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Journal of Geriatric Psychiatry and Neurology, Vol. 18, No. 2, 72-82 (2005)
DOI: 10.1177/0891988705276058
© 2005 SAGE Publications

Psychological Interventions for Late-Life Anxiety: A Review and Early Lessons From the CALM Study

Julie Loebach Wetherell, PhD

University of California, San Diego, and VA San Diego Healthcare System, jwetherell{at}ucsd.edu

John T. Sorrell, PhD

University of California, San Diego, and VA San Diego Healthcare System

Steven R. Thorp, PhD

University of California, San Diego, and VA San Diego Healthcare System

Thomas L. Patterson, PhD

University of California, San Diego, and VA San Diego Healthcare System

The authors review the literature on psychological treatment for anxiety in older adults, focusing on randomized, controlled trials. Evidence exists for the efficacy of relaxation training for subjective anxiety symptoms and cognitive-behavioral therapy for generalized anxiety disorder and miscellaneous anxiety syndromes, including panic disorder. The authors also present the rationale for the CALM Study (Controlling Anxiety in Later-life Medical Patients), an ongoing randomized trial in which a modular psychotherapeutic intervention for anxiety in older primary care patients is compared with treatment as usual. Data are presented from 2 pilot patients in the CALM Study, and preliminary lessons are discussed.

Key Words: aged • anxiety disorders • psychotherapy • treatment outcome • primary health care


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