Evidence map›Paper›PMID 28452667›Full record

SynthesisClinical gerontologist

Systematic Review of the Clinical Application of Exposure Techniques to Community-Dwelling Older Adults with Anxiety.

Nimali Jayasinghe, Lucy Finkelstein-Fox, Lili Sar-Graycar, Mary-Jane Ojie, Martha L Bruce, JoAnn Difede

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Clinical gerontologist. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06770517 (Defeating Fear With Exposure Therapy Delivered by Mental Health Nurses in Primary Care for Anxiety Disorders in Older Adults - a Cluster-randomised Controlled Trial), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

NCT06770517 narecruitingnot on this map

Defeating Fear With Exposure Therapy Delivered by Mental Health Nurses in Primary Care for Anxiety Disorders in Older Adults - a Cluster-randomised Controlled Trial

TypeinterventionalSponsorProPersonaRan2025 to 2028Enrolled170ConditionsAnxiety Disorders, Anxiety DepressionArmsExposure therapy, Usual Care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Video-Delivered Relaxation Intervention Reduces Late-Life Anxiety: A Pilot Randomized Controlled Trial.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2019
    Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Nimali Jayasinghea Weill Cornell Medical College , New York , New York , USA.
Lucy Finkelstein-Foxa Weill Cornell Medical College , New York , New York , USA.
Lili Sar-Graycarc New School for Social Research , New York , New York , USA.
Mary-Jane Ojiea Weill Cornell Medical College , New York , New York , USA.
Martha L Brucee Geisel School of Medicine, Dartmouth College , Hanover , New Hampshire , USA.
JoAnn Difedea Weill Cornell Medical College , New York , New York , USA.

Funding

Intervention for Disabling Anxiety in Older Adults Injured By FallsK23MH090244 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI JAYASINGHE, NIMALI · 2010 to 2014
$802k
NIMH NIH HHS K23 MH090244
6 · The paper itself

Abstract

objectivesAlthough exposure techniques are a first-line intervention for anxiety, clear evidence is lacking for their efficacy in treating the prevalent and debilitating condition of late life anxiety. This study sought to review the current literature on use of exposure with community-dwelling older patients.

methodsSearches of electronic databases were conducted to identify articles published through December 7, 2016. Inclusion criteria were: 1) sample age > 55, 2) therapy that included exposure, 3) anxiety as a target of the treatment. Exclusion criteria were: 1) not available in English, 2) no quantitative data, 3) inpatient setting. Methodological data and findings were extracted from the articles chosen for review.

resultsThe 54 eligible articles presented a total of 16 case studies, 9 uncontrolled trials, 24 controlled trials, and 6 secondary studies. A majority of the studies were conducted in the U.S.A with participants who received individual treatment. In vivo and imaginal exposure were the most frequently delivered techniques, and most treatments were multicomponent. Most studies found a reduction in anxiety symptoms.

conclusionsImportant research gaps need to be addressed. CLINICAL IMPLICATIONS: The surveyed research provides a modest foundation of evidence for mental health practitioners who wish to incorporate exposure into treatment plans.

Indexed as

AgedAnxiety DisordersHumansImplosive TherapyIndependent LivingMiddle AgedAnxietycognitive-behavioraltherapyexposure therapyolder adults

Identifiers

PMID28452667
PMCPMC6072459

What OpenQuestion holds

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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.