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Yıl:2005; Cilt: 1; Sayı: 29>> Özet
Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi Psikiyatri; 2005;1(29):49-54
Yaşlılarda Anksiyete Bozukluklarının Tanı ve Tedavisi
Ç Yazgan
Psikiyatri AD, Geropsikiyatri Birimi, Marmara Üniversitesi Tıp Fakültesi, İSTANBUL
Yaşlılarda en sık karşımıza çıkan psikiyatrik bozukluklar anksiyete bozukluklarıdır. Hastalarda yaşam kalitesinde düşme, yeti yitiminde artmaya neden olan anksiyete bozuklukları ciddi oranda yüksek sağlık harcamalarına neden olur. Anksiyete gelecekte ortaya çıkabilecek bir tehlike ya da şanssız olayın evhamlı beklentisi ve buna eşlik eden disfori ya da bedensel gerginlik olarak tanımlanır. Bu derlemede yaşlı nüfusta panik bozukluk, yaygın anksiyete bozukluğu, obsesif kompülsif bozukluk, travma sonrası stres bozukluğu ve fobilerin epidemiyoloji ve fenomenolojileri tartışıldıktan sonra, birinci basamakta başa çıkma yollarına değinilmiştir. Son olarak da ilaçla ve ilaçsız tedavi yöntemleri gözden geçirilmiştir.
Diagnosis and Treatment of Anxiety Disorders In Older Adults
Anxiety disorders are the most frequently encountered psychiatric disorders. Anxiety disorders cause decline in quality of life, increased disability and significantly high health care costs. Anxiety is described as anticipatory anxiety of an unlucky event or a danger which may happen in the future and accompanying dysphoria or bodily tension. In this review epidemiology and phenomenology of panic disorder, generalzied anxiety disorder, obsessive compulsive disorder, posttraumatic stress disorder and phobias in elderly will be discussed. Then management of anxiety in primary care is emphasized. At the last section of this article pharmacologic and nonpahrmacologic treatments of anxiety disorders are reviewed.

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