Skip to main content Accessibility help
×
×
Home

Clinical staging and Profiling of late-life anxiety disorders; the need for collaboration and a life-span perspective

  • Richard C. Oude Voshaar (a1), Aartjan T. F. Beekman (a2) and Nancy Pachana (a3)

Extract

Clinical staging and profiling is a diagnostic strategy that goes beyond the traditional dichotomy in medicine of merely focusing on the presence or absence of a disease. Disease staging extends this traditional dichotomy by defining where a patient lies along the continuum of the course of his or her particular illness. Successful examples include the general tumor, node, metastasis (TNM) classification in oncology, as well as the New York Heart Association (NYHA classes I–IV) functional classification system for patients with congestive heart failure. It enables clinicians to select treatments relevant to earlier stages because such interventions may be more effective and less harmful than treatments delivered later in the illness course. Profiling is a further refinement, as well as a necessary component of staging. Profiling refers to the characterization of a patient within a specific disease stage, which is relevant for its course and treatment choice. An example of profiling is estrogen receptor positivity in patients with breast cancer.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Clinical staging and Profiling of late-life anxiety disorders; the need for collaboration and a life-span perspective
      Available formats
      ×

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Clinical staging and Profiling of late-life anxiety disorders; the need for collaboration and a life-span perspective
      Available formats
      ×

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Clinical staging and Profiling of late-life anxiety disorders; the need for collaboration and a life-span perspective
      Available formats
      ×

Copyright

References

Hide All
Batelaan, N. M., Rhebergen, D., Spinhoven, P., van Balkom, A. J. and Penninx, B. W. (2014). Two-year course trajectories of anxiety disorders: do DSM classifications matter? Journal of Clinical Psychiatry, 75, 985993.
Clarke, P. J., Hickie, I. B., Scott, E. and Guastella, A. J. (2012). Clinical staging model applied to young people presenting with social anxiety. Early Intervention in Psychiatry, 6, 256264.
Cosci, F. and Fava, G. A. (2013). Staging of mental disorders: systematic review. Psychotherapy and Psychosomatics, 82, 2034.
Dickson, D. W., Uchikado, H., Fujishiro, H. and Tsuboi, Y. (2010). Evidence in favor of Braak staging of Parkinson's disease. Movement Disorders, 25 (Suppl. 1), S78S82.
Gould, C. E., Gerolimatos, L. A., Edelstein, B. A. (2014). Experimental examination of worry among older and young adults. International Psychogeriatrics. Epublished ahead of print, doi: 10.1017/S1041610214000891.
Grenier, S. et al. (2014). Using virtual reality to improve the efficacy of cognitive-behavioral therapy (CBT) in the treatment of late-life anxiety: preliminary recommendations for future research. International Psychogeriatrics. Epublished ahead of print, doi: 10.1017/S1041610214002300.
Hendriks, G. J., Keijsers, G. P. J., Kampman, M., Hoogduin, C. A. L. and Oude Voshaar, R. C. (2012). Predictors of outcome of pharmacological and psychological treatment of late-life panic disorder with agoraphobia. International Journal of Geriatric Psychiatry, 27, 146150.
Hetrick, S. E., Parker, A. G., Hickie, I. B., Purcell, R., Yung, A. R. and McGorry, P. D. (2008). Early identification and intervention in depressive disorders: towards a clinical staging model. Psychotherapy and Psychosomatics, 77, 263270.
Johnco, C., Knight, A., Tadic, D., Wuthrich, V. M. (2014). Psychometric properties of the Geriatric Anxiety Inventory (GAI) and its short-form (GAI-SF) in a clinical and non-clinical sample of older adults. International Psychogeriatrics. Epublished ahead of print, doi: 10.1017/S1041610214001586.
Kessler, R. C., Berglund, P., Demler, O. l. Jin, R., Merikangas, K. R. and Walters, E. E. (2005). Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the national comorbidity survey replication. Archives of General Psychiatry, 62, 593602.
Leclerc, B. and Abulrob, A. (2013). Perspectives in molecular imaging using staging biomarkers and immunotherapies in Alzheimer's disease. Scientific World Journal, 2013, 589308.
McGorry, P. et al. (2014). Biomarkers and clinical staging in psychiatry. World Psychiatry, 13, 211223.
Moylan, S., Maes, M., Wray, N. R. and Berk, M. (2013). The neuroprogressive nature of major depressive disorder: pathways to disease evolution and resistance, and therapeutic implications. Molecular Psychiatry, 18, 595606.
Mueller, A. E. et al. (2014). Geriatric Anxiety Scale: item response theory analysis, differential item functioning, and creation of a ten-item short form (GAS-10). International Psychogeriatrics. Epublished ahead of print, doi: 10.1017/S1041610214000210.
Rikkert, M. G. et al. (2011). Validity, reliability, and feasibility of clinical staging scales in dementia: a systematic review. American Journal of Alzheimer's Disease and Other Dementias, 26, 357365.
Van Balkom, A. J. L. M. et al. (2012). De karakterisering van angststoornissen: stageren en profileren met gezond verstand. Tijdschrift voor Psychiatrie, 54, 935940.
Van ‘t Veer-Tazelaar, P. J. et al. (2009). Stepped-care prevention of anxiety and depression in late life. Archives of General Psychiatry, 66, 297304.
Van ‘t Veer-Tazelaar, P. J. et al. (2011). Prevention of late-life anxiety and depression has sustained effects over 24 months: a pragmatic randomized trial. American Journal of Geriatric Psychiatry, 19, 230239.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed