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28 - Adapting Cognitive Behavioral Therapy for Older Adults with Anxiety Disorders and Depression

from Part Six - Specialist Applications of Cognitive Behavioral Therapy for Anxiety Disorders and Depression

Published online by Cambridge University Press:  06 January 2022

By
Suma P. Chand  and
George T. Grossberg
Edited by
Gillian Todd  and
Rhena Branch
Gillian Todd
Affiliation:
University of East Anglia
Rhena Branch
Affiliation:
University of East Anglia
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Summary

This chapter outlines some of the ways in which cognitive behavior therapy (CBT) for anxiety disorders and depression has been modified and adapted to the ageing older population. Aspects that are outlined include modifications to the process of conceptualization, which has been expanded to include relevant gerontological factors. The areas that should be incorporated into the assessment of older adults with anxiety and depression prior to starting therapy are delineated, with a focus on the characteristic features that color the presentation in the case of older adults. The changes that must be made in carrying out CBT for older adults with depression and anxiety disorders so that it is effective are described. This includes accommodations for cognitive changes and health-related difficulties as well as taking into consideration factors that are specific to the older population.

Keywords

cognitive behavior therapygerontologycognitive declineage-segregated environmentsageist attitudesfear of fallingintergenerational relationshipsmemory aidslate-life anxietylate-life depression
Type
Chapter
Information
Evidence-Based Treatment for Anxiety Disorders and Depression
A Cognitive Behavioral Therapy Compendium
 , pp. 599 - 619
Publisher: Cambridge University Press
Print publication year: 2022

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References

Adshead, F., Cody, D. D., & Pitt, B. (1992). BASDEC: A novel screening instrument for depression in elderly medical inpatients. British Medical Journal, 305(6850), 397.Google Scholar
Alexopoulos, G. S. (2005). Depression in the elderly. Lancet, 365(9475), 1961–1970.Google Scholar
Andreescu, C., Teverovsky, E., Fu, B., Hughes, T. F., Chang, C. C., & Ganguli, M. (2014). Old worries and new anxieties: Behavioral symptoms and mild cognitive impairment in a population study. American Journal of Geriatric Psychiatry, 22(3), 274–284.Google Scholar
Areán, P. A., & Cook, B. L. (2002). Psychotherapy and combined psychotherapy/pharmacotherapy for late life depression. Biological Psychiatry, 52(3), 293–303.CrossRefGoogle ScholarPubMed
Batra, A., Melchior, M., Seff, L., Frederick, N., & Palmer, R. C. (2012). Evaluation of a community-based falls prevention program in South Florida, 2008–2009. Preventing Chronic Disease, 9, E13.Google Scholar
Beck, A. T. (1967). Depression. Harper and Row.Google Scholar
Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: A cognitive perspective. Basic Books.Google Scholar
Beck, A. T., Rush, A. J., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. Guilford Press.Google Scholar
Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory Manual. Harcourt Brace and Company.Google Scholar
Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck Depression Inventory-II. Psychological Corporation.Google Scholar
Beck, J. S. (2011). Cognitive therapy: Basics and beyond (2nd ed.). Guilford Press.Google Scholar
Bengtson, V. L., Biblarz, T., Clarke, E., Giarusso, R., Roberts, R., & Richlin-Klonsky, J. (2000). Intergenerational relationships and aging: Families, cohorts, and social change. In Clair, J. M. and Allman, R. (Eds.), The gerontological prism: Developing interdisciplinary bridges (pp. 115–147). Baywood Publishing.Google Scholar
Birrer, R. B., & Vemuri, S. P. (2004). Depression in later life: A diagnostic and therapeutic challenge. American Family Physician, 69(10), 2376–2382.Google Scholar
Bowles, R. P., Grimm, K. J., & McArdle, J. J. (2005). A structural factor analysis of vocabulary knowledge and relations to age. Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 60 (5), 234–241.Google Scholar
Bryant, C., Jackson, H., & Ames, D. (2008). The prevalence of anxiety in older adults: Methodological issues and a review of the literature. Journal of Affective Disorders, 109 (3), 233–250.CrossRefGoogle Scholar
Carriere, J. S., Cheyne, J. A., Solman, G. J., & Smilek, D. (2010). Age trends for failures of sustained attention. Psychology and Aging, 25(3), 569–574.Google Scholar
Cassidy, B. S., & Gutchess, A. H. (2012). Social relevance enhances memory for impressions in older adults. Memory, 20(4), 332–345.Google Scholar
Caudle, D. D., Senior, A. C., Wetherell, J. L., Rhoades, H. M., Beck, J. G., Kunik, M. E., Snow, A. L., Wilson, N. L., & Stanley, M. A. (2007). Cognitive errors, symptom severity, and response to cognitive behavior therapy in older adults with generalized anxiety disorder. The American Journal of Geriatric Psychiatry, 15(8), 680–689.CrossRefGoogle ScholarPubMed
Centers for Disease Control and Prevention. (2013). The state of aging and health in America. Centers for Disease Control and Prevention, US Department of Health and Human Services.Google Scholar
Chou, K. L. (2010). Panic disorder in older adults: Evidence from the national epidemiologic survey on alcohol and related conditions. International Journal of Geriatric Psychiatry, 25(8), 822–832.CrossRefGoogle ScholarPubMed
Christiansen, E., & Jensen, B. F. (2007). Risk of repetition of suicide attempt, suicide or all deaths after an episode of attempted suicide: A register-based survival analysis. The Australian and New Zealand Journal of Psychiatry, 41(3), 257–265.Google Scholar
Clark, D. A., & Beck, A. T. (2010). Cognitive therapy of anxiety disorders: Science and practice. Guilford Press.Google Scholar
Conwell, Y., Duberstein, P. R., Hirsch, J. K., Conner, K. R., Eberly, S., & Caine, E. D. (2010). Health status and suicide in the second half of life. International Journal of Geriatric Psychiatry, 25(4), 371–379.Google Scholar
Coon, D. W., & Thompson, L. W. (2003). The relationship between homework compliance and treatment outcomes among older adult outpatients with mild-to-moderate depression. American Journal of Geriatric Psychiatry, 11(1), 53–61.Google Scholar
Covin, R., Ouimet, A. J, Seeds, P. M., & Dozois, D. J. (2008). A meta-analysis of CBT for pathological worry among clients with generalized anxiety disorder. Journal of Anxiety Disorders, 22(1), 108–116.Google Scholar
Cuddy, A. J. C., Norton, M. I., & Fiske, S. T. (2005). This old stereotype: The pervasiveness and persistence of the elderly stereotype. Journal of Social Issues, 61(2), 267–285.Google Scholar
Diefenbach, G. J., McCarthy-Larzelere, M. E., Williamson, D. A., Mathews, A., Manguno-Mire, G. M., & Bentz, B. G. (2001). Anxiety, depression, and the content of worries. Depression and Anxiety, 14(4), 247–250.CrossRefGoogle ScholarPubMed
Dorresteijn, T. A., Zijlstra, G. A., Ambergen, A. W., Delbaere, K., Vlaeyen, J. W., & Kempen, G. I. (2016). Effectiveness of a home-based cognitive behavioral program to manage concerns about falls in community-dwelling, frail older people: Results of a randomized controlled trial. BioMed Central Geriatrics, 16(2), 2. http://doi.org/10.1186/s12877-016-0278-2Google Scholar
Earles, J. L., Kersten, A. W., Berlin, M. B., & Miccio, D. M. (2004). Aging and memory for self-performed tasks: Effects of task difficulty and time pressure. Journals of Gerontology: Series B: Psychological Sciences and Social Sciences, 59, 285–293.Google Scholar
Ebaid, D., Crewther, S. G., MacCalman, K., Brown, A., & Crewther, D. P. (2017). Cognitive processing speed across the lifespan: Beyond the influence of motor speed. Frontiers in Aging Neuroscience, 9, 62. https://doi.org/10.3389/fnagi.2017.00062CrossRefGoogle ScholarPubMed
Economou, A. (2009). Memory score discrepancies by healthy middle-aged and older individuals: The contributions of age and education. Journal of the International Neuropsychological Society, 15(6), 963–972.Google Scholar
Feliciano, L., Segal, D. L., & Vair, C. L. (2011). Major depressive disorder. In Lauderdale, S. A. & Sorocco, K. H. (Eds.), CBT for older adults: Innovations across care settings (pp. 31–64). Springer.Google Scholar
Fortenbaugh, F. C., DeGutis, J., Germine, L., Wilmer, J. B., Grosso, M., Russo, K., & Esterman, M. (2015). Sustained attention across the life span in a sample of 10,000: Dissociating ability and strategy. Psychological Science, 26(9), 1497–1510.Google Scholar
Gagnon, N., Flint, A. J., Naglie, G., & Devins, G. M. (2005). Affective correlates of fear of falling in elderly persons. American Journal of Geriatric Psychiatry, 13(1), 7–14.CrossRefGoogle ScholarPubMed
Gerteis, J., Izrael, D., Deitz, D., LeRoy, L., Ricciardi, R., Miller, T., & Basu, J. (2014). Multiple chronic conditions chartbook. AHRQ Publications No. Q14–0038. Agency for Healthcare Research and Quality.Google Scholar
Goodkind, M. S., Gallagher-Thompson, D., Thompson, L. W., Kesler, S. R., Anker, L., Flournoy, J., Berman, M. P., Holland, J. M., & O’Hara, R. M. (2016). The impact of executive function on response to cognitive behavioral therapy in late-life depression. International Journal of Geriatric Psychiatry, 31(4), 334–339.Google Scholar
Gould, R. L., Coulson, M. C., & Howard, R. J. (2012a). Cognitive behavioral therapy for anxiety disorders in older people: A meta-analysis and meta-regression of randomized controlled trials. Journal of the American Geriatric Society, 60(2), 218–229.CrossRefGoogle ScholarPubMed
Gould, R. L., Coulson, M. C., & Howard, R. J. (2012b). Cognitive behavioral therapy for depression in older people: A meta-analysis and meta-regression of randomized controlled trials. Journal of the American Geriatric Society, 60(10), 1817–1830.Google Scholar
Haaland, K. L., Price, L., & Larue, A. (2003). What does the WMS-III tell us about memory changes with normal aging? Journal of the International Neuropsychological Society, 9(1), 89–96.Google Scholar
Heimberg, R. G., Turk, C. L., & Mennin, D. S. (2004). Generalized anxiety disorder: Advances in research and practice. Guilford Press.Google Scholar
Hong, Z., Ng, K. K., Sim, S. K., Ngeow, M. Y., Zheng, H., Lo, J. C., Chee, M. W., & Zhou, J. (2015). Differential age-dependent associations of gray matter volume and white matter integrity with processing speed in healthy older adults. Neuroimage, 123, 42–50.Google Scholar
Hopko, D. R., Stanley, M. A., Reas, D. L., Wetherell, J. L., Beck, J. G., Novy, D. M., & Averill, P. M. (2003). Assessing worry in older adults: Confirmatory factor analysis of the Penn State Worry Questionnaire and psychometric properties of an abbreviated model. Psychological Assessment, 15(2), 173–183.Google Scholar
Huang, T. T., Yang, L. H., & Liu, C. Y. (2011). Reducing the fear of falling among community dwelling elderly adults through cognitive-behavioural strategies and intense Tai Chi exercise: A randomized controlled trial. Journal of Advanced Nursing, 67(5), 961–971.Google Scholar
Inoue, K., Tanii, H., Kaiya, H., Abe, S., Nishimura, Y., Masaki, M., Okazaki, Y., Nata, M., & Fukunaga, T. (2007). The correlation between unemployment and suicide rates in Japan between 1978 and 2004. Legal Medicine, 9(3), 139–142.Google Scholar
James, I. A. (2010). Cognitive behavioral therapy with older adults. James Kingsley Publishers.Google Scholar
Kaufmann, A. S. (2001). WAIS-III IQs, Horn’s theory, and generational changes from young adulthood to old age. Intelligence, 29, 131–167.Google Scholar
Kishita, N., & Laidlaw, K. (2017). Cognitive behaviour therapy for generalized anxiety disorder: Is CBT equally efficacious in adults of working age and older adults? Clinical Psychology Review, 52, 124–136.Google Scholar
Knight, B. G. (2004). Psychotherapy with older adults (3rd ed.). Sage Publications.CrossRefGoogle Scholar
Krishna, M., Jauhari, A., Lepping, P., Turner, J., Crossley, D., & Krishnamoorthy, A. (2011). Is group psychotherapy effective in older adults with depression? A systematic review. International Journal of Geriatric Psychiatry, 26(4), 331–340.Google Scholar
Laidlaw, K. (2015). CBT for older people: An introduction. Sage.Google Scholar
Laidlaw, K., & Kishita, N. (2015). Age-appropriate augmented cognitive behavior therapy to enhance treatment outcome for late-life depression and anxiety disorders. GeroPsych: The Journal of Gerontopsychology and Geriatric Psychiatry, 28(2), 57–66.CrossRefGoogle Scholar
Laidlaw, K., & Pachana, N. A. (2009). Aging, mental health, and demographic change: Challenges for psychotherapists. Professional Psychology: Research and Practice, 40(6), 601–608.Google Scholar
Laidlaw, K., Thompson, L. W., Leah, D., & Gallagher-Thompson, D. (2003). Cognitive behaviour therapy with older people. John Wiley & Sons.CrossRefGoogle Scholar
Lau, A. W., & Kinoshita, L. M. (2006). Cognitive-behavioral therapy with culturally diverse older adults. In Hays, P. A. & Iwamasa, G. Y. (Eds.), Culturally responsive cognitive-behavioral therapy: Assessment, practice, and supervision (pp. 179–197). American Psychological Association.Google Scholar
Lezak, M., Howieson, D., Bigler, E., & Tranel, D. (2012). Neuropsychological assessment (5th ed.). Oxford University Press.Google Scholar
Lopez, O. L., Becker, J. T., Sweet, R. A., Klunk, W., Kaufer, D. I., Saxton, J., Habeych, M., & DeKosky, S. T. (2003). Psychiatric symptoms vary with the severity of dementia in probable Alzheimer’s disease. Journal of Neuropsychiatry and Clinical Neurosciences, 15(3), 346–353.Google Scholar
Mantella, R. C., Butters, M. A., Dew, M. A., Mulsant, B. H., Begley, A. E., Tracey, B., Shear, M. K., Reynolds, C. F., & Lenze, E. J. (2007). Cognitive impairment in late-life generalized anxiety disorder. The American Journal of Geriatric Psychiatry, 15(8), 673–679.Google Scholar
Meyer, T. J., Miller, M. L., Metzger, R. L., & Borkovec, T. D. (1990). Development and validation of the Penn State Worry Questionnaire. Behaviour Research and Therapy, 28(6), 487–495.Google Scholar
Mohlman, J., Bryant, C., Lenze, E. J., Stanley, M. A., Gum, A., Flint, A., Beekman, A. T. F., Wetherell, J. L., Thorp, S. R., & Craske, M. G. (2012). Improving recognition of late life anxiety disorders in Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition: Observations and recommendations of the Advisory Committee to the Lifespan Disorders Work Group. International Journal of Geriatric Psychiatry, 27(6), 549–556.Google Scholar
Mohlman, J., Gorenstein, E. E., Kleber, M., de Jesus, M., Gorman, J. M., & Papp, L. A. (2003). Standard and enhanced cognitive-behavior therapy for late-life generalized anxiety disorder: Two pilot investigations. American Journal of Geriatric Psychiatry, 11, 24–32.Google Scholar
Montorio, I., Nuevo, R., Márquez, M., Izal, M., & Losada, A. (2003). Characterization of worry according to severity of anxiety in elderly living in the community. Aging and Mental Health, 7(5), 334–341.Google Scholar
O’Hara, R. M., Coman, E., & Butters, M. A. (2006). Late life depression. In Clinical neuropsychology: A pocket handbook for assessment (pp. 183–209). American Psychological Association.Google Scholar
Oppenheimer, C. (2002). Sexuality in old age. In Jacob, R. & Oppenheimer, C. (Eds.), Psychiatry in the elderly. Oxford University Press.Google Scholar
Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007a). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19(1), 103–111.Google Scholar
Pachana, N. A., Woodward, R. N., & Byrne, G. J. (2007b). Treatment of specific phobia in older adults. Clinical Interventions in Aging, 2(3), 469–476.Google Scholar
Parry, S. W., Bamford, C., Deary, V., Finch, T. L., Gray, J., MacDonald, C., McMeekin, P., Steen, I. N., Whitney, S. L., & McColl, E. M. (2016). Cognitive-behavioural therapy-based intervention to reduce fear of falling in older people: Therapy development and randomised controlled trial – The Strategies for Increasing Independence, Confidence and Energy (STRIDE) study. Health Technology Assessment, 20(56), 1–206.Google Scholar
Pinquart, M., Duberstein, P. R., & Lyness, J. M. (2007). Effects of psychotherapy and other behavioral interventions on clinically depressed older adults: A meta-analysis. Aging and Mental Health, 11 (6), 645–657.Google Scholar
Porensky, E. K., Dew, M. A., Karp, J. F., Skidmore, E., Rollman, B. L., Shear, M. K., & Lenze, E. J. (2009). The burden of late-life generalized anxiety disorder: Effects on disability, health-related quality of life, and healthcare utilization. The American Journal of Geriatric Psychiatry, 17(6), 473–482.Google Scholar
Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401.Google Scholar
Reed, A. E., & Carstensen, L. L. (2012). The theory behind the age-related positivity effect. Frontiers in Psychology, 3, 339. http://doi.org/10.3389/fpsyg.2012.00339Google Scholar
Rhebergen, D., Batelaan, N. M., de Graaf, R., Nolen, W. A., Spijker, J., Beekman, A. T., & Penninx, B. W. (2011). The 7-year course of depression and anxiety in the general population. Acta Psychiatrica Scandinavica, 123(4), 297–306.Google Scholar
Robb, C., Haley, W. E., Becker, M. A., Polivka, L. A., & Chwa, H. J. (2003). Attitudes towards mental health care in younger and older adults: Similarities and differences. Aging and Mental Health, 7(2), 142–152.Google Scholar
Ronnlund, M., Nyberg, L., Backman, L., & Nilsson, L. G. (2005). Stability, growth, and decline in adult life span development of declarative memory: Cross-sectional and longitudinal data from a population-based study. Psychology and Aging, 20(1), 3–18.Google Scholar
Salthouse, T. (2012). Consequences of age-related cognitive declines. Annual Review of Psychology, 63, 201–226.Google Scholar
Satre, D. D., Knight, B. G., & David, S. (2006). Cognitive-behavioral interventions with older adults: Integrating clinical and gerontological research. Professional Psychology: Research and Practice, 37(5), 489–498.Google Scholar
Schaie, K. W. (2005). Developmental influences on adult intelligence: The Seattle Longitudinal Study. Oxford University Press.Google Scholar
Scheffer, A. C., Schuurmans, M. J, van Dijk, N., van der Hooft, T., & deRooij, S. E. (2008). Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age and Ageing, 37(1), 19–24.Google Scholar
Scheibe, S., & Carstensen, L. L. (2010). Emotional aging: Recent findings and future trends. The Journals of Gerontology Series: Psychological Sciences and Social Sciences, 65B(2), 135–144. doi:10.1093/geronb/gbp132Google Scholar
Schneider-Garces, N. J., Gordon, B. A., Brumback-Peltz, C. R., Shin, E., Lee, Y., Sutton, B. P., Gratton, G., & Fabiani, M. (2010). Span, CRUNCH, and beyond: Working memory capacity and the aging brain. Journal of Cognitive Neuroscience, 22(4), 655–669.Google Scholar
Segal, D. L., Coolidge, F. L., Mincic, M. S., & O’Riley, A. (2005). Beliefs about mental illness and willingness to seek help: A cross-sectional study. Aging and Mental Health, 9(4), 363–367.Google Scholar
Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5(1–2), 165–173.Google Scholar
Sinoff, G., Ore, L., Zlotogorsky, D., & Tamir, A. (1999). Short anxiety screening test: A brief instrument for detecting anxiety in the elderly. International Journal of Geriatric Psychiatry, 14(12), 1062–1071.Google Scholar
Smith, M. L., Jiang, L., & Ory, M. G. (2012). Falls efficacy among older adults enrolled in an evidence-based program to reduce fall-related risk: Sustainability of individual benefits over time. Family Community Health, 35(3), 256–263.Google Scholar
Stanley, M. A., Diefenbach, G. J., & Hopko, D. R. (2004). Cognitive behavioral treatment for older adults with generalized anxiety disorder: A therapist manual for primary care settings. Behavior Modification, 28(1), 73–117.Google Scholar
Suitor, J. J., Gilligan, M., & Pillemer, K. (2015). Stability, change, and complexity in later life families. In George, L. K. & Ferraro, K. F. (Eds.), Handbook of aging and the social sciences (8th ed., pp. 206–226). Elsevier/Academic.Google Scholar
Tam, H. M., Lam, C. L., Huang, H., Wang, B., & Lee, T. M. (2015). Age-related difference in relationships between cognitive processing speed and general cognitive status. Applied Neuropsychology Adult, 22(2), 94–99.CrossRefGoogle ScholarPubMed
Thompson, L. W., Coon, D. W., Gallagher-Thompson, D., Sommer, B. R., & Koin, D. (2001). Cognitive/behavioral therapy in the treatment of elderly outpatients with mild-moderate depression. American Journal of Geriatric Psychiatry, 9(3), 225–240.Google Scholar
Van Orden, K. A., Witte, T. K., Cukrowicz, K. C., Braithwaite, S., Selby, E. A., & Joiner, T. E. (2010). The interpersonal theory of suicide. Psychological Review, 117(2), 575–600.Google Scholar
Verhaeghen, P., & Cerella, J. (2002). Aging, executive control, and attention: A review of meta-analyses. Neuroscience and Biobehavioral Reviews, 26(7), 849–857.Google Scholar
Wetherell, J. L., Petkus, A. J., McChesney, K., Stein, M. B., Judd, P. H., Rockwell, E., Sewell, D. D., & Patterson, T. L. (2009). Older adults are less accurate than younger adults at identifying symptoms of anxiety and depression. The Journal of Nervous and Mental Disease, 197(8), 623–626.Google Scholar
Wetherell, J. L., Petkus, A. J., White, K. S., Nguyen, H., Kornblith, S., Andreescu, C., Zisook, S., & Lenze, E. J. (2013). Antidepressant medication augmented with cognitive-behavioral therapy for generalized anxiety disorder in older adults. American Journal of Psychiatry, 170(7), 782–789.Google Scholar
Whipple, M. O., Hamel, A. V., & Talley, K. M. C. (2018). Fear of falling among community-dwelling older adults: A scoping review to identify effective evidence-based interventions. Geriatric Nursing, 39(2), 170–177. doi: 10.1016/j.gerinurse.2017.08.005Google Scholar
Willson, A. E., Shuey, K. M., Elder, G. H., & Wickrama, K. A. S. (2006). Ambivalence in mother–adult child relations: A dyadic analysis. Social Psychology Quarterly, 69(3), 235–252.Google Scholar
Wisdom, N. M., Mignogna, J., & Collins, R. L. (2012). Variability in Wechsler Adult Intelligence Scale-IV subtest performance across age. Archives of Clinical Neuropsychology, 27(4), 389–397.Google Scholar
Wisocki, P. A., Handen, B., & Morse, C. K. (1986). The Worry Scale as a measure of anxiety among homebound and community active elderly. The Behavior Therapist, 9(5), 91–95.Google Scholar
Wyder, M., Ward, P., & De Leo, D. (2009). Separation as a suicide risk factor. Journal of Affective Disorders, 116(3), 208–213.Google Scholar
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49.Google Scholar
Yochim, B. P., Mueller, A. E., & Segal, D. L. (2013). Late life anxiety is associated with decreased memory and executive functioning in community dwelling older adults. Journal of Anxiety Disorders, 27(6), 567–575.Google Scholar
Zarit, S. H., & Zarit, J. M. (2007). Mental disorders in older adults: Fundamentals of assessment and treatment (2nd ed.). Guilford Press.Google Scholar
Zijlstra, G. A, van Haastregt, J. C., Du Moulin, M. F., de Jonge, M. C., van der Poel, A., & Kempen, G. I. (2013). Effects of the implementation of an evidence-based program to manage concerns about falls in older adults. Gerontologist, 53(5), 839–849.CrossRefGoogle ScholarPubMed

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