Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease

A significant proportion of persons affected by Parkinson’s disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are under...

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Main Authors: Pachana, N., Egan, Sarah, Laidlaw, K., Dissanayaka, N., Byrne, G., Brockman, S., Marsh, R., Starkstein, S.
Format: Journal Article
Published: John Wiley & Sons 2013
Online Access:http://hdl.handle.net/20.500.11937/34788
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author Pachana, N.
Egan, Sarah
Laidlaw, K.
Dissanayaka, N.
Byrne, G.
Brockman, S.
Marsh, R.
Starkstein, S.
author_facet Pachana, N.
Egan, Sarah
Laidlaw, K.
Dissanayaka, N.
Byrne, G.
Brockman, S.
Marsh, R.
Starkstein, S.
author_sort Pachana, N.
building Curtin Institutional Repository
collection Online Access
description A significant proportion of persons affected by Parkinson’s disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are under recognized in patients with PD and are associated with deleterious effects on physical and interpersonal functioning, negatively impacting quality of life and well-being. We offer a brief overview of salient clinical points with respect to assessment and treatment approaches to enhance efficacy of the treatment of mental health symptoms in older adults with PD. Cognitive behavior therapy involves the patient learning to overcome behavioral avoidance associated with anxiety and challenge unhelpful negative cognitions. It is suggested that cognitive behavior therapy is an effective approach to treatment of anxiety and depression in PD and should be offered as a treatment to patients.
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institution Curtin University Malaysia
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publishDate 2013
publisher John Wiley & Sons
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spelling curtin-20.500.11937-347882017-09-13T15:24:45Z Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease Pachana, N. Egan, Sarah Laidlaw, K. Dissanayaka, N. Byrne, G. Brockman, S. Marsh, R. Starkstein, S. A significant proportion of persons affected by Parkinson’s disease (PD) are over age 65 years. Mental health issues are often less a focus of treatment in this population than physical manifestations of the illness. Anxiety or depression alone, as well as comorbid depression and anxiety, are under recognized in patients with PD and are associated with deleterious effects on physical and interpersonal functioning, negatively impacting quality of life and well-being. We offer a brief overview of salient clinical points with respect to assessment and treatment approaches to enhance efficacy of the treatment of mental health symptoms in older adults with PD. Cognitive behavior therapy involves the patient learning to overcome behavioral avoidance associated with anxiety and challenge unhelpful negative cognitions. It is suggested that cognitive behavior therapy is an effective approach to treatment of anxiety and depression in PD and should be offered as a treatment to patients. 2013 Journal Article http://hdl.handle.net/20.500.11937/34788 10.1002/mds.25689 John Wiley & Sons restricted
spellingShingle Pachana, N.
Egan, Sarah
Laidlaw, K.
Dissanayaka, N.
Byrne, G.
Brockman, S.
Marsh, R.
Starkstein, S.
Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title_full Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title_fullStr Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title_full_unstemmed Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title_short Clinical issues in the treatment of anxiety and depression in older adults with Parkinson’s disease
title_sort clinical issues in the treatment of anxiety and depression in older adults with parkinson’s disease
url http://hdl.handle.net/20.500.11937/34788