<clinical_study>
  <!-- This xml conforms to an XML Schema at:
    https://clinicaltrials.gov/ct2/html/images/info/public.xsd -->
  <required_header>
    <download_date>ClinicalTrials.gov processed this data on September 20, 2023</download_date>
    <link_text>Link to the current ClinicalTrials.gov record.</link_text>
    <url>https://clinicaltrials.gov/ct2/show/NCT04415528</url>
  </required_header>
  <id_info>
    <org_study_id>1509</org_study_id>
    <nct_id>NCT04415528</nct_id>
  </id_info>
  <brief_title>Emotion-Focused Mindfulness Therapy: A Feasibility Study for Late Life Anxiety</brief_title>
  <official_title>Emotion-Focused Mindfulness Therapy: A Feasibility Study for Late Life Anxiety</official_title>
  <sponsors>
    <lead_sponsor>
      <agency>Stacey Hatch</agency>
      <agency_class>Other</agency_class>
    </lead_sponsor>
  </sponsors>
  <source>Queen's University</source>
  <oversight_info>
    <has_dmc>No</has_dmc>
    <is_fda_regulated_drug>No</is_fda_regulated_drug>
    <is_fda_regulated_device>No</is_fda_regulated_device>
  </oversight_info>
  <brief_summary>
    <textblock>
      Canadians 65 and older experience anxiety at a rate of 6.4%, affecting more than 300,000&#xD;
      people. In Ontario, 5.6% of adults 65 and older have anxiety, representing over 100,000&#xD;
      people. Eastern Ontario primary care clinics report significantly higher numbers of adults 65&#xD;
      and older diagnosed with anxiety at between 28% and 30%, representing approximately 4,600&#xD;
      people diagnosed with anxiety. Costs to the Canadian health care system of anxiety in&#xD;
      community dwelling adults aged 65 and older have been estimated at $61.2 to $119.8 million&#xD;
      per 1,000,000 people. These costs can reasonably be expected to increase by 2021 when the&#xD;
      percentage of older adults 65+ with mental illness is estimated to be approximately 30% of&#xD;
      the older population base.&#xD;
&#xD;
      Anxiety in older adults has been linked retaining new information and the instrumental&#xD;
      activities of daily living, sleep disturbance, suicidal ideation particularly among men, and&#xD;
      increased use of health care services. Present pharmacological treatments for anxiety in&#xD;
      older adults have met with limited success. Mindfulness-based interventions (MBIs) are an&#xD;
      area of research interest in the treatment of anxiety. The use of MBIs has shown a trend&#xD;
      toward self-reported lower levels of chronic stress and psychological stress among older&#xD;
      adults small scale RCTs and qualitative studies.&#xD;
&#xD;
      Emotion focused mindfulness meditation therapy (EFMT) is a MBI that shows promise. EFMT has&#xD;
      been demonstrated to reduce symptoms of anxiety in general populations. EFMT's focus on&#xD;
      meditation and the felt sense of emotions, rather than learning new material, may make it a&#xD;
      promising intervention for reducing symptoms of anxiety for older adults who often report&#xD;
      normal aging problems such as general forgetfulness and difficulty with word recall. EFMT may&#xD;
      be a potentially promising intervention that has not yet been tested in older adults. EFMT&#xD;
      can be offered in primary care, community and hospital settings. Further research is required&#xD;
      to determine if EFMT could reduce anxiety for older adults.&#xD;
    </textblock>
  </brief_summary>
  <detailed_description>
    <textblock>
      The purpose of this small scale RCT is to determine the feasibility and acceptability of EFMT&#xD;
      among community dwelling older adults who experience anxiety. This study has the following&#xD;
      three aims: to determine if participants can be recruited, enrolled, and retained; to&#xD;
      determine if participants can adhere to all components of the intervention; and to determine&#xD;
      the extent to which participants who receive the intervention have decreased levels of&#xD;
      anxiety compared to those who do not receive the intervention. The secondary outcomes will be&#xD;
      to determine the extent to which participants who receive the intervention have improved&#xD;
      sleep quality, and improved subjective memory functioning compared to those who do not&#xD;
      receive the intervention.&#xD;
&#xD;
      This will be a small pilot RCT study that will use a wait list control trial design.&#xD;
      Participants will be randomly allocated to either the intervention or control group.&#xD;
      Emotion-Focused Mindfulness Therapy (EFMT) is a group intervention consisting of eight weekly&#xD;
      meetings of 2.5 hours with 10 - 12 participants per group. Participants are provided&#xD;
      instruction that encourages noting and experiencing bodily sensations and emotions during&#xD;
      meditations. Meditations are conducted in silence for between twenty and thirty-five minutes,&#xD;
      and then participants are asked to journal their recollection of the meditation and&#xD;
      experiences that arise for them as they journal. Following journalling, each participant&#xD;
      describes their experience in meditation, with the facilitator offering empathic exploration&#xD;
      to support transforming negative emotions into adaptive emotions.&#xD;
&#xD;
      The study will be conducted in an online delivery PHIPPA protected platform and has been&#xD;
      modified to accommodate electronic delivery. Maximum number of participants per group will be&#xD;
      six, and each session will be 1.5 hours. Data will be collected at three points by a research&#xD;
      assistant to evaluate the feasibility of EFMT for older adults and determine whether anxiety&#xD;
      is influenced by the intervention.&#xD;
    </textblock>
  </detailed_description>
  <overall_status>Completed</overall_status>
  <start_date type="Actual">August 3, 2020</start_date>
  <completion_date type="Actual">September 30, 2021</completion_date>
  <primary_completion_date type="Actual">August 31, 2021</primary_completion_date>
  <phase>N/A</phase>
  <study_type>Interventional</study_type>
  <has_expanded_access>No</has_expanded_access>
  <study_design_info>
    <allocation>Randomized</allocation>
    <intervention_model>Parallel Assignment</intervention_model>
    <intervention_model_description>This will be a small pilot RCT study that will use a wait list control trial design. Participants will be randomly allocated to either the intervention or control group</intervention_model_description>
    <primary_purpose>Treatment</primary_purpose>
    <masking>Single (Outcomes Assessor)</masking>
    <masking_description>This study involves partial disclosure to prevent confirmation bias on the part the research assistant who will be administering assessments. The research assistant will be blinded to the study purpose throughout the study. Participants will be informed that there will be different phases of data collection, and provision of the intervention. The research assistant will not be informed of participant allocation to the intervention group or the wait list control group.</masking_description>
  </study_design_info>
  <primary_outcome>
    <measure>Determine if participants can be recruited, enrolled, and retained</measure>
    <time_frame>8 weeks</time_frame>
    <description>Data will be gathered and measured on the number of potential participants referred and screened for eligibility, participants meeting eligibility requirements, participants enrolled, and participants completing the intervention. Dates defining the recruitment period will be reported. Number of participants referred by physicians and number of participants who call the PI directly will be combined for each site.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Determine if participants can adhere to all components of the intervention</measure>
    <time_frame>From time of enrollment to end of intervention at 8 weeks</time_frame>
    <description>To determine if participants can adhere to the intervention, attendance of 6 / 8 sessions, data on attendance will be gathered. Data for the other measures of adherence of meditation, journaling and reporting will also be gathered. In the tradition of MBI research, the intervention will be considered complete if participants are able to attend a minimum of six of eight meetings (Santorelli, Florence Meleo-Meyer, Koerbel, &amp; Kabat-Zinn, 2017). Data gathered on adherence to meditation, journaling and reporting aspects of the intervention through weekly reporting forms to be completed by each participant through an online survey. Participants will answer yes or no to whether they engaged in each component. Participants are not required to practice at home, however data will be gathered on the frequency and duration of home practice meditation and journaling to determine if there is a relationship to outcomes.</description>
  </primary_outcome>
  <primary_outcome>
    <measure>Geriatric Anxiety Inventory, to assess change over time</measure>
    <time_frame>Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention</time_frame>
    <description>The Geriatric Anxiety Inventory (GAI) consists of 20 &quot;Agree/Disagree&quot; items designed to assess typical common anxiety symptoms.</description>
  </primary_outcome>
  <secondary_outcome>
    <measure>Pittsburgh Sleep Quality Index (PQSI) to to assess change over time</measure>
    <time_frame>Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention</time_frame>
    <description>The PQSI is a questionnaire validated for use with community dwelling older adults (Carpenter &amp; Andrykowski, 1998). This measure was selected because sleep complaints are frequently associated with anxiety (C.-M. Yang, Lo, &amp; Spielman, 2006).The PQSI is a simple 19 item subjective measure of sleep quality and patterns of sleep using a 0 to 3 Likert scale (Smyth, 2008).</description>
  </secondary_outcome>
  <secondary_outcome>
    <measure>Multifactorial Memory Questionnaire (Troyer &amp; Rich, 2002), to assess change over time</measure>
    <time_frame>Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention</time_frame>
    <description>The Multifactorial Memory Questionnaire (MMQ) is a self-assessment scale that measures three aspects of metamemory. Items are scored on a 5-point Likert scale (Troyer &amp; Smith, 2018).</description>
  </secondary_outcome>
  <number_of_arms>2</number_of_arms>
  <enrollment type="Actual">48</enrollment>
  <condition>Anxiety</condition>
  <arm_group>
    <arm_group_label>Intervention group</arm_group_label>
    <arm_group_type>Experimental</arm_group_type>
    <description>The intervention group will begin receiving the group intervention within one - two weeks of Time 1 assessment. This group will receive Time 2 assessments at the end of the group delivery. Time 3 assessments will be administered eight weeks after the completion of group delivery.</description>
  </arm_group>
  <arm_group>
    <arm_group_label>Wait listed control group</arm_group_label>
    <arm_group_type>Active Comparator</arm_group_type>
    <description>The wait listed control group will be assessed at Time 1, eight weeks before receiving the intervention. This group will receive Time 2 assessments at the beginning of their group delivery. This group will complete Time 3 assessments eight weeks after the completion of group delivery.</description>
  </arm_group>
  <intervention>
    <intervention_type>Other</intervention_type>
    <intervention_name>Emotion-Focused Mindfulness Therapy</intervention_name>
    <description>EFMT is a group intervention of 8weekly meetings of 2.5 hours with 10 - 12 participants per group. Participants are provided instruction that encourages noting and experiencing bodily sensations and emotions during meditations. Meditations are conducted in silence for between 20 and 35 minutes. Participants are asked to journal their recollection of the meditation and experiences that arise for them as they journal. Each participant then describes their experience in meditation, with the facilitator offering empathic exploration to support transforming negative emotions into adaptive emotions.&#xD;
The study will be conducted in an online PHIPPA protected platform and has been modified to accommodate electronic delivery. Maximum number of participants per group will be six, and each session will be 1.5 hours. Data will be collected at three points by a research assistant to evaluate the feasibility of EFMT for older adults and determine whether anxiety is influenced by the intervention.</description>
    <arm_group_label>Intervention group</arm_group_label>
    <arm_group_label>Wait listed control group</arm_group_label>
  </intervention>
  <eligibility>
    <criteria>
      <textblock>
        Inclusion Criteria:&#xD;
&#xD;
          -  Participants will be community dwelling older adults at least 65 years of age and with&#xD;
             have no existing therapeutic alliance with the PI. Inclusion criteria will be a&#xD;
             diagnosis or self-report of anxiety. The presence of symptoms of anxiety will be&#xD;
             assessed using the Geriatric Anxiety Inventory (GAI) with a cut off score of 10 which&#xD;
             indicates the presence of anxiety (Johnco et al., 2015). Participants will be willing&#xD;
             to commit to an eight-week program.&#xD;
&#xD;
        Exclusion Criteria:&#xD;
&#xD;
          -  Exclusion criteria will be beginning or stopping psychotropic medications within the&#xD;
             previous six weeks and concurrent participation in any other mindfulness-based group&#xD;
             during the study. Participants will not be excluded if they have prior experience with&#xD;
             mindfulness. Further exclusion criteria will be a Telephone Montreal Cognitive&#xD;
             Assessment (T-MoCA) cut off score of 19 which indicates the possibility of mild&#xD;
             cognitive impairment.&#xD;
      </textblock>
    </criteria>
    <gender>All</gender>
    <minimum_age>65 Years</minimum_age>
    <maximum_age>80 Years</maximum_age>
    <healthy_volunteers>Accepts Healthy Volunteers</healthy_volunteers>
  </eligibility>
  <overall_official>
    <last_name>Stacey Hatch, PhDcandidate</last_name>
    <role>Principal Investigator</role>
    <affiliation>Queens University</affiliation>
  </overall_official>
  <location>
    <facility>
      <name>Queen's University</name>
      <address>
        <city>Kingston</city>
        <state>Ontario</state>
        <zip>K7L 3N6</zip>
        <country>Canada</country>
      </address>
    </facility>
  </location>
  <location_countries>
    <country>Canada</country>
  </location_countries>
  <reference>
    <citation>Gayner, B. (2019). Emotion-focused mindfulness therapy. Person-Centered &amp; Experiential Psychotherapies, 1-23. https://doi.org/10.1080/14779757.2019.1572026</citation>
  </reference>
  <reference>
    <citation>Statistics Canada. (2012). Table 13-10-0465-01: Mental health indicators. https://doi.org/https://doi.org/10.25318/1310046501-eng</citation>
  </reference>
  <reference>
    <citation>Wisco, R., &amp; Haber, C. (n.d.). A feasibility study of an emotion focused-mindfulness group. In Press.</citation>
  </reference>
  <results_reference>
    <citation>Vasiliadis HM, Dionne PA, Preville M, Gentil L, Berbiche D, Latimer E. The excess healthcare costs associated with depression and anxiety in elderly living in the community. Am J Geriatr Psychiatry. 2013 Jun;21(6):536-48. doi: 10.1016/j.jagp.2012.12.016. Epub 2013 Feb 6.</citation>
    <PMID>23567409</PMID>
  </results_reference>
  <results_reference>
    <citation>Troyer AK, Rich JB. Psychometric properties of a new metamemory questionnaire for older adults. J Gerontol B Psychol Sci Soc Sci. 2002 Jan;57(1):P19-27. doi: 10.1093/geronb/57.1.p19.</citation>
    <PMID>11773220</PMID>
  </results_reference>
  <results_reference>
    <citation>Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007 Feb;19(1):103-14. doi: 10.1017/S1041610206003504.</citation>
    <PMID>16805925</PMID>
  </results_reference>
  <results_reference>
    <citation>Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res. 1998 Jul;45(1):5-13. doi: 10.1016/s0022-3999(97)00298-5.</citation>
    <PMID>9720850</PMID>
  </results_reference>
  <verification_date>February 2022</verification_date>
  <study_first_submitted>May 27, 2020</study_first_submitted>
  <study_first_submitted_qc>June 1, 2020</study_first_submitted_qc>
  <study_first_posted type="Actual">June 4, 2020</study_first_posted>
  <last_update_submitted>February 18, 2022</last_update_submitted>
  <last_update_submitted_qc>February 18, 2022</last_update_submitted_qc>
  <last_update_posted type="Actual">February 21, 2022</last_update_posted>
  <responsible_party>
    <responsible_party_type>Sponsor-Investigator</responsible_party_type>
    <investigator_affiliation>Queen's University</investigator_affiliation>
    <investigator_full_name>Stacey Hatch</investigator_full_name>
    <investigator_title>Stacey Hatch, PhD candidate</investigator_title>
  </responsible_party>
  <keyword>anxiety</keyword>
  <keyword>aging and health</keyword>
  <keyword>adults aged 65 and older</keyword>
  <keyword>mindfulness based intervention</keyword>
  <keyword>meditation</keyword>
  <condition_browse>
    <!-- CAUTION:  The following MeSH terms are assigned with an imperfect algorithm            -->
    <mesh_term>Anxiety Disorders</mesh_term>
  </condition_browse>
  <patient_data>
    <sharing_ipd>No</sharing_ipd>
  </patient_data>
  <!-- Results have not yet been posted for this study                                          -->
</clinical_study>


download date: ClinicalTrials.gov processed this data on September 20, 2023
link text: Link to the current ClinicalTrials.gov record.
url: https://clinicaltrials.gov/ct2/show/NCT04415528
org study id: 1509
nct id: NCT04415528
lead sponsor: 
has dmc: No
is fda regulated drug: No
is fda regulated device: No
Canadians 65 and older experience anxiety at a rate of 6.4%, affecting more than 300,000
      people. In Ontario, 5.6% of adults 65 and older have anxiety, representing over 100,000
      people. Eastern Ontario primary care clinics report significantly higher numbers of adults 65
      and older diagnosed with anxiety at between 28% and 30%, representing approximately 4,600
      people diagnosed with anxiety. Costs to the Canadian health care system of anxiety in
      community dwelling adults aged 65 and older have been estimated at $61.2 to $119.8 million
      per 1,000,000 people. These costs can reasonably be expected to increase by 2021 when the
      percentage of older adults 65+ with mental illness is estimated to be approximately 30% of
      the older population base.

      Anxiety in older adults has been linked retaining new information and the instrumental
      activities of daily living, sleep disturbance, suicidal ideation particularly among men, and
      increased use of health care services. Present pharmacological treatments for anxiety in
      older adults have met with limited success. Mindfulness-based interventions (MBIs) are an
      area of research interest in the treatment of anxiety. The use of MBIs has shown a trend
      toward self-reported lower levels of chronic stress and psychological stress among older
      adults small scale RCTs and qualitative studies.

      Emotion focused mindfulness meditation therapy (EFMT) is a MBI that shows promise. EFMT has
      been demonstrated to reduce symptoms of anxiety in general populations. EFMT's focus on
      meditation and the felt sense of emotions, rather than learning new material, may make it a
      promising intervention for reducing symptoms of anxiety for older adults who often report
      normal aging problems such as general forgetfulness and difficulty with word recall. EFMT may
      be a potentially promising intervention that has not yet been tested in older adults. EFMT
      can be offered in primary care, community and hospital settings. Further research is required
      to determine if EFMT could reduce anxiety for older adults.
The purpose of this small scale RCT is to determine the feasibility and acceptability of EFMT
      among community dwelling older adults who experience anxiety. This study has the following
      three aims: to determine if participants can be recruited, enrolled, and retained; to
      determine if participants can adhere to all components of the intervention; and to determine
      the extent to which participants who receive the intervention have decreased levels of
      anxiety compared to those who do not receive the intervention. The secondary outcomes will be
      to determine the extent to which participants who receive the intervention have improved
      sleep quality, and improved subjective memory functioning compared to those who do not
      receive the intervention.

      This will be a small pilot RCT study that will use a wait list control trial design.
      Participants will be randomly allocated to either the intervention or control group.
      Emotion-Focused Mindfulness Therapy (EFMT) is a group intervention consisting of eight weekly
      meetings of 2.5 hours with 10 - 12 participants per group. Participants are provided
      instruction that encourages noting and experiencing bodily sensations and emotions during
      meditations. Meditations are conducted in silence for between twenty and thirty-five minutes,
      and then participants are asked to journal their recollection of the meditation and
      experiences that arise for them as they journal. Following journalling, each participant
      describes their experience in meditation, with the facilitator offering empathic exploration
      to support transforming negative emotions into adaptive emotions.

      The study will be conducted in an online delivery PHIPPA protected platform and has been
      modified to accommodate electronic delivery. Maximum number of participants per group will be
      six, and each session will be 1.5 hours. Data will be collected at three points by a research
      assistant to evaluate the feasibility of EFMT for older adults and determine whether anxiety
      is influenced by the intervention.
allocation: Randomized
intervention model: Parallel Assignment
intervention model description: This will be a small pilot RCT study that will use a wait list control trial design. Participants will be randomly allocated to either the intervention or control group
primary purpose: Treatment
masking: Single (Outcomes Assessor)
masking description: This study involves partial disclosure to prevent confirmation bias on the part the research assistant who will be administering assessments. The research assistant will be blinded to the study purpose throughout the study. Participants will be informed that there will be different phases of data collection, and provision of the intervention. The research assistant will not be informed of participant allocation to the intervention group or the wait list control group.
measure: Determine if participants can be recruited, enrolled, and retained
time frame: 8 weeks
description: Data will be gathered and measured on the number of potential participants referred and screened for eligibility, participants meeting eligibility requirements, participants enrolled, and participants completing the intervention. Dates defining the recruitment period will be reported. Number of participants referred by physicians and number of participants who call the PI directly will be combined for each site.
measure: Determine if participants can adhere to all components of the intervention
time frame: From time of enrollment to end of intervention at 8 weeks
description: To determine if participants can adhere to the intervention, attendance of 6 / 8 sessions, data on attendance will be gathered. Data for the other measures of adherence of meditation, journaling and reporting will also be gathered. In the tradition of MBI research, the intervention will be considered complete if participants are able to attend a minimum of six of eight meetings (Santorelli, Florence Meleo-Meyer, Koerbel, & Kabat-Zinn, 2017). Data gathered on adherence to meditation, journaling and reporting aspects of the intervention through weekly reporting forms to be completed by each participant through an online survey. Participants will answer yes or no to whether they engaged in each component. Participants are not required to practice at home, however data will be gathered on the frequency and duration of home practice meditation and journaling to determine if there is a relationship to outcomes.
measure: Geriatric Anxiety Inventory, to assess change over time
time frame: Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention
description: The Geriatric Anxiety Inventory (GAI) consists of 20 "Agree/Disagree" items designed to assess typical common anxiety symptoms.
measure: Pittsburgh Sleep Quality Index (PQSI) to to assess change over time
time frame: Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention
description: The PQSI is a questionnaire validated for use with community dwelling older adults (Carpenter & Andrykowski, 1998). This measure was selected because sleep complaints are frequently associated with anxiety (C.-M. Yang, Lo, & Spielman, 2006).The PQSI is a simple 19 item subjective measure of sleep quality and patterns of sleep using a 0 to 3 Likert scale (Smyth, 2008).
measure: Multifactorial Memory Questionnaire (Troyer & Rich, 2002), to assess change over time
time frame: Time 1: at enrollment; Time 2: end of intervention at 8 weeks; Time 3: 8 weeks post-intervention
description: The Multifactorial Memory Questionnaire (MMQ) is a self-assessment scale that measures three aspects of metamemory. Items are scored on a 5-point Likert scale (Troyer & Smith, 2018).
arm group label: Intervention group
arm group type: Experimental
description: The intervention group will begin receiving the group intervention within one - two weeks of Time 1 assessment. This group will receive Time 2 assessments at the end of the group delivery. Time 3 assessments will be administered eight weeks after the completion of group delivery.
arm group label: Wait listed control group
arm group type: Active Comparator
description: The wait listed control group will be assessed at Time 1, eight weeks before receiving the intervention. This group will receive Time 2 assessments at the beginning of their group delivery. This group will complete Time 3 assessments eight weeks after the completion of group delivery.
intervention type: Other
intervention name: Emotion-Focused Mindfulness Therapy
description: EFMT is a group intervention of 8weekly meetings of 2.5 hours with 10 - 12 participants per group. Participants are provided instruction that encourages noting and experiencing bodily sensations and emotions during meditations. Meditations are conducted in silence for between 20 and 35 minutes. Participants are asked to journal their recollection of the meditation and experiences that arise for them as they journal. Each participant then describes their experience in meditation, with the facilitator offering empathic exploration to support transforming negative emotions into adaptive emotions.
The study will be conducted in an online PHIPPA protected platform and has been modified to accommodate electronic delivery. Maximum number of participants per group will be six, and each session will be 1.5 hours. Data will be collected at three points by a research assistant to evaluate the feasibility of EFMT for older adults and determine whether anxiety is influenced by the intervention.
arm group label: Intervention group
arm group label: Wait listed control group
criteria: 
gender: All
minimum age: 65 Years
maximum age: 80 Years
healthy volunteers: Accepts Healthy Volunteers
last name: Stacey Hatch, PhDcandidate
role: Principal Investigator
affiliation: Queens University
facility: 
country: Canada
citation: Gayner, B. (2019). Emotion-focused mindfulness therapy. Person-Centered & Experiential Psychotherapies, 1-23. https://doi.org/10.1080/14779757.2019.1572026
citation: Statistics Canada. (2012). Table 13-10-0465-01: Mental health indicators. https://doi.org/https://doi.org/10.25318/1310046501-eng
citation: Wisco, R., & Haber, C. (n.d.). A feasibility study of an emotion focused-mindfulness group. In Press.
citation: Vasiliadis HM, Dionne PA, Preville M, Gentil L, Berbiche D, Latimer E. The excess healthcare costs associated with depression and anxiety in elderly living in the community. Am J Geriatr Psychiatry. 2013 Jun;21(6):536-48. doi: 10.1016/j.jagp.2012.12.016. Epub 2013 Feb 6.
PMID: 23567409
citation: Troyer AK, Rich JB. Psychometric properties of a new metamemory questionnaire for older adults. J Gerontol B Psychol Sci Soc Sci. 2002 Jan;57(1):P19-27. doi: 10.1093/geronb/57.1.p19.
PMID: 11773220
citation: Pachana NA, Byrne GJ, Siddle H, Koloski N, Harley E, Arnold E. Development and validation of the Geriatric Anxiety Inventory. Int Psychogeriatr. 2007 Feb;19(1):103-14. doi: 10.1017/S1041610206003504.
PMID: 16805925
citation: Carpenter JS, Andrykowski MA. Psychometric evaluation of the Pittsburgh Sleep Quality Index. J Psychosom Res. 1998 Jul;45(1):5-13. doi: 10.1016/s0022-3999(97)00298-5.
PMID: 9720850
responsible party type: Sponsor-Investigator
investigator affiliation: Queen's University
investigator full name: Stacey Hatch
investigator title: Stacey Hatch, PhD candidate
mesh term: Anxiety Disorders
sharing ipd: No