TY  - JOUR
PY  - 2020//
TI  - [Management of panic disorder in the elderly]
JO  - Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
A1  - Pace, Maxime
A1  - Heckendorn, Mathilde
A1  - Aouizerate, Bruno
A1  - Hanon, Cécile
A1  - Seigneurie, Anne-Sophie
A1  - Lavaud, Pierre
A1  - Hozer, Franz
A1  - Pascal De Raykeer, Rachel
A1  - Guérin-Langlois, Christophe
A1  - Cormier, Lucile
A1  - Poncelin De Raucourt, Hélène
A1  - Limosin, Frederic
A1  - Hoertel, Nicolas
SP  - 295
EP  - 304
VL  - 18
IS  - 3
N2  - Panic disorder in the elderly is an understudied disorder, despite being associated with substantial functional impairment, diminished quality of life and increased suicide risk in this population. This disorder is likely to be underdiagnosed and sometimes inadequately treated in the absence of national and international guidelines for this vulnerable population. Few therapeutic trials have specifically focused on the efficacy and tolerability of pharmacologic and psychotherapy treatments for panic disorder in the elderly, and current approaches to detect and manage this disorder are mainly based on experts' opinion or extrapolation from data available in younger adults. This report aims to provide a summary of current knowledge on pharmacologic and psychotherapeutic treatments for panic disorder in the elderly, and to propose a medical treatment algorithm, which should be viewed as a tool that may contribute to the choice of treatment, especially for treatment-resistant older patients with panic disorder. The main results here are the emphasis on antidepressant treatment, like selective serotonin reuptake inhibitor (SSRI), restricted benzodiazepine usage, take care of drug interactions, and importance of psychotherapy like cognitive behavioral therapy (CBT).<p /> <p>Language: fr</p>
LA  - fr
SN  - 2115-8789
UR  - http://dx.doi.org/10.1684/pnv.2020.0878
ID  - ref1
ER  -