557 - Generalized anxiety disorder in older adults: acceptability of guided self-help by a lay provider and preference among different treatment modalities

A cognitive-behavioral guided self-help conducted by lay providers (CBT-GSH-LP) had been shown to be effective in treating anxiety and may help facilitate access treatment. The first objective of this study was assess the acceptability CBT-GSH-LP for Generalised Anxiety Disorder adults aged 60 over. Its compared that same treatment a psychotherapist (CBT- GSH-PSY) face-to-face cognitive behavioral therapy with PSY). second preference participants these modalities. As secondary objective, variables potentially associated or were explored, as well reported reasons preference. Participants recruited community centers private residences. They complete sociodemographic questionnaire, read descriptions three treatments, Treatment Evaluation Inventory each one, then place those order indicating reason their preferred ANOVAs performed identify differences scores between modalities proportions calculated associated. considered moderately acceptable (N = 116; mean age 70.5 years), although significantly less than other two In addition, proportion who found at least high (59,3%), lower (CBT-GSH-PSY: 85,8%; CBT-PSY: 91,2%). Consequently, CBT-PSY followed CBT-GSH-PSY, CBT-GSH-LP. Among preferring CBT-GSH-LP, its long-lasting effect, ease access, training therapist, required patient involvement, autonomy afforded top reasons. Regarding characteristics, results show single widowed older more married, divorced, separated people. Thus, it is not modality adults, would benefit from being better known used generalized disorder.