TY - JOUR
T1 - Cognitive behavioral therapy for anxiety in cognitively intact older adults
AU - Wuthrich, Viviana M.
PY - 2017
Y1 - 2017
N2 - This article discusses potential adaptations to cognitive behavioral therapy (CBT) needed when working with older adults. Although CBT has been demonstrated to be efficacious in older anxious populations in meta-analyses, more research is needed to better understand the efficacy of CBT for the individual anxiety disorders, for older adults aged 80 years and older, and the efficacy of individual CBT elements. Despite normal age-related reductions in cognitive and physical abilities, most research suggests that only minor adaptations to CBT, if any, are needed for older adults. More significant adaptations relate to therapist attitudes and beliefs rather than the pragmatic CBT delivery, for example, negative attitudes related to aging and the likely benefit of CBT. Despite normal age-related declines in some cognitive domains, research to date suggests that normal cognitive changes do not significantly impact on treatment outcomes over the course of CBT; a case example is presented.
AB - This article discusses potential adaptations to cognitive behavioral therapy (CBT) needed when working with older adults. Although CBT has been demonstrated to be efficacious in older anxious populations in meta-analyses, more research is needed to better understand the efficacy of CBT for the individual anxiety disorders, for older adults aged 80 years and older, and the efficacy of individual CBT elements. Despite normal age-related reductions in cognitive and physical abilities, most research suggests that only minor adaptations to CBT, if any, are needed for older adults. More significant adaptations relate to therapist attitudes and beliefs rather than the pragmatic CBT delivery, for example, negative attitudes related to aging and the likely benefit of CBT. Despite normal age-related declines in some cognitive domains, research to date suggests that normal cognitive changes do not significantly impact on treatment outcomes over the course of CBT; a case example is presented.
KW - cognitive behavioral therapy
KW - anxiety
KW - older adult
KW - geriatric
KW - therapy adaptations
UR - http://www.scopus.com/inward/record.url?scp=85021967033&partnerID=8YFLogxK
U2 - 10.1891/0889-8391.31.1.57
DO - 10.1891/0889-8391.31.1.57
M3 - Article
C2 - 32755918
AN - SCOPUS:85021967033
SN - 0889-8391
VL - 31
SP - 57
EP - 71
JO - Journal of Cognitive Psychotherapy
JF - Journal of Cognitive Psychotherapy
IS - 1
ER -