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

21. Treatment of mother-child interaction might be of value for childhood anxiety disorder

Treatment of mother-child interaction might be of value for childhood anxiety disorder Signal - Treatment of mother-child interaction might be of value for childhood anxiety disorder Dissemination Centre Discover Portal NIHR DC Discover Treatment of mother-child interaction might be of value for childhood anxiety disorder Published on 19 August 2015 Child cognitive behavioural therapy helps children with anxiety disorders. But children of mothers with anxiety disorder are less likely to improve (...) . This trial (MaCH) found that treating maternal anxiety disorder at the same time as the child’s provided no additional treatment benefit. The treatments tested were maternal cognitive behavioural therapy or a new treatment focused on mother-child interactions. All groups improved up to a year, but none significantly more than others. Surprisingly, given the lack of a treatment benefit for the main outcome, economic analysis suggested that adding mother-child interaction treatment was more cost-effective

NIHR Dissemination Centre2018

22. Meta-analysis evaluating music interventions for anxiety and pain in surgery

Meta-analysis evaluating music interventions for anxiety and pain in surgery 29665028 2018 05 14 1365-2168 105 7 2018 Jun The British journal of surgery Br J Surg Meta-analysis evaluating music interventions for anxiety and pain in surgery. 773-783 10.1002/bjs.10853 This study aimed to evaluate anxiety and pain following perioperative music interventions compared with control conditions in adult patients. Eleven electronic databases were searched for full-text publications of RCTs investigating (...) the effect of music interventions on anxiety and pain during invasive surgery published between 1 January 1980 and 20 October 2016. Results and data were double-screened and extracted independently. Random-effects meta-analysis was used to calculate effect sizes as standardized mean differences (MDs). Heterogeneity was investigated in subgroup analyses and metaregression analyses. The review was registered in the PROSPERO database as CRD42016024921. Ninety-two RCTs (7385 patients) were included

EvidenceUpdates2018

23. Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder

Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder 29536616 2018 05 18 1399-5618 20 2 2018 Mar Bipolar disorders Bipolar Disord Canadian Network for Mood and Anxiety Treatments (CANMAT) and International Society for Bipolar Disorders (ISBD) 2018 guidelines for the management of patients with bipolar disorder. 97-170 10.1111/bdi.12609 The Canadian Network for Mood (...) and Anxiety Treatments (CANMAT) previously published treatment guidelines for bipolar disorder in 2005, along with international commentaries and subsequent updates in 2007, 2009, and 2013. The last two updates were published in collaboration with the International Society for Bipolar Disorders (ISBD). These 2018 CANMAT and ISBD Bipolar Treatment Guidelines represent the significant advances in the field since the last full edition was published in 2005, including updates to diagnosis and management

CMA Infobase (Canada)2018 Full Text: Link to full Text with Trip Pro

24. Depression and anxiety common in people with heart disease

Depression and anxiety common in people with heart disease NIHR DC | Signal - Depression and anxiety common in people with heart disease Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal 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

NIHR Dissemination Centre2018

25. Listening to music reduces pain and anxiety for patients having surgery

Listening to music reduces pain and anxiety for patients having surgery NIHR DC | Signal - Listening to music reduces pain and anxiety for patients having surgery Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal 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 (...) members. 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

NIHR Dissemination Centre2018

26. An anxiety prevention programme is not effective over the long term in UK primary schools

An anxiety prevention programme is not effective over the long term in UK primary schools NIHR DC | Signal - An anxiety prevention programme is not effective over the long term in UK primary schools Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal 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

NIHR Dissemination Centre2018

27. A coping programme moderately reduces depression and anxiety in carers of people with dementia

A coping programme moderately reduces depression and anxiety in carers of people with dementia NIHR DC | Signal - A coping programme moderately reduces depression and anxiety in carers of people with dementia Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal A coping programme moderately reduces depression and anxiety in carers of people with dementia Published on 28 October 2015 This NIHR-funded trial found that a programme to support carers of people with dementia (...) was moderately effective in reducing carers’ depression and anxiety scores for up to two years. It was also cost-effective. The programme consisted of eight sessions delivered by psychology graduates, covering topics such as managing difficult behaviour, accessing support and planning for the future. One in three people over 65 develop dementia and family are often the primary caregivers. The findings of this trial support NICE recommendations that the psychological burden upon carers is assessed

NIHR Dissemination Centre2018

28. Treatment of mother-child interaction might be of value for childhood anxiety disorder

Treatment of mother-child interaction might be of value for childhood anxiety disorder NIHR DC | Signal - Treatment of mother-child interaction might be of value for childhood anxiety disorder Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal Treatment of mother-child interaction might be of value for childhood anxiety disorder Published on 19 August 2015 Child cognitive behavioural therapy helps children with anxiety disorders. But children of mothers with anxiety disorder (...) are less likely to improve. This trial (MaCH) found that treating maternal anxiety disorder at the same time as the child’s provided no additional treatment benefit. The treatments tested were maternal cognitive behavioural therapy or a new treatment focused on mother-child interactions. All groups improved up to a year, but none significantly more than others. Surprisingly, given the lack of a treatment benefit for the main outcome, economic analysis suggested that adding mother-child interaction

NIHR Dissemination Centre2018

29. Talking therapy may relieve high levels of anxiety about health conditions

Talking therapy may relieve high levels of anxiety about health conditions NIHR DC | Signal - Talking therapy may relieve high levels of anxiety about health conditions Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal 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

NIHR Dissemination Centre2018

30. Staying on antidepressants may prevent a relapse of anxiety

Staying on antidepressants may prevent a relapse of anxiety NIHR DC | 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

NIHR Dissemination Centre2018

31. Talking therapy given by parents shows promise for childhood anxiety disorders

Talking therapy given by parents shows promise for childhood anxiety disorders NIHR DC | Signal - Talking therapy given by parents shows promise for childhood anxiety disorders Dissemination Centre Discover Portal NIHR DC Discover NIHR Signal 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

NIHR Dissemination Centre2018

33. A randomized controlled trial of a nursing psychotherapeutic intervention for anxiety in adult psychiatric outpatients

A randomized controlled trial of a nursing psychotherapeutic intervention for anxiety in adult psychiatric outpatients 29288510 2018 02 07 1365-2648 2017 Dec 29 Journal of advanced nursing J Adv Nurs A randomized controlled trial of a nursing psychotherapeutic intervention for anxiety in adult psychiatric outpatients. 10.1111/jan.13520 To evaluate the short-term efficacy of a psychotherapeutic intervention in nursing on Portuguese adult psychiatric outpatients with the nursing diagnosis (...) "anxiety." Several efficacious forms of treatment for anxiety are available, including different forms of psychotherapy and pharmacotherapy. However, literature tends to favour findings from studies on the efficacy of psychotherapies and therapies provided by nurses to the detriment of those arising from studies on the efficacy of nursing psychotherapeutic interventions (interventions which are classified, for instance, on Nursing Interventions Classification). Randomized controlled trial. The study

EvidenceUpdates2018

34. Psychotherapy for major depressive disorder and generalized anxiety disorder: OHTAC recommendation

Psychotherapy for major depressive disorder and generalized anxiety disorder: OHTAC recommendation Psychotherapy for major depressive disorder and generalized anxiety disorder: OHTAC recommendation Psychotherapy for major depressive disorder and generalized anxiety disorder: OHTAC recommendation Health Quality Ontario 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 Health Quality Ontario. Psychotherapy for major depressive disorder and generalized anxiety disorder: OHTAC recommendation. Toronto: Health Quality Ontario (HQO). 2017 Authors' conclusions The Ontario Health Technology Advisory Committee recommends that evidence-based, structured, individual and group psychotherapy provided by nonphysicians be publicly funded for patients with major depressive disorder and/or generalized anxiety disorder Final publication URL Indexing Status

Health Technology Assessment (HTA) Database.2018

35. Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment

Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment Health Quality Ontario 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 Health Quality Ontario. Psychotherapy for major depressive disorder and generalized anxiety disorder: a health technology assessment. Toronto: Health Quality Ontario (HQO). Ontario health technology assessment series; 17(15). 2017 Authors' conclusions Compared with usual care, treatment with CBT, interpersonal therapy, or supportive therapy significantly reduces depression symptoms posttreatment. CBT significantly reduces anxiety symptoms

Health Technology Assessment (HTA) Database.2018

36. A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder

A Review of Evidence Based Treatments for Transgender Youth Diagnosed with Social Anxiety Disorder Login to your account Username Password Keep me logged in Change Password Old Password New Password Too Short Weak Medium Strong Very Strong Too Long Congrats

Transgender health2018 Full Text: Link to full Text with Trip Pro

37. Generalised anxiety disorder

Generalised anxiety disorder Generalised anxiety disorder - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Generalised anxiety disorder Last reviewed: August 2018 Last updated: September 2018 Summary Common condition defined as chronic, excessive worry for at least 6 months that causes distress or impairment. At least 3 key symptoms out of a possible 6 are required to make a diagnosis: restlessness or nervousness (...) , easy fatigability, poor concentration, irritability, muscle tension, or sleep disturbance. It is in part a diagnosis of exclusion: medical conditions, medications or substances, and other mental disorders should be ruled out as a primary cause. Physical examination and laboratory studies are generally normal if no co-existing medical problems or substance abuse issues exist. Treatment is with either pharmacotherapy, psychotherapy, or a combination. Definition Generalised anxiety disorder (GAD

BMJ Best Practice2018

38. Social anxiety disorder

Social anxiety disorder Social anxiety disorder - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Social anxiety disorder Last reviewed: August 2018 Last updated: July 2018 Summary Characterised by an excessive fear of social and performance situations where the individual is afraid of being embarrassed or negatively evaluated by others. One of the most common and impairing mental disorders with a high risk (...) for comorbid anxiety, depressive, and substance-use/abuse-related disorders. Assessment is based on self-reporting, clinical interview, and behavioural observation. Selective serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and cognitive behavioural therapy are considered the first-line treatments. Long-term clinical management and monitoring are typically required, as patients are prone to relapse following discontinuation of acute treatment. Definition The condition involves

BMJ Best Practice2018

39. Detecting anxiety in individuals with Parkinson disease: A systematic review

Detecting anxiety in individuals with Parkinson disease: A systematic review 29212828 2017 12 29 1526-632X 90 1 2018 Jan 02 Neurology Neurology Detecting anxiety in individuals with Parkinson disease: A systematic review. e39-e47 10.1212/WNL.0000000000004771 To examine diagnostic accuracy of anxiety detection tools compared with a gold standard in outpatient settings among adults with Parkinson disease (PD). A systematic review was conducted. MEDLINE, EMABASE, PsycINFO, and Cochrane Database (...) of Systematic Reviews were searched to April 7, 2017. Prevalence of anxiety and diagnostic accuracy measures including sensitivity, specificity, and likelihood ratios were gathered. Pooled prevalence of anxiety was calculated using Mantel-Haenszel-weighted DerSimonian and Laird models. A total of 6,300 citations were reviewed with 6 full-text articles included for synthesis. Tools included within this study were the Beck Anxiety Inventory, Geriatric Anxiety Inventory (GAI), Hamilton Anxiety Rating Scale

EvidenceUpdates2018

40. Effectiveness of Online Collaborative Care for Treating Mood and Anxiety Disorders in Primary Care: A Randomized Clinical Trial

Effectiveness of Online Collaborative Care for Treating Mood and Anxiety Disorders in Primary Care: A Randomized Clinical Trial 29117275 2018 01 04 2168-6238 75 1 2018 Jan 01 JAMA psychiatry JAMA Psychiatry Effectiveness of Online Collaborative Care for Treating Mood and Anxiety Disorders in Primary Care: A Randomized Clinical Trial. 56-64 10.1001/jamapsychiatry.2017.3379 Collaborative care for depression and anxiety is superior to usual care from primary care physicians for these conditions (...) ; however, challenges limit its provision in routine practice and at scale. Advances in technology may overcome these barriers but have yet to be tested. To examine the effectiveness of combining an internet support group (ISG) with an online computerized cognitive behavioral therapy (CCBT) provided via a collaborative care program for treating depression and anxiety vs CCBT alone and whether providing CCBT in this manner is more effective than usual care. In this 3-arm randomized clinical trial

EvidenceUpdates2018