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Sherry A Beaudreau

Sherry A Beaudreau
Stanford Unviersity and VA Palo Alto Health Care System · Psychiatry and Behavioral Sciences

PhD, ABPP

About

103
Publications
12,131
Reads
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1,775
Citations
Citations since 2016
55 Research Items
1307 Citations
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2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
2016201720182019202020212022050100150200250
Introduction
Dr. Beaudreau's research aims to leverage knowledge about the cognitive profiles of late-life psychiatric disorders to inform the development of psychiatric behavioral interventions. She has a particular interest in problem-solving therapy for reducing anxiety, depression, and suicide risk.
Additional affiliations
October 2017 - present
Stanford University
Position
  • Professor
September 2014 - present
VA Palo Alto Health Care System
Position
  • Co-Director, National VA Advanced Fellowship Program in Mental Illness Research and Treatment
December 2013 - present
The University of Queensland
Position
  • Honorary Associate Professor

Publications

Publications (103)
Article
Objectives: Anxiety is common in Parkinson's disease (PD), negatively impacting daily functioning and quality of life in PD patients and their families. This systematic review evaluates the effectiveness of different psychotherapeutic approaches for reducing anxiety in PD and provides recommendations for clinical practise. Methods: Following PRI...
Article
Objective: The COVID-19 pandemic has severely disrupted all aspects of academic medicine, including post-doctoral research fellowship training. The current survey examined ways in which research fellows across 28 U.S. nationally diverse sites have been impacted. Methods: Survey participants included 62 M.D. and Ph.D. post-doctoral fellows and 27...
Article
Full-text available
To address the shortage of mental health providers in geriatrics, VA has implemented clinician training in a VA Problem Solving Training (PST) protocol adapted to the needs of mostly older patients with complex comorbidities. This presentation will summarize PST implementation adaptations during COVID-19, and compare Veteran treatment outcomes befo...
Article
Full-text available
Older Veterans with anxiety disorders encounter barriers to receiving mental health services that may be overcome by using brief technology-delivered interventions. To address this, we conducted a pilot randomized controlled trial (RCT) comparing the effects of a guided self-management intervention called BREATHE, a 4-week video-delivered (DVD/inte...
Article
Objectives To summarize adaptations due to COVID-19 for VA Problem Solving Training (PST) for clinicians serving medically complex patients and to compare patient mental health outcomes in the year before (2019) and during COVID-19 (2020). Methods Clinicians attended a multi-day workshop and up to 6 months of small-group consultation for two train...
Article
Objective To compare the prevalence of cognitive symptoms and their functional impact by age group accounting for depression and number of other health conditions. Methods We analyzed data from the 2011 Behavioral Risk Factor Surveillance System, a population-based, cross-sectional telephone survey of US adults. Twenty-one US states asked particip...
Chapter
Historically, clinicians and researchers have focused on depression and dementia in older people, paying little attention to anxiety except as a complication of these disorders. However, increased research into late-life anxiety has seen a growth in scientific literature and clinical interest. This important book brings together international exper...
Article
Background Veterans enrolled in Veterans Health Administration (VHA) Home Based Primary Care (HBPC), a program providing in-home medical and mental health care by an interdisciplinary care team, often face substantial physical, cognitive, and mental health challenges. This program evaluation examined the impact of a brief problem-solving interventi...
Article
Objectives: (1) To delineate whether cognitive flexibility and inhibitory ability are neurocognitive markers of passive suicidal ideation (PSI), an early stage of suicide risk in depression and (2) to determine whether PSI is associated with volumetric differences in regions of the prefrontal cortex (PFC) in middle-aged and older adults with depre...
Article
Full-text available
Objectives To investigate satisfaction with a vacuum constriction device for middle-aged and older male Veterans with erectile dysfunction and their female partners. Methods Patients (N = 57; mean age = 64.28 years; SD = 8.7) received comprehensive education and training and ongoing follow-up of device use, which included a semi-structured intervi...
Article
Objective To evaluate the association between changes in functional disability and suicide ideation among older adults following psychotherapy for depression. Methods Sixty-five participants (65–91 years old, 72% White, and 66% female) with depression completed 12 sessions of problem solving therapy (PST) and completed measures of disability (WHO...
Article
Aims Late life suicide is an international public health crisis, yet the mechanisms underlying late life suicide risk are far less understood compared to younger age groups. Executive dysfunction is widely documented in late life depression (LLD), and cognitive flexibility and inhibition are specifically hypothesized as vulnerabilities for suicide...
Article
Loneliness is a public health issue, particularly for older Veterans. To increase older Veterans’ access for socialization opportunities, a community-based telephone-delivered activity program was developed, in which Veterans can call in and engage in social activities through telephone. This paper illustrates the feasibility, acceptance, and preli...
Article
Objectives: This study examined the acceptance, feasibility, and preliminary effects of a guided self-management intervention using video delivery and a telephone coach on anxiety and activity engagement. Method: Ten Veterans aged 60 years or older with anxiety disorders determined by Structured Clinical Interview for Diagnostic and Statistical Man...
Article
Objectives The short form or s‐allele variant of the serotonin transporter polymorphism (5‐HTTLPR), as compared with the long form or l‐allele variant, has been associated with the presence of cognitive dysfunction, and particularly memory impairment in older adults. This body of cross‐sectional work has culminated in the hypothesis that presence o...
Article
Full-text available
The current study examined a novel computerized cognitive reappraisal paradigm (REAP) for worry management in college-aged adults with a range of PSWQ scores (n = 98). Participants listed three current worries and were randomized to either REAP or a worry condition. For the REAP condition, participants selected positive reappraisal statements of th...
Chapter
More older adults suffer from anxiety disorders than any other class of mental health disorders. In general, older adults present with many of the same types of anxiety disorders seen in younger persons, but with some caveats given medical, cognitive, and other contextual issues specific to aging. Subthreshold anxiety symptoms, which do not meet di...
Article
Objectives: The United States Department of Veterans Affairs offers numerous technology-delivered interventions to self-manage mental health problems. It is unknown, however, what barriers older military veterans face to using these technologies and how willing they would be to use technologies for mental health concerns. Methods: Seventy-seven...
Article
Background: Existing literature on factors associated with supportive care service (SCS) use is limited. A better understanding of these factors could help tailor SCS to the needs of frequent users, as well as facilitate targeted outreach to populations that underutilize available services. Objective: To investigate the prevalence of SCS use and...
Article
Full-text available
Given the association between functional disability and suicidal ideation (SI) in late life (Lutz & Fiske, 2017), this study examined associations between functional disability and SI among older adults receiving problem solving therapy (PST) for depression. PST is a promising intervention for SI (e.g., Gustavson et al., 2016) and has been shown to...
Article
Objectives: Suicide is a global public health problem among older adults. Problem-solving therapy (PST) has demonstrated promise in reducing late-life suicide risk, chiefly in secondary analyses of studies on late-life depression. PST mitigates negative beliefs about one’s problem-solving abilities and maladaptive problem-solving styles, which suic...
Article
Objectives: Assessing late-life anxiety using an instrument with sound psychometric properties including cross-cultural invariance is essential for cross-national aging research and clinical assessment. To date, no cross-national research studies have examined the psychometric properties of the frequently used Geriatric Anxiety Inventory (GAI) in...
Article
Objective: The study's aim was to demonstrate the feasibility and preliminary efficacy of a 4-week video-delivered relaxation program called Breathing, Relaxation, and Education for Anxiety Treatment in the Home Environment (BREATHE) for reducing anxiety and increasing activity engagement in older adults with anxiety disorders. Methods: This was...
Presentation
Symposium presentation in The role of executive function in anxiety and depressive disorders (N. H. Zainal and M. G. Newman (Chairs))
Article
Full-text available
Veterans in Home-Based Primary Care (HBPC) face substantial physical, cognitive, and/or mental health challenges. Problem-solving therapy approaches have empirical support for improving distress among older adults and primary care patients. This evaluation examined the effectiveness of a 6-session Problem-Solving Training (PST) intervention with 16...
Article
BREATHE is a 4-week late-life anxiety intervention that consists of (1) video lessons that teach behavioral skills (i.e., diaphragmatic breathing, progressive relaxation); (2) daily practice videos; and (3) telephone coaching. We examined the feasibility of BREATHE in an 8-week study with older Veterans with anxiety disorders. The five eligible old...
Presentation
Symposium presentation in Veteran mental health and functioning: Lifespan perspectives and evidence-based approaches (S. A. Beaudreau and C. E. Gould (Chairs))
Article
Cognitive behavioral therapy for anxiety has demonstrated lower efficacy in older compared with younger adults. Yet, few other evidence-based options for late-life anxiety have been examined. This case series aimed to demonstrate the application of Problem Solving Therapy (PST) to older adults with anxiety disorders building on PST’s strong empiric...
Article
Objective: To examine the relationship between subclinical anxiety and depressive symptoms and objective sleep architecture measures and subjective sleep reports in older adults. Methods: Community-dwelling older adults (N = 167) self-rated their current severity of anxiety symptoms, depressive symptoms, daytime sleepiness, and global sleep qual...
Article
Full-text available
While investigations have sought to identify the distinct and shared contributions of anxiety and depression to neurocognitive processes in late life, less is known regarding the further contribution of worry, a unique and critical dimension of affective dysregulation. Capturing the full range of symptoms, as inspired by the NIH Research Domain Cri...
Article
Objective: We sought to learn where older Veterans seek information about anxiety and coping. Due to increasing use of technology in health care, we also explored benefits and barriers of using technology to teach coping skills. Methods: Twenty Veterans (M = 69.5 years, SD = 7.3) participated in semi-structured interviews in which we inquired about...
Article
This study compared the prevalence of cognitive symptoms and their functional impact across age groups and depression status. We used the Behavioral Risk Factor Surveillance System 2011 cognitive impairment module which was part of a population-based cross-sectional random-digit-dialed telephone survey administered to non-institutionalized adults i...
Article
Although studies have examined anxiety in the general population, few studies examine anxiety among older veterans. To this end, we characterized anxiety in older veterans using mixed methods. We used quantitative measurements of geriatric anxiety (Geriatric Anxiety Scale; GAS) and depression (Patient Health Questionnaire 9-item), and qualitative i...
Article
Background Behavioral treatments reduce anxiety, yet many older adults may not have access to these efficacious treatments. To address this need, we developed and evaluated the feasibility and acceptability of a video-delivered anxiety treatment for older Veterans. This treatment program, BREATHE ( B reathing, R elaxation, and E ducation for A nxie...
Article
Objectives: To better understand links between anxiety and sleep disturbances in older adults, we examined the association of different phenotypic presentations of anxiety (i.e., affective, cognitive, and somatic clusters) with global sleep quality and daytime sleepiness. Methods: 109 community-dwelling adults aged 66-92 years old (57% female) c...
Article
Objectives: The present study examined age differences in descriptions of the experience of worry and worry content. Method: Twenty-eight older and 25 younger adults participated in an experimental manipulation of worry (i.e. 5-minute worry induction). Participants identified their three main worries and completed an emotion checklist before and af...
Article
The purpose of this paper is to a) outline the importance of including patients with clinical comorbidities in Randomized Clinical Trials (RCTs) of psychiatric treatments; and b) to propose a specific approach for best handling, analyzing and interpreting the data on clinical comorbidities in terms of their impact on treatment outcomes. To do this...
Poster
Full-text available
Objective: Subjective memory complaints (SMC) are hypothesized to be a predictor of mild cognitive impairment (MCI) and possibly further cognitive decline, leading to dementia (Slavin et al, 2015). Additionally, mood disorders, such as depression and anxiety, have been associated with MCI and dementia, as well as SMC (Balash, et al., 2013; Lehrner...
Poster
Full-text available
Objective: The vacuum erection device (VED) is a safe, non-pharmacological option for erectile dysfunction (ED), particularly when pharmacological treatment is contraindicated due to medical conditions (Kostis, 2005; Lin, Wang, & Wang, 2014). In this study, we aimed to understand characteristics of patients reporting satisfaction with this medical...
Article
Objective: This investigation sought to determine whether delta activity at sleep onset (DASO) in the sleep electroencephalography of older adults represents normal variation or is associated with clinical pathology. To this end, we examined its longitudinal associations with cognitive and affective function in older adults without dementia. Meth...
Article
Objectives: The present study determined whether the number of medical conditions was associated with increased occurrence of anxiety and whether triads of medical conditions were associated with anxiety in a nationally representative sample of older Americans. We determined whether multimorbidity findings were unique to anxiety as compared with d...
Article
Full-text available
Objective: Recent research suggests cognition has a bidirectional relationship with emotional processing in older adults, yet the relationship is still poorly understood. We aimed to examine a potential relationship between late-life cognitive function, mental health symptoms, and emotional conflict adaptation. We hypothesized that worse cognitive...
Article
Full-text available
Anxiety disorders are common and debilitating in older individuals, yet anxiety is often not formally assessed in primary care. We conducted a quality improvement project to examine the feasibility of implementing a brief anxiety assessment, the Geriatric Anxiety Inventory (GAI), in a Department of Veterans Affairs geriatric primary care clinic. We...
Article
Study objectives: Frontal intermittent rhythmic delta activity (FIRDA) has long been considered to be an abnormal variant in the electroencephalogram (EEG) among older adults. Prior work also indicates a predominance of slow wave EEG activity among patients with dementia. However, instability of state control occurring with aging generally and amo...
Article
Full-text available
Anxiety disorders are common and debilitating in older individuals, yet anxiety is often not formally assessed in primary care. We conducted a quality improvement project to examine the feasibility of implementing a brief anxiety assessment, the Geriatric Anxiety Inventory (GAI), in a Department of Veterans Affairs geriatric primary care clinic. We...
Chapter
Mental disorder encompasses cognitive and psychological conditions experienced as distressing or detrimental to functioning. Cognitive disorders are common in late life and present unique challenges in clinical settings, such as co-occurring behavioral and psychological symptoms. Psychological conditions arise less commonly in older than younger in...
Poster
Hearing loss has been identified as a risk factor for cognitive decline in older adults. Additionally, greater degrees of hearing loss have been linked to a greater risk of dementia. An intermediate stage between normal aging-related cognitive decline and dementia is Mild Cognitive Impairment (MCI), which can come in the form of amnestic, executive...
Poster
Full-text available
OBJECTIVE: Computers are a ubiquitous part of daily life, however, older adults are often among the last adopters of new technology (Pew Research Center, 2014). Many studies have examined cognitive training for older adults, utilizing computers; yet, not very many studies have explored casual computer usage, specifically in association with executi...
Article
This study examined the extent to which perceived anxiety control was related to subjective sleep disturbance in young and older adults. Fifty-one young adults (18 to 30 years old) and 48 older adults (aged 65 years and older) completed questionnaires including the Pittsburgh Sleep Quality Index (PSQI) to assess sleep disturbance, Anxiety Control Q...
Article
Full-text available
Naming or word-finding tasks are a mainstay of the typical neuropsychological evaluation, particularly with older adults. However, many older adults have significant visual impairment and there are currently no such word-finding tasks developed for use with older visually impaired populations. This study presents a verbal, non-visual measure of wor...
Article
To identify cognitive predictors of geriatric depression treatment outcome. Older participants completed baseline measures of memory and executive function, health, and baseline and post-treatment Hamilton Depression Scales (HAM-D) in a 12-week trial comparing psychotherapies (problem-solving vs. supportive; N = 46). We examined cognitive predictor...
Article
Objectives We examined whether veteran status was associated with elevated depression and anxiety symptoms in men aged 50 and older after adjusting for sociodemographic factors.Methods Participants were 6577 men aged 50 years and older who completed the 2006 wave of the Health and Retirement Study (HRS). Forty-nine percent of participants were vete...
Article
Objective Extreme blood pressure (BP) values are associated with symptoms of anxiety and depression, but findings from studies are conflicting. The present study tested linear and curvilinear models of the association between anxiety and depression symptoms and BP in the Health and Retirement Study. The relationship between anxiety and depressive s...
Article
Objective: To examine the relationship of neuropsychiatric symptoms and apolipoprotein E (APOE) ε4 allele status to dementia at baseline and progression to dementia in older adults with and without cognitive impairment, no dementia (CIND). Methods: Adults (n = 856) 71 years and older (mean age = 79.15 years), 12.8% ethnic minority and 60.6% wome...
Article
Naming, or word-finding ability, is typically assessed using measures that require a patient to name a pictured object. Words used less frequently tend to be more difficult to find when speaking; thus word frequency can be used as a measure of item difficulty on such tests. However, frequency data for words on naming measures has either not been us...
Conference Paper
Morin and Espie's cognitive behavioral therapy (CBT), 8-session, evidence based manual for sleep disturbance, entitled, Insomnia: A Clinical Guide to Assessment and Treatment was piloted with a small group of older adults (N=5) living in a residential care facility for the elderly (RCFE) who suffered from mild cognitive impairment. Sleep disturbanc...
Article
Full-text available
Individuals with diabetes mellitus have a 1.39 times increased risk of Alzheimer's disease, a 2.38 times increased risk of vascular dementia, and a faster rate of cognitive decline compared to individuals without diabetes (Lu et al ., 2009). In a study, over a 9-year follow-up diabetes was associated with accelerated progression from mild cognitive...
Article
To address the growing need for ethnically unbiased cognitive screening, we examined whether the Mini Mental State Exam (MMSE), the abbreviated Fuld Object Memory Evaluation (FOME), or a combination of the two provided optimal detection of dementia in an ethnically diverse group of older adults with no cognitive impairment (normal); cognitive impai...