GAD. Conclusions: Although this study is limited by a small sample, it describes clinical characteristics of GAD in dementia, highlighting the importance of muscle tension and fatigue in recognizing GAD in persons with dementia.
引用
收藏
页码:492 / 497
页数:6
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