{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T15:42:33Z","timestamp":1792078953449,"version":"4.4.0"},"reference-count":55,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Anxiety symptoms and disorders are common in older adults and often go undetected. A systematic review was completed to identify tools that can be used to detect anxiety symptoms and disorders in community-dwelling older adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>MEDLINE, Embase and PsycINFO were searched using the search concepts anxiety, older adults and diagnostic accuracy in March 2023. Included articles assessed anxiety in community-dwelling older adults using an index anxiety tool and a gold standard form of anxiety assessment and reported resulting diagnostic accuracy outcomes. Estimates of pooled diagnostic accuracy outcomes were completed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Twenty-three anxiety tools were identified from the 32 included articles. Pooled diagnostic accuracy outcomes were estimated for the Geriatric Anxiety Inventory (GAI)-20 [n\u2009=\u20093, sensitivity\u2009=\u20090.89, 95% confidence interval (CI)\u2009=\u20090.70\u20130.97, specificity\u2009=\u20090.80, 95% CI\u2009=\u20090.67\u20130.89] to detect generalized anxiety disorder (GAD) and for the GAI-20 (n\u2009=\u20093, cut off \u2265 9, sensitivity\u2009=\u20090.74, 95% CI\u2009=\u20090.62\u20130.83, specificity\u2009=\u20090.96, 95% CI\u2009=\u20090.74\u20131.00), Beck Anxiety Inventory (n\u2009=\u20093, sensitivity\u2009=\u20090.70, 95% CI\u2009=\u20090.58\u20130.79, specificity\u2009=\u20090.60, 95% CI\u2009=\u20090.51\u20130.68) and Hospital Anxiety and Depression Scale (HADS-A) (n\u2009=\u20093, sensitivity\u2009=\u20090.78, 95% CI\u2009=\u20090.60\u20130.89, specificity\u2009=\u20090.76, 95% CI\u2009=\u20090.60\u20130.87) to detect anxiety disorders in clinical samples.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>The GAI-20 was the most studied tool and had adequate sensitivity while maintaining acceptable specificity when identifying GAD and anxiety disorders. The GAI-20, GAI-Short Form and HADS-A tools are supported for use in detecting anxiety in community-dwelling older adults. Brief, self-rated and easy-to-use tools may be the best options for anxiety detection in community-dwelling older adults given resource limitations. Clinicians may consider factors including patient comorbidities and anxiety prevalence when selecting a tool and cut off.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afae122","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T23:02:34Z","timestamp":1719961354000},"source":"Crossref","is-referenced-by-count":19,"title":["Detection of anxiety symptoms and disorders in older adults: a diagnostic accuracy systematic review"],"prefix":"10.1093","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2216-1791","authenticated-orcid":false,"given":"Kayla","family":"Atchison","sequence":"first","affiliation":[{"name":"Department of Medicine, University of Calgary , Calgary, Alberta , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pauline","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Calgary , Calgary, Alberta , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyla","family":"Samii","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Calgary , Calgary, Alberta , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Walsh","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Calgary , Calgary, Alberta , Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zahinoor","family":"Ismail","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of Calgary , Calgary, Alberta , Canada"},{"name":"Department of Clinical Neurosciences, University of Calgary , Calgary, Alberta , Canada"},{"name":"Department of Community Health Sciences, University of Calgary , Calgary, Alberta , Canada"},{"name":"Hotchkiss Brain Institute, University of Calgary , Calgary, Alberta , Canada"},{"name":"O\u2019Brien Institute for Public Health, University 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