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Latest & greatest articles for anxiety
The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted the latest trusted evidence on anxiety or other clinical topics then use Trip today.
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Anxiety is the subjectively feelings of dread over anticipated events and it is different from fear. Clinical anxiety is a group of mental disorders with generalised anxiety disorder (GAD) being the most common (approximately 22% of primary care attendances for anxiety are classed as GAD). Overall, there is a lifetime prevalence rate of 4-7%. Anxiety can be caused by a number of factors typically classified as environmental surroundings and genetic.
In the past few decades anxiety research has significantly increased. In 2000 there were approximately 430 trials looking at anxiety and by 2015 to over 1,000. This has allowed medical professionals to develop and improve accurate diagnosis and treatments in patients suffering from the condition.
Depression and anxiety common in people with heart disease Signal - Depression and anxiety common in people with heart disease Dissemination Centre Discover Portal NIHR DC Discover Depression and anxiety common in people with heart disease Published on 28 June 2016 This multi-part NIHR study found that depression and anxiety were more common in people with coronary heart disease, than the general population. Anxiety increased people’s risk of a future heart attack. The people included (...) in the study were generally older, white males, so the findings may not apply to everyone. Patients considered a nurse-led intervention to personalise care was acceptable. The intervention included optimising medicines and facilitating referrals for psychological support. When asked, people with depression and coronary heart disease generally favoured non-medical treatments. These findings provide an insight into the scale of depression and anxiety amongst people with coronary heart disease. Overall costs
Staying on antidepressants may prevent a relapse of anxiety Signal - Staying on antidepressants may prevent a relapse of anxiety Dissemination Centre Discover Portal NIHR DC Discover Staying on antidepressants may prevent a relapse of anxiety Published on 17 January 2018 People with anxiety disorders who continued taking antidepressants after successful treatment were less likely to experience a relapse, and relapsed later, than people who stopped taking antidepressants. About 16% of people had (...) a relapse if they remained on antidepressants for on average 44 weeks compared with 36% who stopped after 20 weeks. Anxiety disorders are common and can interfere with people’s everyday work, family and social life. Antidepressants and psychological therapies are the mainstays of treatment. Reducing the likelihood of relapse after successful treatment is important for the individual and the cost of additional care. There remains a need for evidence about the effectiveness of continuing treatment beyond
Talking therapy given by parents shows promise for childhood anxiety disorders Signal - Talking therapy given by parents shows promise for childhood anxiety disorders Dissemination Centre Discover Portal NIHR DC Discover Talking therapy given by parents shows promise for childhood anxiety disorders Published on 8 August 2017 Brief guided cognitive behavioural therapy (CBT) delivered by parents was as good as a commonly used treatment, delivered by a therapist, in improving anxiety levels (...) in children. Anxiety continued to improve after the end of treatment and by six months about 70% had recovered. The brief CBT was potentially the more cost-effective option. This NIHR-funded trial compared recovery from a range of common anxiety disorders in children aged five to 12 following these brief psychological treatments. CBT was delivered by parents instructed and supported in its use by a mental health worker. It was compared with a treatment commonly used in the NHS, a solution-focused brief
Talking therapy may relieve high levels of anxiety about health conditions Signal - Talking therapy may relieve high levels of anxiety about health conditions Dissemination Centre Discover Portal NIHR DC Discover Talking therapy may relieve high levels of anxiety about health conditions Published on 24 October 2017 A specific talking therapy called ‘cognitive behavioural therapy for health anxiety’ may help people who are excessively worried about their health. Health anxiety reduced by a small (...) , but meaningful amount, among the medical outpatients who were identified and treated. Delivered in one-hour sessions every two weeks, therapy lasted about four months. It was provided by junior therapists and trained nurses with no previous experience of the therapy. Benefits lasted for about five years. This UK-based NIHR trial is the largest so far to screen and treat people for health anxiety in the outpatient setting. Therapy improved health anxiety, but quality of life benefits varied depending
Cartoons are promising for reducing dental anxiety in children Dental anxiety in children may be reduced through cartoons Dissemination Centre Discover Portal NIHR DC Discover Cartoons are promising for reducing dental anxiety in children Published on 3 July 2018 doi: Cartoons delivered on laptops, projectors or 3D goggles with sound can help distract anxious children who fear dental procedures. Dental anxiety can prevent children from attending the dentist for care, and this type (...) of distraction could offer a useful tool to help them. This review looked at a range of audiovisual approaches tested in trials of healthy children receiving dental treatment under local anaesthetic. The children were assessed for physiological measures related to emotional state (such as pulse rate), anxiety and observed behaviour. Childhood dental anxiety is a common problem, and these distraction approaches sound promising, safe and relatively easy to implement. Share your views on the research. Why
Music can reduce pain and anxiety following surgery Music can reduce anxiety and pain following surgery Dissemination Centre Discover Portal NIHR DC Discover Music can reduce pain and anxiety following surgery Published on 7 August 2018 doi: Recorded music played before, during or after surgery in adults reduces self-reported post-operative pain and anxiety, compared with usual care. The average effect is equivalent to a reduction in anxiety of 21 percentage points and a 10 percentage point (...) reduction in pain within a few days of surgery. It is thought that placebo and distraction effects probably play a role, but in this review music still improved pain when used for patients under a general anaesthetic. Nearly two-thirds of patients experience severe pain after surgery. Anxiety can amplify perceptions of pain and lead to slower recovery. This systematic review included over 90 small-scale trials with a small effect, and it was not possible to blind conscious patients to which intervention
Psychological therapies for anxiety and depression in children and adolescents with long-term physical conditions. BACKGROUND: Long-term physical conditions affect 10% to 12% of children and adolescents worldwide. These individuals are at greater risk of developing psychological problems, particularly anxiety and depression, sometimes directly related to their illness or medical care (e.g. health-related anxiety). There is limited evidence regarding the effectiveness of psychological therapies (...) for treating anxiety and depression in this population. Therapies designed for children and adolescents without medical issues may or may not be appropriate for use with those who have long-term physical conditions. OBJECTIVES: This review was undertaken to assess the effectiveness and acceptability of psychological therapies in comparison with controls (treatment-as-usual, waiting list, attention placebo, psychological placebo, or non-psychological treatment) for treating anxiety and depression
An anxiety prevention programme is not effective over the long term in UK primary schools Signal - An anxiety prevention programme is not effective over the long term in UK primary schools Dissemination Centre Discover Portal NIHR DC Discover An anxiety prevention programme is not effective over the long term in UK primary schools Published on 18 January 2016 This NIHR funded trial of an anxiety prevention programme in UK primary schools found it was effective after one year if led by health (...) practitioners, but not after two years. The programme was not effective at all if led by a teacher. After two years, anxiety had reduced a similar amount for both the intervention group and controls, who received the usual curriculum, including personal, social and health education (PSHE) lessons. The nine-week programme, delivered in the classroom, is based on cognitive behavioural therapy (CBT) and leads nine- and ten-year-olds through activities and tasks that, through changing the way they think, help
The Effect of Foot Massage on Pain Intensity and Anxiety in Patients Having Undergone a Tibial Shaft Fracture Surgery: A Randomized Clinical Trial 30444801 2018 11 16 1531-2291 32 12 2018 Dec Journal of orthopaedic trauma J Orthop Trauma The Effect of Foot Massage on Pain Intensity and Anxiety in Patients Having Undergone a Tibial Shaft Fracture Surgery: A Randomized Clinical Trial. e482-e486 10.1097/BOT.0000000000001320 To determine the effect of massage therapy on pain intensity and anxiety (...) almond oil, the most common lubricant used in massage therapy. Data were collected using pain numeric rating scale and Spielberger State-Trait Anxiety Inventory before and after intervention. After intervention, the mean scores for pain intensity, and anxiety in the intervention and control groups were 4.72 (0.97) and 5.72 (0.91), and 42.84 (6.50) and 58.36 (10.37), respectively. A significant difference was noted between the intervention and control groups concerning pain intensity and anxiety
The effect of a very low calorie diet on subjective depressive symptoms and anxiety: meta-analysis and systematic review 30470803 2018 11 24 1476-5497 2018 Nov 23 International journal of obesity (2005) Int J Obes (Lond) The effect of a very low calorie diet on subjective depressive symptoms and anxiety: meta-analysis and systematic review. 10.1038/s41366-018-0245-4 There are conflicting findings regarding the effect very low calorie diets (VLCDs) have on self-reported depressive symptoms (...) and anxiety levels. Some studies have reported decreased subjective depressive symptoms and anxiety post-diet, whereas other studies have not. Further complicating matters, the protocol for VLCDs vary substantially across studies, which could account for the mixed findings. The primary goal of this meta-analysis and systematic review was to determine the effect VLCDs have on subjective depressive symptoms and anxiety pre- to post-diet. In addition, potential moderators (the presence/absence of behavioral
Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis 30289556 2018 11 12 1365-2648 2018 Oct 05 Journal of advanced nursing J Adv Nurs Music intervention for pain and anxiety management of the primiparous women during labour: A systematic review and meta-analysis. 10.1111/jan.13871 To determine the effect of music on the management of pain and anxiety in primiparous women during labour. Music is cost-effective (...) intervention in clinical practice to reduce pain, stress, and anxiety. However, a systematic review with meta-analysis for investigating its effects during labour is still lacking. A systematic review with meta-analysis. MEDLINE, EMBASE, and CINAHL databases. Randomized controlled trials or quasi-experimental trials concerning the effects of music among primiparous women who were expected to give normal spontaneous delivery were searched and screened up to 31 July 2017. The recruited trials for this review
Anxiously Awaiting Evidence: Pregabalin in generalized anxiety disorder Tools for Practice is proudly sponsored by the Alberta College of Family Physicians (ACFP). ACFP is a provincial, professional voluntary organization, representing more than 4,800 family physicians, family medicine residents, and medical students in Alberta. Established over sixty years ago, the ACFP strives for excellence in family practice through advocacy, continuing medical education and primary care research (...) . www.acfp.ca July 16, 2018 Anxiously Awaiting Evidence: Pregabalin in generalized anxiety disorder Clinical Question: Is pregabalin effective for generalized anxiety disorder (GAD)? Bottom Line: Evidence for pregabalin in GAD is inconsistent and at high-risk of bias (industry-written, short-term, poorly described methods, high drop-outs, and run-in periods that overinflate benefit). If real, an additional one in 6-8 people may respond to pregabalin compared to placebo at 4-8 weeks. However, the change
Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review 30385831 2018 11 02 1572-0241 2018 Nov 01 The American journal of gastroenterology Am. J. Gastroenterol. Anxiety Associated with Colonoscopy and Flexible Sigmoidoscopy: A Systematic Review. 10.1038/s41395-018-0398-8 Addressing procedure-related anxiety should improve adherence to colorectal cancer screening programs and diagnostic colonoscopy. We performed a systematic review to assess anxiety among individuals (...) undergoing colonoscopy or flexible sigmoidoscopy (FS). We searched multiple electronic databases for studies evaluating anxiety associated with colonoscopy or FS published from 2005 to 2017. Two reviewers independently identified studies, extracted data, and assessed study quality. The main outcomes were the magnitude of pre-procedure anxiety, types of concerns, predictors of anxiety, and effectiveness of anxiety-lowering interventions in individuals undergoing lower endoscopy. The protocol
Mozart for Reducing Patient Anxiety During Colposcopy: A Randomized Controlled Trial 30204685 2018 09 24 1873-233X 132 4 2018 Oct Obstetrics and gynecology Obstet Gynecol Mozart for Reducing Patient Anxiety During Colposcopy: A Randomized Controlled Trial. 1047-1055 10.1097/AOG.0000000000002876 To test whether music by Mozart reduces anxiety among patients undergoing colposcopy. In a randomized multicenter trial, we measured the reduction of the situation-specific anxiety of women hearing (...) Mozart's Symphony No. 40 during colposcopy compared with women not hearing music using the State-Trait Anxiety Inventory. Secondary endpoints were reduction of heart rate (beats per minute), pain during and 10 minutes after colposcopy, general unpleasantness, anxiety during colposcopy, and overall satisfaction (11-item visual analog scales). Analysis was by intention to treat. A sample size of 104 per group (N=208) was calculated to achieve 80% power to detect a difference of 4.8 with a SD of 12.3
Different Types and Acceptability of Psychotherapies for Acute Anxiety Disorders in Children and Adolescents: A Network Meta-analysis 30383099 2018 11 01 2168-6238 2018 Oct 31 JAMA psychiatry JAMA Psychiatry Different Types and Acceptability of Psychotherapies for Acute Anxiety Disorders in Children and Adolescents: A Network Meta-analysis. 10.1001/jamapsychiatry.2018.3070 Anxiety disorders are common in children and adolescents, and uncertainty remains regarding the optimal strategy (...) of psychotherapies in this population. To compare and rank the different types of psychotherapies and the different ways of delivering psychological treatments for anxiety disorders in children and adolescents. PubMed, Cochrane Central Register of Controlled Trials, EMBASE, PsycINFO, Web of Science, CINAHL (Cumulative Index to Nursing and Allied Health Literature), ProQuest Dissertations, LILACS (Literatura Latino Americana em Ciências da Saúde), international trial registers, and US Food and Drug Administration
Demographic and clinical predictors of response to internet-enabled cognitiveâ€“behavioural therapy for depression and anxiety 30294451 2018 11 14 2056-4724 4 5 2018 Sep BJPsych open BJPsych Open Demographic and clinical predictors of response to internet-enabled cognitive-behavioural therapy for depression and anxiety. 411-418 10.1192/bjo.2018.57 Common mental health problems affect a quarter of the population. Online cognitive-behavioural therapy (CBT) is increasingly used, but the factors (...) . S.R.C. consults for Cambridge Cognition and Shire. Keywords: Anxiety disorders; cognitive behavioural therapies; depressive disorders; individual psychotherapy. Catarino Ana A Senior Scientist, Clinical Science Laboratory at Ieso, Ieso Digital Health, UK. Bateup Sarah S Chief Clinical Officer, Clinical Science Laboratory at Ieso, Ieso Digital Health, UK. Tablan Valentin V Senior Vice President for Artifical intelligence, Clinical Science Laboratory at Ieso, Ieso Digital Health, UK. Innes Katherine K
Diagnostic and Clinical Utility of the GAD-2 for Screening Anxiety Symptoms in Individuals With Multiple Sclerosis 29964000 2018 10 02 1532-821X 99 10 2018 Oct Archives of physical medicine and rehabilitation Arch Phys Med Rehabil Diagnostic and Clinical Utility of the GAD-2 for Screening Anxiety Symptoms in Individuals With Multiple Sclerosis. 2045-2049 S0003-9993(18)30390-3 10.1016/j.apmr.2018.05.029 To assess the diagnostic and clinical utility of the 2-item Generalized Anxiety Disorder (...) Scale (GAD-2) for screening anxiety symptoms in individuals with multiple sclerosis (MS). Cross-sectional. University-affiliated MS neurology and rehabilitation center. The sample comprised adults (N=99) (ages 19-72; mean ± SD=46.2±13.0; 75% women) with a physician-confirmed MS diagnosis who were receiving care in a university-affiliated MS center. Disease durations ranged from 1 to 37 years (mean ± SD=10.7±8.4). Not applicable. Participants completed the 7-item Generalized Anxiety Disorder Scale
Effectiveness of reflexology on anxiety of patients undergoing cardiovascular interventional procedures: A systematic review and meta-analysis of randomized controlled trials 30109722 2018 09 06 1365-2648 2018 Aug 14 Journal of advanced nursing J Adv Nurs Effectiveness of reflexology on anxiety of patients undergoing cardiovascular interventional procedures: A systematic review and meta-analysis of randomized controlled trials. 10.1111/jan.13822 To appraise the evidence concerning the effect (...) of reflexology on the anxiety in patients undergoing cardiovascular interventional procedures. Anxiety, fear, and other unpleasant emotional experiences are common among patients before and after cardiovascular interventional procedures. The higher anxiety may affect prognosis and recovery of patients. A systematic review and meta-analysis. The MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature), Cochrane Central Register of Controlled Trials (Cochrane Library), EMBASE, PsycINFO
EPC Pilot Project: A Dual Approach To Facilitate Health Systems Uptake of Evidence Synthesis Reports. Anxiety in Children Methods Research Report EPC Pilot Project: A Dual Approach To Facilitate Health Systems Uptake of Evidence Synthesis Reports. Anxiety in Children Methods Research Report EPC Pilot Project: A Dual Approach To Facilitate Health Systems Uptake of Evidence Synthesis Reports. Anxiety in Children Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health (...) and effective tools that can provide health systems with contextual and implementation information on the treatment of anxiety in children. • Lessons learned for EPC Program: Comparative effectiveness evidence syntheses often do not have sufficient information that allows decision-making and implementation of evidence. This includes information on costs, resources, patients’ values, acceptability and feasibility of interventions. Additional synthesis of study characteristics and intervention components
Listening to music reduces pain and anxiety for patients having surgery Signal - Listening to music reduces pain and anxiety for patients having surgery Dissemination Centre Discover Portal NIHR DC Discover Listening to music reduces pain and anxiety for patients having surgery Published on 28 October 2015 This systematic review found that music can moderately reduce pain and anxiety when played before, during or after surgery. It also strongly increased patient satisfaction. Music was equally (...) on the research. Why was this study needed? Music is a non-invasive and inexpensive intervention that offers the chance of improved patient outcomes. Music is not routinely played before, during or after surgery, though there is a growing interest in its use. It is thought that listening to music can reduce pain and anxiety. Listening to music has been studied in a large number of mostly small trials. Previous systematic reviews have investigated the effect of patients listening to music when undergoing