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Am J Geriatr Psychiatry. 2005 Oct;13(10):901-9.

Cognitive-behavioral therapy for management of anxiety and medication taper in older adults.

Author information

1
Department of Psychiatry, Columbia University, New York, NY 10032, USA. EEG1@columbia.edu

Abstract

OBJECTIVE:

The authors hypothesized that patients with late-life anxiety undergoing cognitive-behavioral therapy plus medical management for medication taper (CBT-MM) would realize greater reduction in medication use and greater improvement in psychological symptoms than a control group undergoing medical management alone (MM).

METHODS:

Forty-two patients (age >60) who wanted to reduce anxiolytic medication were allocated to the two groups (CBT-MM versus MM), using a randomization plus difference-minimization procedure (to equate for medication use).

RESULTS:

CBT-MM completers significantly reduced medication use, but not at a greater rate than MM completers. At the same time, CBT-MM completers experienced significantly greater alleviation of psychological symptoms than did MM completers. Some, but not all, treatment gains were maintained at 6-month follow-up. Intention-to-treat analyses using the mixed-effects model showed similar, but weaker, treatment effects than completer analyses.

CONCLUSIONS:

Cognitive-behavioral therapy can alleviate psychological symptoms in elderly patients with anxiety even as patients reduce anxiolytic medication.

PMID:
16223969
DOI:
10.1176/appi.ajgp.13.10.901
[Indexed for MEDLINE]
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