Latest & greatest articles for anxiety

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Anxiety

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.

Anxiety is normal in uncomfortable environments or stressful situations. However, some individuals experience intense and persistent amounts of anxiety which needs to be kept under control. Treatments include pharmaceuticals such as SSRIs, benzodiazepines, pregabalin and gabapentin. Other therapies include CBT, acceptance and commitment therapy, and motivational interviewing.

Trip has all the latest evidence relating to treatments for anxiety, this includes systematic reviews, clinical guidelines, controlled trials, evidence-based synopses, case reports and clinical Q&As.

Top results for anxiety

181. Efficacy of cognitive behavioral therapy for anxiety disorders in older people: a meta-analysis and meta-regression of randomized controlled trials

Efficacy of cognitive behavioral therapy for anxiety disorders in older people: a meta-analysis and meta-regression of randomized controlled trials Efficacy of cognitive behavioral therapy for anxiety disorders in older people: a meta-analysis and meta-regression of randomized controlled trials Efficacy of cognitive behavioral therapy for anxiety disorders in older people: a meta-analysis and meta-regression of randomized controlled trials Gould RL, Coulson MC, Howard RJ CRD summary The authors (...) concluded that review findings confirmed the effectiveness of cognitive behavioural therapy for anxiety disorders in older people. The authors’ conclusions are supported by the evidence presented, but the low quality and small number of studies contributing to the analyses makes the reliability of the conclusions uncertain. Authors' objectives To compare the effectiveness of cognitive behavioural therapy (cognitive behavioural therapy) with that of active and non-active control conditions for anxiety

DARE.2013

182. Effects of Music on Anxiety and Pain in the Diagnosis and Treatment of Patients With Breast Cancer

Effects of Music on Anxiety and Pain in the Diagnosis and Treatment of Patients With Breast Cancer "Effects of Music on Anxiety and Pain in the Diagnosis and Treatment of" by Alysia Greco < > > > > > Title Author Date of Award Summer 8-10-2013 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Saje Davis-Risen PA-C Second Advisor Annjanette Sommers, PA-C, MS Rights . Abstract Both pain and anxiety are common in women that are experiencing (...) breast cancer. Biopsies during diagnosis of breast cancer, and mastectomies and chemotherapy to treat cancer are all painful and stressful events. Breast cancer patients must deal with the fear of not being able to care for children, with changed body image, sexual rejection, recurrence, medical bills and harm from adjuvant therapies. Music therapy has been shown to lessen pain and anxiety in patients during a number of different types of surgeries and chronic disease and may have the potential

Pacific University EBM Capstone Project2013

183. The Incidence of Psychiatric Disorders Meeting DSM IV Criteria as a Result of a TBI in the General Population with a Specific Focus on New Onset of Depression and Anxiety

The Incidence of Psychiatric Disorders Meeting DSM IV Criteria as a Result of a TBI in the General Population with a Specific Focus on New Onset of Depression and Anxiety "The Incidence of Psychiatric Disorders Meeting DSM IV Criteria as a Re" by Zachary McNair < > > > > > Title Author Date of Award Summer 8-10-2013 Degree Type Capstone Project Degree Name Master of Science in Physician Assistant Studies First Advisor Professor Sommers Rights . Abstract Background : In recent years there has (...) after their injury, with the hope that they will not suffer long-term consequences. Two of the biggest challenges facing patients are depression and anxiety, especially in the first year after sustaining a TBI. With cases such as these, it is vital to understand that early intervention for novel psychiatric disorders post-TBI, is imperative in reducing long term consequences. Method: An exhaustive search of medical literature was conducted using Medline-Ovid, CINAHL, Web of Science, Medline-PubMed

Pacific University EBM Capstone Project2013

184. Generalized anxiety disorder

Generalized anxiety disorder Generalized anxiety disorder - NICE CKS Clinical Knowledge Summaries Share Generalized anxiety disorder - Summary Generalized anxiety disorder (GAD) is one of a range of anxiety disorders characterized by disproportionate, pervasive, uncontrollable, and widespread worry and a range of somatic, cognitive, and behavioural symptoms that occur on a continuum of severity. The somatic, cognitive, and behavioural symptoms of GAD can severely impair day-to-day functioning (...) and commonly present in association with other depressive and physical health comorbidities. The aetiology of anxiety disorders is multifactorial and includes environmental stressors, genetic factors, neurophysiological factors, chronic illness, and substance abuse. Anxiety disorders as a diagnostic category are the most common psychiatric disorders. It is estimated that about 25% of adults will suffer an anxiety disorder at some point in their life. The disorder can develop at any point, although

NICE Clinical Knowledge Summaries2013

187. Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial.

Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. 23689789 2013 06 12 2013 06 17 2017 02 20 1538-3598 309 22 2013 Jun 12 JAMA JAMA Effects of patient-directed music intervention on anxiety and sedative exposure in critically ill patients receiving mechanical ventilatory support: a randomized clinical trial. 2335-44 10.1001/jama.2013.5670 Alternatives to sedative (...) medications, such as music, may alleviate the anxiety associated with ventilatory support. To test whether listening to self-initiated patient-directed music (PDM) can reduce anxiety and sedative exposure during ventilatory support in critically ill patients. Randomized clinical trial that enrolled 373 patients from 12 intensive care units (ICUs) at 5 hospitals in the Minneapolis-St Paul, Minnesota, area receiving acute mechanical ventilatory support for respiratory failure between September 2006

JAMA2013 Full Text: Link to full Text with Trip Pro

188. Internet based or computerised CBT for depression and anxiety

Internet based or computerised CBT for depression and anxiety RACGP - Internet based or computerised CBT for depression and anxiety Username Password Password security changes or call 1800 284 789 Search the RACGP website Your browser has 'Cookies' disabled, alert boxes will continue to appear without this feature. / / / / / Internet based or computerised CBT (iCBT or CCBT): depression and anxiety HANDI Making non-drug interventions easier to find and use Internet based or computerised CBT (...) (iCBT or CCBT): depression and anxiety About 85% of patients with depression have significant anxiety Intervention Internet-based or computerised cognitive behavioural therapy (iCBT or CCBT) programs. Cognitive behavioural therapy (CBT) is the main psychological treatment approach available as computer- or internet-based programs. Indication Depression and anxiety. Treatment programs have been studied in patients with mild-to-moderate, moderate-to-severe and severe depression. iCBT may

Handbook of Non-Drug interventions (HANDI)2013

189. Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review

Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review Effects of psychotherapy for anxiety in children and adolescents: a meta-analytic review Reynolds S, Wilson C, Austin J, Hooper L CRD summary This review concluded that there was sufficient evidence to recommend psychological therapy, specifically behavioural or cognitive-behavioural therapy, for treating anxiety (...) disorders in children and adolescents. The review was generally performed well and the authors' main conclusion seems reliable despite a lack of power in many trials. Authors' objectives To assess the efficacy of psychotherapy for anxiety in children and adolescents. Searching MEDLINE and PsycINFO, were searched for studies published in English from January 1990 to December 2010; search terms were reported. The bibliographies of relevant articles and reviews, and journals where relevant studies had been

DARE.2012

190. Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia

Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia 23051880 2012 10 24 2013 01 01 2012 10 24 1526-7598 115 5 2012 Nov Anesthesia and analgesia Anesth. Analg. Streamed video clips to reduce anxiety in children during inhaled induction of anesthesia. 1162-7 10.1213/ANE.0b013e31824d5224 Anesthesia induction in children is frequently achieved by inhalation of nitrous oxide and sevoflurane. Pediatric anesthesiologists commonly use distraction techniques (...) such as humor or nonprocedural talk to reduce anxiety and facilitate a smooth transition at this critical phase. There is a large body of successful distraction research that explores the use of video and television distraction methods for minor medical and dental procedures, but little research on the use of this method for ambulatory surgery. In this randomized control trial study we examined whether video distraction is effective in reducing the anxiety of children undergoing inhaled induction before

EvidenceUpdates2012

191. Cartoon distraction alleviates anxiety in children during induction of anesthesia

Cartoon distraction alleviates anxiety in children during induction of anesthesia 23011563 2012 10 24 2013 01 01 2012 10 24 1526-7598 115 5 2012 Nov Anesthesia and analgesia Anesth. Analg. Cartoon distraction alleviates anxiety in children during induction of anesthesia. 1168-73 10.1213/ANE.0b013e31824fb469 We performed this study to determine the beneficial effects of viewing an animated cartoon and playing with a favorite toy on preoperative anxiety in children aged 3 to 7 years (...) in the operating room before anesthesia induction. One hundred thirty children aged 3 to 7 years with ASA physical status I or II were enrolled. Subjects were randomly assigned to 1 of 3 groups: group 1 (control), group 2 (toy), and group 3 (animated cartoon). The children in group 2 were asked to bring their favorite toy and were allowed to play with it until anesthesia induction. The children in group 3 watched their selected animated cartoon until anesthesia induction. Children's preoperative anxiety

EvidenceUpdates2012

192. Drug therapy for symptoms associated with anxiety in adult palliative care patients.

Drug therapy for symptoms associated with anxiety in adult palliative care patients. BACKGROUND: This is an update of the review published on 'Drug therapy for anxiety in adult palliative care patients' in Issue 1, 2004 of The Cochrane Library. Anxiety is common in palliative care patients. It can be a natural response to impending death, but it may represent a clinically significant issue in its own right. It may also result from pain, or other untreated or poorly managed symptoms. When (...) anxiety is severe or distressing drug therapy may be considered in addition to supportive care. OBJECTIVES: This review aimed to identify and evaluate randomised controlled trials examining the effectiveness of drug therapy for symptoms of anxiety in adult palliative care patients. SEARCH METHODS: We searched the following sources: CENTRAL (The Cochrane Library 2012, Issue 2), MEDLINE (1966 to 2012), EMBASE (1980 to 2012), CINAHL (1982 to 2012), PsycLit (1974 to 2000) and PsycInfo (1990 to 2012

Cochrane2012

193. Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program

Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program Cost-effectiveness of child-focused and parent-focused interventions in a child anxiety prevention program Simon E, Dirksen C, Bogels S, Bodden D Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study examined the cost-effectiveness of two programmes, one that was child-focused and the other parent-focused, to prevent anxiety in children aged eight to 12 years who had high anxiety. Either programme was cost-effective compared with no intervention. Parent intervention was preferred for anxious parents

NHS Economic Evaluation Database.2012

194. Neurofeedback and biofeedback for post-traumatic stress disorder, generalized anxiety disorder, and depression: a review of the clinical evidence and guidelines

Neurofeedback and biofeedback for post-traumatic stress disorder, generalized anxiety disorder, and depression: a review of the clinical evidence and guidelines Neurofeedback and biofeedback for post-traumatic stress disorder, generalized anxiety disorder, and depression: a review of the clinical evidence and guidelines. Neurofeedback and biofeedback for post-traumatic stress disorder, generalized anxiety disorder, and depression: a review of the clinical evidence and guidelines. CADTH Record (...) Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Neurofeedback and biofeedback for post-traumatic stress disorder, generalized anxiety disorder, and depression: a review of the clinical evidence and guidelines. . Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2012 Authors' conclusions Evidence from mostly preliminary

Health Technology Assessment (HTA) Database.2012

195. Efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders: systematic review

Efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders: systematic review Efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders: systematic review Efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders: systematic review Lewis C, Pearce J, Bisson JI CRD summary The review concluded that self-help interventions appeared to be an effective way of treating individuals (...) diagnosed with social phobia and panic disorder. The review had some methodological and data limitations that limit the reliability of the authors’ conclusions. Authors' objectives To determine the efficacy, cost-effectiveness and acceptability of self-help interventions for anxiety disorders. Searching MEDLINE, CINAHL, EMBASE, ASSIA, AMED, IBSS, PsycINFO, EBM Reviews and PILOTS were searched to 31 October 2010 for articles in English. Search terms were reported. Reference lists of selected articles

DARE.2012

196. The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single-blind randomised controlled trial

The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single-blind randomised controlled trial 22300416 2012 03 13 2012 07 23 2012 03 13 1365-2702 21 7-8 2012 Apr Journal of clinical nursing J Clin Nurs The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety: a single-blind randomised controlled trial. 946-55 10.1111/j.1365-2702.2011.03973.x To evaluate the effect of a structured preoperative preparation (...) on child and parent state anxiety, child behavioural change and parent satisfaction. It is estimated that around 50-70% of hospitalised children experience severe anxiety and distress prior to surgery. Children who are highly anxious and distressed preoperatively are likely to be distressed on awakening and have negative postoperative behaviour. Although education before surgery has been found to be useful mostly in North America, the effectiveness of preoperative preparation programme adapted

EvidenceUpdates2012

197. Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial

Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial 21978087 2012 03 22 2012 07 25 2015 11 19 1365-2648 68 5 2012 May Journal of advanced nursing J Adv Nurs Effects of music therapy on anxiety of patients with breast cancer after radical mastectomy: a randomized clinical trial. 1145-55 10.1111/j.1365-2648.2011.05824.x This paper is a report of a clinical trial of the effects of music therapy on anxiety of female breast cancer (...) patients following radical mastectomy. There is insufficient evidence on the effects of music therapy on state anxiety of breast cancer patients following radical mastectomy. A Hall's Core, Care, and Cure Model-based clinical trial was conducted in 120 female breast cancer patients from March to November 2009. A randomized controlled design was utilized. The patients were randomly allocated to the experimental group (n = 60) received music therapy in addition to routine nursing care, and the control

EvidenceUpdates2012

198. Minimising preoperative anxiety with music for day surgery patients - a randomised clinical trial

Minimising preoperative anxiety with music for day surgery patients - a randomised clinical trial 21332853 2012 02 13 2012 06 26 2014 11 20 1365-2702 21 5-6 2012 Mar Journal of clinical nursing J Clin Nurs Minimising preoperative anxiety with music for day surgery patients - a randomised clinical trial. 620-5 10.1111/j.1365-2702.2010.03466.x The objective of this study was to evaluate the effects of musical intervention on preoperative anxiety and vital signs in patients undergoing day surgery (...) . Studies and systematic meta-analyses have shown inconclusive results of the efficacy of music in reducing preoperative anxiety. We designed a study to provide additional evidence for its use in preoperative nursing care. Randomised, controlled study. Patients (n = 183) aged 18-65 admitted to our outpatient surgery department were randomly assigned to either the experimental group (music delivered by earphones) or control group (no music) for 20 minutes before surgery. Anxiety, measured by the State

EvidenceUpdates2012

200. Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients

Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients 22511399 2012 07 11 2012 09 21 2015 11 19 1098-240X 35 4 2012 Aug Research in nursing & health Res Nurs Health Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients. 409-18 10.1002/nur.21483 In this controlled, randomized study we (...) explored the effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life (QOL) of chronic obstructive pulmonary disease (COPD) outpatients in China. Ninety-six COPD outpatients completed the study (n = 49 in the intervention group; n = 47 in the control group). Over the 10-month study duration, the intervention group received a cognitive behavioral intervention. Compared with the control group, the intervention group showed significant improvement

EvidenceUpdates2012