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

281. A systematic review of behavioral experiments vs exposure alone in the treatment of anxiety disorders: a case of exposure while wearing the emperor's new clothes?

A systematic review of behavioral experiments vs exposure alone in the treatment of anxiety disorders: a case of exposure while wearing the emperor's new clothes? A systematic review of behavioral experiments vs exposure alone in the treatment of anxiety disorders: a case of exposure while wearing the emperor's new clothes? A systematic review of behavioral experiments vs exposure alone in the treatment of anxiety disorders: a case of exposure while wearing the emperor's new clothes? McMillan D (...) alone in the treatment of anxiety problems. Searching Embase, MEDLINE and PsycINFO were searched without language restriction up to December 2008. Search terms were reported. Manual searches of references and a citation search were conducted. There were no restrictions on publication type. Study selection Randomised controlled trials (RCTs) and single case series that compared a behavioural experiment (exposure designed to test a cognition) with exposure alone in treatment of anxiety disorders

DARE.2010

282. Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms?

Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms? Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms? Can paraprofessionals deliver cognitive-behavioral therapy to treat anxiety and depressive symptoms? Montgomery EC, Kunik ME, Wilson N, Stanley MA, Weiss B CRD summary The authors concluded that paraprofessionals could effectively deliver cognitive-behavioural therapy to patients with depression (...) or anxiety with outcomes comparable to professionals. The authors’ conclusions relied on a few small studies that had mixed results and hence caution is warranted when interpreting the authors’ findings. Authors' objectives To examine the literature on paraprofessionals using cognitive behavioural therapy (CBT) to treat patients with depression or anxiety compared with professionals. Searching MEDLINE, PsycINFO, Academic Search Premier, The Cochrane Library and ERIC were searched to September 2005

DARE.2010

283. The impact of cognitive-behavior therapy for anxiety disorders on concomitant sleep disturbances: a meta-analysis

The impact of cognitive-behavior therapy for anxiety disorders on concomitant sleep disturbances: a meta-analysis The impact of cognitive-behavior therapy for anxiety disorders on concomitant sleep disturbances: a meta-analysis The impact of cognitive-behavior therapy for anxiety disorders on concomitant sleep disturbances: a meta-analysis Belleville G, Cousineau H, Levrier K, St-Pierre-Delorme ME, Marchand A CRD summary This review found that available research on the impact of cognitive (...) -behavioural therapy for anxiety disorders on concomitant sleep problems did not permit definitive conclusions. This seems to be an appropriate conclusion, but needs to be considered against some limitations of the review, such as a lack of quality assessment and the pooling of very varied data. Authors' objectives To evaluate the impact of cognitive-behavioural therapy for patients with anxiety disorder who have sleep problems. Searching PsycINFO, PubMed and Proquest Dissertations and Theses were searched; search terms were

DARE.2010

284. Cost-effectiveness of a primary care model for anxiety disorders

Cost-effectiveness of a primary care model for anxiety disorders 19794198 2009 10 01 2009 12 16 2015 11 19 1472-1465 195 4 2009 Oct The British journal of psychiatry : the journal of mental science Br J Psychiatry Cost-effectiveness of a primary care model for anxiety disorders. 308-17 10.1192/bjp.bp.108.058032 Individuals with anxiety disorders often do not receive an accurate diagnosis or adequate treatment in primary care. To analyse the cost-effectiveness of an optimised care model (...) for people with anxiety disorders in primary care. In a cluster randomised controlled trial, 46 primary care practices with 389 individuals positively screened with anxiety were randomised to intervention (23 practices, 201 participants) or usual care (23 practices, 188 participants). Physicians in the intervention group received training on diagnosis and treatment of anxiety disorders combined with the offer of a psychiatric consultation-liaison service for 6 months. Anxiety, depression, quality

EvidenceUpdates2010

285. Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial.

Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial. 20483968 2010 05 20 2010 05 21 2016 12 15 1538-3598 303 19 2010 May 19 JAMA JAMA Delivery of evidence-based treatment for multiple anxiety disorders in primary care: a randomized controlled trial. 1921-8 10.1001/jama.2010.608 Improving the quality of mental health care requires moving clinical interventions from controlled research settings into real-world practice settings (...) . Although such advances have been made for depression, little work has been performed for anxiety disorders. To determine whether a flexible treatment-delivery model for multiple primary care anxiety disorders (panic, generalized anxiety, social anxiety, and posttraumatic stress disorders) would be better than usual care (UC). A randomized controlled effectiveness trial of Coordinated Anxiety Learning and Management (CALM) compared with UC in 17 primary care clinics in 4 US cities. Between June 2006

JAMA2010 Full Text: Link to full Text with Trip Pro

286. Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial.

Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. 21159375 2010 12 20 2011 01 03 2017 02 20 1474-547X 376 9758 2010 Dec 18 Lancet (London, England) Lancet Effectiveness of an intervention led by lay health counsellors for depressive and anxiety disorders in primary care in Goa, India (MANAS): a cluster randomised controlled trial. 2086-95 10.1016/S0140-6736(10)61508-5 (...) Depression and anxiety disorders are common mental disorders worldwide. The MANAS trial aimed to test the effectiveness of an intervention led by lay health counsellors in primary care settings to improve outcomes of people with these disorders. In this cluster randomised trial, primary care facilities in Goa, India, were assigned (1:1) by computer-generated randomised sequence to intervention or control (enhanced usual care) groups. All adults who screened positive for common mental disorders were

Lancet2010

287. Evidence-based practice guideline. Detection and assessment of late life anxiety.

Evidence-based practice guideline. Detection and assessment of late life anxiety. Detection and assessment of late life anxiety. | National Guideline Clearinghouse Search Sign In Username or Email * Password * Remember Me Don't have an account? Guideline Summary NGC:006961 This guideline summary has been withdrawn from NGC. Please update your bookmarks. View all withdrawn summaries in the . About NGC Guideline Summaries NGC's guidelines summaries contain information systematically derived from

University of Iowa Gerontological Nursing Interventions Research Center, Research Translation and Di2009

288. Short-term psychodynamic psychotherapy and cognitive-behavioral therapy in generalized anxiety disorder: a randomized, controlled trial

Short-term psychodynamic psychotherapy and cognitive-behavioral therapy in generalized anxiety disorder: a randomized, controlled trial 19570931 2009 08 04 2009 08 06 2010 01 13 1535-7228 166 8 2009 Aug The American journal of psychiatry Am J Psychiatry Short-term psychodynamic psychotherapy and cognitive-behavioral therapy in generalized anxiety disorder: a randomized, controlled trial. 875-81 10.1176/appi.ajp.2009.09030441 While several studies have shown that cognitive-behavioral therapy (...) (CBT) is an efficacious treatment for generalized anxiety disorder, few studies have addressed the outcome of short-term psychodynamic psychotherapy, even though this treatment is widely used. The aim of this study was to compare short-term psychodynamic psychotherapy and CBT with regard to treatment outcome in generalized anxiety disorder. Patients with generalized anxiety disorder according to DSM-IV were randomly assigned to receive either CBT (N=29) or short-term psychodynamic psychotherapy (N

EvidenceUpdates2009

289. Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey.

Public perceptions, anxiety, and behaviour change in relation to the swine flu outbreak: cross sectional telephone survey. OBJECTIVE: To assess whether perceptions of the swine flu outbreak predicted changes in behaviour among members of the public in England, Scotland, and Wales. DESIGN: Cross sectional telephone survey using random digit dialling. SETTING: Interviews by telephone between 8 and 12 May. PARTICIPANTS: 997 adults aged 18 or more who had heard of swine flu and spoke English. MAIN (...) OUTCOME MEASURES: Recommended change in behaviour (increases in handwashing and surface cleaning or plans made with a "flu friend") and avoidance behaviours (engaged in one or more of six behaviours such as avoiding large crowds or public transport). RESULTS: 37.8% of participants (n=377) reported performing any recommended behaviour change "over the past four days . . . because of swine flu." 4.9% (n=49) had carried out any avoidance behaviour. Controlling for personal details and anxiety

BMJ2009 Full Text: Link to full Text with Trip Pro

290. The Child Anxiety Prevention Study: intervention model and primary outcomes

The Child Anxiety Prevention Study: intervention model and primary outcomes 19485597 2009 06 02 2009 08 28 2016 10 19 1939-2117 77 3 2009 Jun Journal of consulting and clinical psychology J Consult Clin Psychol The Child Anxiety Prevention Study: intervention model and primary outcomes. 580-7 10.1037/a0014486 The article presents the intervention model and primary outcomes of a preventive intervention designed to reduce anxiety symptoms and prevent the onset of anxiety disorders (...) in the offspring of parents with anxiety disorders. Participants were 40 volunteer children (mean age = 8.94 years; 45% girls; 90% Caucasian) whose parents met criteria for a broad range of anxiety disorders. Families were randomly assigned to an 8-week cognitive-behavioral intervention, the Coping and Promoting Strength program (CAPS; n = 20) or a wait list control condition (WL; n = 20). Independent evaluators (IEs) conducted diagnostic interviews, and children and parents completed measures of anxiety

EvidenceUpdates2009 Full Text: Link to full Text with Trip Pro

291. A selective intervention program for inhibited preschool-aged children of parents with an anxiety disorder: effects on current anxiety disorders and temperament

A selective intervention program for inhibited preschool-aged children of parents with an anxiety disorder: effects on current anxiety disorders and temperament 19454916 2009 05 20 2009 08 28 2009 05 20 1527-5418 48 6 2009 Jun Journal of the American Academy of Child and Adolescent Psychiatry J Am Acad Child Adolesc Psychiatry A selective intervention program for inhibited preschool-aged children of parents with an anxiety disorder: effects on current anxiety disorders and temperament. 602-9 (...) 10.1097/CHI.0b013e31819f6fa9 The current study evaluated the efficacy of early intervention for preschool-aged children selected on the basis of risk who also met diagnostic criteria for anxiety disorders. Seventy-one 3- to 4-year-old children were selected based on demonstrating high levels of inhibition and having a parent with a current anxiety disorder. They were randomly allocated to an eight-session parent intervention or waitlist. At baseline, all of the children met criteria for one or more

EvidenceUpdates2009

292. Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial

Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial 19318990 2009 04 28 2009 07 15 2015 11 19 1527-5418 48 5 2009 May Journal of the American Academy of Child and Adolescent Psychiatry J Am Acad Child Adolesc Psychiatry Cognitive-behavioral treatment versus an active control for children and adolescents with anxiety disorders: a randomized trial. 533-44 10.1097/CHI.0b013e31819c2401 The current trial examined whether (...) a specific cognitive-behavioral treatment package was more efficacious in treating childhood anxiety disorders than a nonspecific support package. One hundred twelve children (aged 7-16 years) with a principal anxiety disorder were randomly allocated to either a group cognitive-behavioral treatment (CBT) program or a control condition (group support and attention [GSA]). Overall, results showed that CBT was significantly more efficacious compared with the GSA condition: 68.6% of children in the CBT

EvidenceUpdates2009

293. Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study

Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study 19321850 2009 05 15 2009 08 10 2016 11 22 1534-7796 71 4 2009 May Psychosomatic medicine Psychosom Med Generalized anxiety disorder, major depressive disorder, and their comorbidity as predictors of all-cause and cardiovascular mortality: the Vietnam experience study. 395-403 10.1097/PSY.0b013e31819e6706 To examine whether the 1 (...) -year prevalence of major depressive disorder (MDD), generalized anxiety disorder (GAD), and their comorbidity were associated with subsequent all-cause and cardiovascular disease (CVD) mortality during 15 years in Vietnam veterans. Participants (N = 4256) were from the Vietnam Experience Study. Service, sociodemographic, and health data were collected from service files, telephone interviews, and a medical examination. One-year prevalence of MDD and GAD was determined through a diagnostic interview

EvidenceUpdates2009

294. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts

A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts 19284431 2009 03 16 2009 07 17 2009 03 16 1365-2702 18 7 2009 Apr Journal of clinical nursing J Clin Nurs A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts. 949-59 10.1111/j.1365 (...) -2702.2008.02731.x To explore through literature review the appropriateness of three common tools for use by community nurses to screen war veteran and war widow(er) clients for depression, anxiety and post-traumatic stress disorder. War veterans and, to a lesser extent, war widow(er)s, are prone to mental health challenges, especially depression, anxiety and post-traumatic stress disorder. Community nurses do not accurately identify such people with depression and related disorders although they are well

EvidenceUpdates2009

295. Stepped-care prevention of anxiety and depression in late life: a randomized controlled trial

Stepped-care prevention of anxiety and depression in late life: a randomized controlled trial 19255379 2009 03 03 2009 03 31 2015 11 19 1538-3636 66 3 2009 Mar Archives of general psychiatry Arch. Gen. Psychiatry Stepped-care prevention of anxiety and depression in late life: a randomized controlled trial. 297-304 10.1001/archgenpsychiatry.2008.555 Given the public health significance of late-life depression and anxiety, and the limited capacity of treatment, there is an urgent need to develop (...) effective strategies to prevent these disorders. To determine the effectiveness of an indicated stepped-care prevention program for depression and anxiety disorders in the elderly. Randomized controlled trial with recruitment between October 1, 2004, and October 1, 2005. Thirty-three primary care practices in the northwestern part of the Netherlands. A total of 170 consenting individuals, 75 years and older, with subthreshold symptom levels of depression or anxiety who did not meet the full diagnostic

EvidenceUpdates2009

296. Influence of watchful waiting on satisfaction and anxiety among patients seeking care for unexplained complaints

Influence of watchful waiting on satisfaction and anxiety among patients seeking care for unexplained complaints 19273865 2009 03 10 2009 07 13 2015 11 19 1544-1717 7 2 2009 Mar-Apr Annals of family medicine Ann Fam Med Influence of watchful waiting on satisfaction and anxiety among patients seeking care for unexplained complaints. 112-20 10.1370/afm.958 We undertook a study to determine whether test-ordering strategy and other consultation-related factors influence satisfaction (...) with and anxiety after a consultation among patients seeking care for unexplained complaints. A cluster-randomized clinical trial was conducted in family medicine practices in the Netherlands. Participants were 498 patients with unexplained complaints seen by 63 primary care physicians. Physicians either immediately ordered a blood test for patients or followed a 4-week watchful waiting approach. Physicians and patients completed questionnaires asking about their characteristics, satisfaction with care

EvidenceUpdates2009 Full Text: Link to full Text with Trip Pro

297. Anxiety predicted premature all-cause and cardiovascular death in a 10-year follow-up of middle-aged women

Anxiety predicted premature all-cause and cardiovascular death in a 10-year follow-up of middle-aged women 19013760 2009 03 02 2009 07 09 2009 03 02 1878-5921 62 4 2009 Apr Journal of clinical epidemiology J Clin Epidemiol Anxiety predicted premature all-cause and cardiovascular death in a 10-year follow-up of middle-aged women. 452-6 10.1016/j.jclinepi.2008.08.006 Research on emotional distress and mortality has largely focused on depression in men and in elderly populations. We examined (...) the relation between anxiety and mortality in women at midlife, adjusting for depression. At baseline, 5,073 healthy Dutch women aged 46-54 years (mean=50.4+/-2.1) and living in Eindhoven, completed a three-item anxiety scale ("being anxious/worried," "feeling scared/panicky," "ruminating about things that went wrong;" Cronbach's alpha=0.77). The primary outcome was all-cause mortality at 10-year follow-up; secondary outcomes were cardiovascular and lung/breast cancer death. At follow-up, 114 (2.2%) women

EvidenceUpdates2009

298. Group therapy for anxiety: a review of the clinical effectiveness

Group therapy for anxiety: a review of the clinical effectiveness Group therapy for anxiety: a review of the clinical effectiveness Group therapy for anxiety: a review of the clinical effectiveness Mujoomdar M, Spry C 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 Mujoomdar M, Spry C. Group therapy for anxiety: a review of the clinical (...) effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2009 Authors' conclusions The evidence from the included studies suggests that group CBT may be an effective treatment approach to reduce anxiety and symptoms associated with anxiety disorders. No conclusions can be made regarding the effectiveness of group therapy on hospitalization and quality of life given that no evidence was reported in the identified literature. The majority of the studies included a sample population

Health Technology Assessment (HTA) Database.2009

299. Psychoeducation for depression, anxiety and psychological distress: a meta-analysis

Psychoeducation for depression, anxiety and psychological distress: a meta-analysis Psychoeducation for depression, anxiety and psychological distress: a meta-analysis Psychoeducation for depression, anxiety and psychological distress: a meta-analysis Donker T, Griffiths KM, Cuijpers P, Christensen H CRD summary The review found that brief passive psychological interventions for depression and psychological distress could reduce symptoms, although the effect was typically small. The review (...) was well conducted in most respects, but the authors’ conclusions may require cautious interpretation, due to the small number of included trials, with varying populations and interventions. Authors' objectives To evaluate the use of passive psycho-educational interventions for depression, anxiety and psychological distress. Searching The Cochrane Library, PsycINFO and PubMed were searched to September 2008. Search terms were reported. Reference lists of systematic reviews and meta-analyses were

DARE.2009

300. The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review

The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review The effectiveness of virtual reality on reducing pain and anxiety in burn injury patients: a systematic review Morris LD, Louw QA, Grimmer-Somers K CRD summary The authors' concluded that virtual reality may be an effective non-pharmacologic non-invasive adjunct analgesic (...) technique to pain management for burn injury patients receiving wound dressing changes or physiotherapy treatment. The conclusions reflected the results presented. However, as the limited available evidence came from small studies, the conclusions should be interpreted cautiously. Authors' objectives To evaluate the effectiveness of virtual reality combined with pharmacologic analgesia in reducing pain and anxiety in burn injury patients undergoing wound dressing changes and physiotherapy. Searching

DARE.2009