Medical conditions and depressive, anxiety, and somatic symptoms in older adults with and without generalized anxiety disorder

Loebach Wetherell, Julie, Ayers, Catherine R., Nuevo, Roberto, Stein, Murray B., Ramsdell, Joe and Patterson, Thomas L. (2010). Medical conditions and depressive, anxiety, and somatic symptoms in older adults with and without generalized anxiety disorder. Aging and Mental Health, 14 (6), pp. 764-768.


OBJECTIVE: The objective of this study was to examine medical illness and anxiety, depressive, and somatic symptoms in older medical patients with generalized anxiety disorder (GAD). METHOD: A case-control study was designed and conducted in the University of California, San Diego (UCSD) Geriatrics Clinics. A total of fifty-four older medical patients with GAD and 54 matched controls participated. MEASUREMENTS: The measurements used for this study include: Brief Symptom Inventory-18, Mini International Neuropsychiatric Interview, and the Anxiety Disorders Interview Schedule. RESULTS: Older medical patients with GAD reported higher levels of somatic symptoms, anxiety, and depression than other older adults, as well as higher rates of diabetes and gastrointestinal conditions. In a multivariate model that included somatic symptoms, medical conditions, and depressive and anxiety symptoms, anxiety symptoms were the only significant predictors of GAD. CONCLUSION: These results suggest first, that older medical patients with GAD do not primarily express distress as somatic symptoms; second, that anxiety symptoms in geriatric patients should not be discounted as a byproduct of medical illness or depression; and third, that older adults with diabetes and gastrointestinal conditions may benefit from screening for anxiety.

Publication DOI:
Divisions: Life & Health Sciences
Additional Information: This is an Accepted Manuscript of an article published by Taylor & Francis Group in Aging & Mental Health on 14 July 2010, available online at:
Uncontrolled Keywords: somatosensory disorders,anxiety disorders,California,depression,psychological interview,health status
Full Text Link:
Related URLs: http://www.tand ... 607861003713240 (Publisher URL)
PURE Output Type: Article
Published Date: 2010
Published Online Date: 2010-07-14
Accepted Date: 2010-01-19
Submitted Date: 2009-12-16
Authors: Loebach Wetherell, Julie
Ayers, Catherine R.
Nuevo, Roberto
Stein, Murray B.
Ramsdell, Joe
Patterson, Thomas L.



Version: Accepted Version

| Preview

Export / Share Citation


Additional statistics for this record