Trial reportThe British journal of psychiatry : the journal of mental science2013
Age differences in treatment response to a collaborative care intervention for anxiety disorders.
Trial report in The British journal of psychiatry : the journal of mental science, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00347269 (Coordinated Anxiety Learning and Management), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Coordinated Anxiety Learning and Management (CALM): Improving Primary Care Anxiety Outcomes
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Cognitive behavioural therapy and third-wave approaches for anxiety and related disorders in older people.The Cochrane database of systematic reviews · 2024Pooled it
- Psychological and pharmacological treatments for generalized anxiety disorder (GAD): a meta-analysis of randomized controlled trials.Cognitive behaviour therapy · 2020Pooled it
- Trial
- Trial
- Blended Acceptance and Commitment Therapy Versus Face-to-face Cognitive Behavioral Therapy for Older Adults With Anxiety Symptoms in Primary Care: Pragmatic Single-blind Cluster Randomized Trial.Journal of medical Internet research · 2021Trial
- Pilot randomized controlled trial of exercise training for older veterans with PTSD.Journal of behavioral medicine · 2020Trial
- Insights Following Implementation of an Exercise Intervention in Older Veterans with PTSD.International journal of environmental research and public health · 2019Trial
- The role of gender in moderating treatment outcome in collaborative care for anxiety.Psychiatric services (Washington, D.C.) · 2015Trial
- Current Clinical Trials to Treat Anxiety Disorders in the Elderly: A Registry-Based Review.Pharmaceuticals (Basel, Switzerland) · 2026Review
- Mental Healthcare Delivery in Palliative Care: Patient and Caregiver Perspectives.Journal of pain and symptom management · 2026Article
- Which Patients with Anxiety Symptoms Benefit Most from Treatment with <italic>Bryophyllum pinnatum</italic>? A Secondary Analysis of a Prospective, Single-Arm Study.Complementary medicine research · 2026Article
- Personality intervention affects emotional stability and extraversion similarly in older and younger adults.Communications psychology · 2025Article
- Palliative Care Psychiatry: Building Synergy Across the Spectrum.Current psychiatry reports · 2024Review
- Naturalistic examination of the anxiolytic effects of medical cannabis and associated gender and age differences in a Canadian cohort.Journal of cannabis research · 2023Article
- Developing Transdiagnostic Internalizing Disorder Prognostic Indices for Outpatient Cognitive Behavioral Therapy.Behavior therapy · 2023Article
- Psychotherapeutic treatments for generalized anxiety disorder: cognitive and behavioral therapies, enhancement strategies, and emerging efforts.Expert review of neurotherapeutics · 2022Review
- Comparing Intensive Trauma-Focused Treatment Outcome on PTSD Symptom Severity in Older and Younger Adults.Journal of clinical medicine · 2021Article
- Precision and Sample Size Requirements for Regression-Based Norming Methods for Change Scores.Assessment · 2021Article
- Psychopathology and HIV diagnosis among older adults in the United States: disparities by age, sex, and race/ethnicity.Aging & mental health · 2020Article
- Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundSome data suggest that older adults with anxiety disorders do not respond as well to treatment as do younger adults.
aimsWe examined age differences in outcomes from the Coordinated Anxiety Learning and Management (CALM) study, an effectiveness trial comparing usual care to a computer-assisted collaborative care intervention for primary care patients with panic disorder, generalised anxiety disorder, post-traumatic stress disorder (PTSD), and/or social anxiety disorder. This is the first study to examine the efficacy of a collaborative care intervention in a sample that included both younger and older adults with anxiety disorders. We hypothesised that older adults would show a poorer response to the intervention than younger adults.
methodWe examined findings for the overall sample, as well as within each diagnostic category (clinicaltrials.gov identifier: NCT00347269).
resultsThe CALM intervention was more effective than usual care among younger adults overall and for those with generalised anxiety disorder, panic disorder and social anxiety disorder. Among older adults, the intervention was effective overall and for those with social anxiety disorder and PTSD but not for those with panic disorder or generalised anxiety disorder. The effects of the intervention also appeared to erode by the 18-month follow-up, and there were no significant effects on remission among the older adults.
conclusionsThese results are consistent with the findings of other investigators suggesting that medications and psychotherapy for anxiety disorders may not be as effective for older individuals as they are for younger people.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.