Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease

Pachana, Nancy A., Egan, Sarah J., Laidlaw, Ken, Dissanayaka, Nadeeka, Byrne, Gerard J., Brockman, Simone, Marsh, Rodney and Starkstein, Sergio (2013) Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease. Movement Disorders, 28 14: 1930-1934. doi:10.1002/mds.25689


Author Pachana, Nancy A.
Egan, Sarah J.
Laidlaw, Ken
Dissanayaka, Nadeeka
Byrne, Gerard J.
Brockman, Simone
Marsh, Rodney
Starkstein, Sergio
Title Clinical issues in the treatment of anxiety and depression in older adults with Parkinson's disease
Journal name Movement Disorders   Check publisher's open access policy
ISSN 0885-3185
1531-8257
Publication date 2013-12-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/mds.25689
Volume 28
Issue 14
Start page 1930
End page 1934
Total pages 5
Place of publication Hoboken, NJ, United States
Publisher John Wiley & Sons
Language eng
Abstract A significant proportion of persons affected by Parkinson's disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are underrecognized in patients with PD and are associated with deleterious effects on physical and interpersonal functioning, negatively impacting quality of life and well-being. We offer a brief overview of salient clinical points with respect to assessment and treatment approaches to enhance efficacy of the treatment of mental health symptoms in older adults with PD. Cognitive behavior therapy involves the patient learning to overcome behavioral avoidance associated with anxiety and challenge unhelpful negative cognitions. It is suggested that cognitive behavior therapy is an effective approach to treatment of anxiety and depression in PD and should be offered as a treatment to patients.
Keyword Parkinson's disease
Anxiety
Depression
Measurement
Cognitive behavioral therapy
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: UQ Centre for Clinical Research Publications
Official 2014 Collection
School of Medicine Publications
School of Psychology Publications
 
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Created: Sat, 23 Nov 2013, 02:04:12 EST by Nadeeka Dissanayaka on behalf of UQ Centre for Clinical Research