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

Pachana, Nancy A, Egan, Sarah J, Laidlaw, Kenneth, 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). pp. 1930-4. ISSN 0885-3185

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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. © 2013 International Parkinson and Movement Disorder Society.

Item Type: Article
Additional Information: © 2013 Movement Disorder Society.
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 20 Jan 2014 16:46
Last Modified: 21 Apr 2020 22:36
URI: https://ueaeprints.uea.ac.uk/id/eprint/46580
DOI: 10.1002/mds.25689

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