Telephone-Delivered Psychotherapy for Late-Life Anxiety
Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.Psychological Services (Impact Factor: 1.08). 05/2012; 9(2):219-20. DOI: 10.1037/a0025950
A randomized controlled trial (RCT) of telephone-delivered cognitive-behavioral therapy (CBT) was compared with usual care for late-life anxiety disorders. Client satisfaction, as assessed by the Client Satisfaction Questionnaire, was high (M = 27.4, range 8-32), and attrition rates were low (8.3%). Preliminary results suggest that participants receiving CBT, compared with usual care, experience declines in general anxiety, worry, anxiety sensitivity, and insomnia.
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ABSTRACT: The proportion of older adults in rural settings continues to increase, with the proportion of older adults greater in rural versus urban areas. Rural elders often have greater mental health needs but live in areas with the greatest shortages of mental and behavioral health services. Furthermore, cultural barriers to treatment exist with a lack of understanding of rural older adults' cultural context contributing to a hesitation to seek help by rural elders. The current article will explore characteristics, need for treatment and research, barriers to delivering treatment and conducting research, public policy, and clinical implications related to the mental health needs of rural older adults.