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Am J Geriatr Psychiatry 11:92-96, February 2003
© 2003 American Association for Geriatric Psychiatry

Brief Report

Cognitive–Behavior Therapy for Late-Life Generalized Anxiety Disorder in Primary Care

Preliminary Findings

Melinda A. Stanley, Ph.D., Derek R. Hopko, Ph.D., Gretchen J. Diefenbach, Ph.D., Stacey L. Bourland, Ph.D., Hector Rodriguez, M.D., and Paula Wagener, Ph.D.

Received February 5, 2002; revised April 8, April 18, 2002; accepted April 25, 2002. From the University of Texas–Houston Medical School (MAS,DRH,GJD,SLB,PW) and Kelsey-Seybold Clinic and the Kelsey Research Foundation, Houston, TX (HR). Address correspondence to Dr. Stanley, Department of Psychiatry and Behavioral Sciences, University of Texas–Houston Medical School, 1300 Moursund Dr., Houston, TX 77030-3496. e-mail: Melinda.A.Stanley{at}uth.tmc.edu

OBJECTIVE: The authors present data from a pilot research program initiated to develop, refine, and test the outcomes of CBT-GAD/PC, a version of cognitive–behavior therapy (CBT) that targets the needs of older adults with generalized anxiety disorder (GAD) in primary care (PC). METHODS: The study involved a small, randomized clinical trial comparing the impact of CBT-GAD/PC to usual care (UC) in a sample of 12 older medical patients with GAD. RESULTS: Outcome data suggested significant improvements in worry and depression after CBT-GAD/PC, relative to UC. CONCLUSION: Authors discuss results in terms of the "real-world" applicability of this treatment for late-life GAD, and present implications for future research.

Key Words: Generalized Anxiety Disorder • Cognitive-Behavioral Therapy • Primary Care




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