Emotional Regulation and Psychosocial Stressors in Elderly Patients with GAD: A Transactional and Spiritual Perspective
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Abstract
Generalized anxiety disorder (GAD) is a common mental health condition among elderly individuals and is often influenced by complex interactions between psychological, physical, and psychosocial factors. In older adults, chronic illness, financial difficulties, and social stressors may impair emotional regulation and contribute to persistent anxiety symptoms. A holistic and integrative approach is therefore needed to address these multidimensional challenges. This study supports the achievement of Sustainable Development Goal (SDG) 3, which emphasizes the promotion of mental health and well-being among vulnerable populations. This study employed a narrative literature review combined with a clinical case illustration of a 62-year-old male patient whose symptoms evolved from panic disorder into generalized anxiety disorder. Relevant literature regarding emotional regulation, psychosocial stressors, coping mechanisms, and spiritual approaches in elderly patients with anxiety disorders was reviewed to provide theoretical and clinical context. The case demonstrated that comprehensive management of generalized anxiety disorder involving pharmacological therapy, psychotherapy, and spiritual support contributed to improvements in emotional regulation and overall wellbeing. Pharmacological treatment using alprazolam and sertraline helped reduce anxiety symptoms, while cognitive behavioral therapy, psychoeducation, and supportive spiritual practices enhanced coping capacity and psychological adjustment. However, persistent psychosocial stressors such as financial difficulties and family-related concerns continued to influence the patient’s anxiety levels. The management of generalized anxiety disorder in elderly patients requires an integrated and multidisciplinary approach that combines pharmacological treatment, psychotherapy, and supportive spiritual care. Addressing psychosocial stressors and strengthening emotional regulation strategies may improve coping capacity and quality of life among elderly individuals with chronic anxiety disorders.
Keywords:
Anxiety disorder Elderly Emotional regulation Psychosocial stressors Spiritual copingReferences
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