Characteristics of Generalized Anxiety Disorder in Patients With Dementia

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...

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Veröffentlicht in:American journal of Alzheimer's disease and other dementias 2011-09, Vol.26 (6), p.492-497
Hauptverfasser: Calleo, Jessica S., Kunik, Mark E., Reid, Dana, Kraus-Schuman, Cynthia, Paukert, Amber, Regev, Tziona, Wilson, Nancy, Petersen, Nancy J., Snow, A. Lynn, Stanley, Melinda
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container_end_page 497
container_issue 6
container_start_page 492
container_title American journal of Alzheimer's disease and other dementias
container_volume 26
creator Calleo, Jessica S.
Kunik, Mark E.
Reid, Dana
Kraus-Schuman, Cynthia
Paukert, Amber
Regev, Tziona
Wilson, Nancy
Petersen, Nancy J.
Snow, A. Lynn
Stanley, Melinda
description 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.
doi_str_mv 10.1177/1533317511426867
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Lynn</creatorcontrib><creatorcontrib>Stanley, Melinda</creatorcontrib><title>Characteristics of Generalized Anxiety Disorder in Patients With Dementia</title><title>American journal of Alzheimer's disease and other dementias</title><addtitle>Am J Alzheimers Dis Other Demen</addtitle><description>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.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anxiety Disorders - complications</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - psychology</subject><subject>Dementia - complications</subject><subject>Dementia - psychology</subject><subject>Diagnosis, Differential</subject><subject>Fatigue - complications</subject><subject>Fatigue - diagnosis</subject><subject>Fatigue - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Psychiatric Status Rating Scales</subject><subject>Severity of Illness Index</subject><issn>1533-3175</issn><issn>1938-2731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU1PwzAMhiMEYuPjzgn1BpdC47RJe0GaNhiTJsEBxDFKU3fL1LUj6RDj15NpYwIkOCXO-_i1YxNyRqMrSoW4pgljjIqE0hh4ysUe6dKMpSEIRvf93cvhWu-QI-dmURQnaRodkg5AxAGAdcmoP1VW6Ratca3RLmjKYIg1WlWZDyyCXv1usF0FA-MaW6ANTB08qtZg3brgxbTTYIBzHxh1Qg5KVTk83Z7H5Pnu9ql_H44fhqN-bxzqmPM2pAiMgspTXaq8ZIInKbICeZYjipL7R6XTJCuYZtqHUGqRF3HJNcSaKlawY3Kz8V0s8zkW2hf3zcqFNXNlV7JRRv5UajOVk-ZNMkhAxJk3uNga2OZ1ia6Vc-M0VpWqsVk6mVHgMTDBPHn5L0kB_ORplKzRaINq2zhnsdw1RCO53pX8vSufcv79I7uEr-V4INwATk1Qzpqlrf1g_zb8BOCmneI</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Calleo, Jessica S.</creator><creator>Kunik, Mark E.</creator><creator>Reid, Dana</creator><creator>Kraus-Schuman, Cynthia</creator><creator>Paukert, Amber</creator><creator>Regev, Tziona</creator><creator>Wilson, Nancy</creator><creator>Petersen, Nancy J.</creator><creator>Snow, A. 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subjects Aged
Aged, 80 and over
Anxiety Disorders - complications
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Dementia - complications
Dementia - psychology
Diagnosis, Differential
Fatigue - complications
Fatigue - diagnosis
Fatigue - psychology
Female
Humans
Logistic Models
Male
Psychiatric Status Rating Scales
Severity of Illness Index
title Characteristics of Generalized Anxiety Disorder in Patients With Dementia
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