Insomnia in older adults with generalized anxiety disorder

Gretchen A. Brenes, Michael E. Miller, Melinda A. Stanley, Jeff D. Williamson, Mark Knudson, William Vaughn McCall

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

OBJECTIVES:: The purposes of this study are to determine the frequency and severity of insomnia symptoms and related complaints experienced by older adults with Generalized Anxiety Disorder (GAD) and compare them with older adults without GAD; compare insomnia symptoms among older adults with GAD with and without comorbid depression; determine if there are age differences in insomnia severity among people with GAD; and determine if there are differences in insomnia severity between older adults with GAD and older adults diagnosed with insomnia. DESIGN:: Cross-sectional. SETTING:: Participants were recruited through primary care clinics, advertisements, and mass mailings. PARTICIPANTS:: One hundred ten older adults; 31 with GAD, 25 with GAD and depression, 33 worried well, and 21 with no psychiatric diagnosis. MEASUREMENTS:: Psychiatric diagnosis, sleep disturbance, and health. RESULTS:: Participants with GAD with and without comorbid depression reported significantly greater sleep disturbance severity than participants with no psychiatric diagnosis and the worried well. There were no differences in sleep disturbances between older adults with GAD only and older adults with comorbid GAD and depression. The severity of sleep disturbance reported by older participants with GAD was greater than reports by young and middle-aged participants with GAD, and comparable with reports by older adults with a diagnosis of insomnia. CONCLUSIONS:: Ninety percent of older adults with GAD report dissatisfaction with sleep and the majority report moderate to severe insomnia. These findings support the assessment of sleep disturbances within the context of late-life GAD.

Original languageEnglish (US)
Pages (from-to)465-472
Number of pages8
JournalAmerican Journal of Geriatric Psychiatry
Volume17
Issue number6
DOIs
StatePublished - Jan 1 2009
Externally publishedYes

Fingerprint

Sleep Initiation and Maintenance Disorders
Anxiety Disorders
Sleep
Mental Disorders
Depression
Primary Health Care

Keywords

  • Anxiety
  • GAD
  • Insomnia
  • Sleep

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health

Cite this

Insomnia in older adults with generalized anxiety disorder. / Brenes, Gretchen A.; Miller, Michael E.; Stanley, Melinda A.; Williamson, Jeff D.; Knudson, Mark; McCall, William Vaughn.

In: American Journal of Geriatric Psychiatry, Vol. 17, No. 6, 01.01.2009, p. 465-472.

Research output: Contribution to journalArticle

Brenes, GA, Miller, ME, Stanley, MA, Williamson, JD, Knudson, M & McCall, WV 2009, 'Insomnia in older adults with generalized anxiety disorder', American Journal of Geriatric Psychiatry, vol. 17, no. 6, pp. 465-472. https://doi.org/10.1097/JGP.0b013e3181987747
Brenes, Gretchen A. ; Miller, Michael E. ; Stanley, Melinda A. ; Williamson, Jeff D. ; Knudson, Mark ; McCall, William Vaughn. / Insomnia in older adults with generalized anxiety disorder. In: American Journal of Geriatric Psychiatry. 2009 ; Vol. 17, No. 6. pp. 465-472.
@article{a0e11f0ce8e34ce796289cec70ec08a5,
title = "Insomnia in older adults with generalized anxiety disorder",
abstract = "OBJECTIVES:: The purposes of this study are to determine the frequency and severity of insomnia symptoms and related complaints experienced by older adults with Generalized Anxiety Disorder (GAD) and compare them with older adults without GAD; compare insomnia symptoms among older adults with GAD with and without comorbid depression; determine if there are age differences in insomnia severity among people with GAD; and determine if there are differences in insomnia severity between older adults with GAD and older adults diagnosed with insomnia. DESIGN:: Cross-sectional. SETTING:: Participants were recruited through primary care clinics, advertisements, and mass mailings. PARTICIPANTS:: One hundred ten older adults; 31 with GAD, 25 with GAD and depression, 33 worried well, and 21 with no psychiatric diagnosis. MEASUREMENTS:: Psychiatric diagnosis, sleep disturbance, and health. RESULTS:: Participants with GAD with and without comorbid depression reported significantly greater sleep disturbance severity than participants with no psychiatric diagnosis and the worried well. There were no differences in sleep disturbances between older adults with GAD only and older adults with comorbid GAD and depression. The severity of sleep disturbance reported by older participants with GAD was greater than reports by young and middle-aged participants with GAD, and comparable with reports by older adults with a diagnosis of insomnia. CONCLUSIONS:: Ninety percent of older adults with GAD report dissatisfaction with sleep and the majority report moderate to severe insomnia. These findings support the assessment of sleep disturbances within the context of late-life GAD.",
keywords = "Anxiety, GAD, Insomnia, Sleep",
author = "Brenes, {Gretchen A.} and Miller, {Michael E.} and Stanley, {Melinda A.} and Williamson, {Jeff D.} and Mark Knudson and McCall, {William Vaughn}",
year = "2009",
month = "1",
day = "1",
doi = "10.1097/JGP.0b013e3181987747",
language = "English (US)",
volume = "17",
pages = "465--472",
journal = "American Journal of Geriatric Psychiatry",
issn = "1064-7481",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Insomnia in older adults with generalized anxiety disorder

AU - Brenes, Gretchen A.

AU - Miller, Michael E.

AU - Stanley, Melinda A.

AU - Williamson, Jeff D.

AU - Knudson, Mark

AU - McCall, William Vaughn

PY - 2009/1/1

Y1 - 2009/1/1

N2 - OBJECTIVES:: The purposes of this study are to determine the frequency and severity of insomnia symptoms and related complaints experienced by older adults with Generalized Anxiety Disorder (GAD) and compare them with older adults without GAD; compare insomnia symptoms among older adults with GAD with and without comorbid depression; determine if there are age differences in insomnia severity among people with GAD; and determine if there are differences in insomnia severity between older adults with GAD and older adults diagnosed with insomnia. DESIGN:: Cross-sectional. SETTING:: Participants were recruited through primary care clinics, advertisements, and mass mailings. PARTICIPANTS:: One hundred ten older adults; 31 with GAD, 25 with GAD and depression, 33 worried well, and 21 with no psychiatric diagnosis. MEASUREMENTS:: Psychiatric diagnosis, sleep disturbance, and health. RESULTS:: Participants with GAD with and without comorbid depression reported significantly greater sleep disturbance severity than participants with no psychiatric diagnosis and the worried well. There were no differences in sleep disturbances between older adults with GAD only and older adults with comorbid GAD and depression. The severity of sleep disturbance reported by older participants with GAD was greater than reports by young and middle-aged participants with GAD, and comparable with reports by older adults with a diagnosis of insomnia. CONCLUSIONS:: Ninety percent of older adults with GAD report dissatisfaction with sleep and the majority report moderate to severe insomnia. These findings support the assessment of sleep disturbances within the context of late-life GAD.

AB - OBJECTIVES:: The purposes of this study are to determine the frequency and severity of insomnia symptoms and related complaints experienced by older adults with Generalized Anxiety Disorder (GAD) and compare them with older adults without GAD; compare insomnia symptoms among older adults with GAD with and without comorbid depression; determine if there are age differences in insomnia severity among people with GAD; and determine if there are differences in insomnia severity between older adults with GAD and older adults diagnosed with insomnia. DESIGN:: Cross-sectional. SETTING:: Participants were recruited through primary care clinics, advertisements, and mass mailings. PARTICIPANTS:: One hundred ten older adults; 31 with GAD, 25 with GAD and depression, 33 worried well, and 21 with no psychiatric diagnosis. MEASUREMENTS:: Psychiatric diagnosis, sleep disturbance, and health. RESULTS:: Participants with GAD with and without comorbid depression reported significantly greater sleep disturbance severity than participants with no psychiatric diagnosis and the worried well. There were no differences in sleep disturbances between older adults with GAD only and older adults with comorbid GAD and depression. The severity of sleep disturbance reported by older participants with GAD was greater than reports by young and middle-aged participants with GAD, and comparable with reports by older adults with a diagnosis of insomnia. CONCLUSIONS:: Ninety percent of older adults with GAD report dissatisfaction with sleep and the majority report moderate to severe insomnia. These findings support the assessment of sleep disturbances within the context of late-life GAD.

KW - Anxiety

KW - GAD

KW - Insomnia

KW - Sleep

UR - http://www.scopus.com/inward/record.url?scp=67649258986&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=67649258986&partnerID=8YFLogxK

U2 - 10.1097/JGP.0b013e3181987747

DO - 10.1097/JGP.0b013e3181987747

M3 - Article

VL - 17

SP - 465

EP - 472

JO - American Journal of Geriatric Psychiatry

JF - American Journal of Geriatric Psychiatry

SN - 1064-7481

IS - 6

ER -