Screening for Anxiety Disorders in Adults

Author:

,Barry Michael J.1,Nicholson Wanda K.2,Silverstein Michael3,Coker Tumaini Rucker4,Davidson Karina W.5,Davis Esa M.6,Donahue Katrina E.7,Jaén Carlos Roberto8,Li Li9,Ogedegbe Gbenga10,Pbert Lori11,Rao Goutham12,Ruiz John M.13,Stevermer James14,Tsevat Joel8,Underwood Sandra Millon15,Wong John B.16

Affiliation:

1. Harvard Medical School, Boston, Massachusetts

2. George Washington University, Washington, DC

3. Brown University, Providence, Rhode Island

4. University of Washington, Seattle

5. Feinstein Institutes for Medical Research at Northwell Health, Manhasset, New York

6. University of Pittsburgh, Pittsburgh, Pennsylvania

7. University of North Carolina at Chapel Hill

8. The University of Texas Health Science Center, San Antonio

9. University of Virginia, Charlottesville

10. New York University, New York, New York

11. University of Massachusetts Medical School, Worcester

12. Case Western Reserve University, Cleveland, Ohio

13. University of Arizona, Tucson

14. University of Missouri, Columbia

15. University of Wisconsin, Milwaukee

16. Tufts University School of Medicine, Boston, Massachusetts

Abstract

ImportanceAnxiety disorders are commonly occurring mental health conditions. They are often unrecognized in primary care settings and substantial delays in treatment initiation occur.ObjectiveThe US Preventive Services Task Force (USPSTF) commissioned a systematic review to evaluate the benefits and harms of screening for anxiety disorders in asymptomatic adults.PopulationAsymptomatic adults 19 years or older, including pregnant and postpartum persons. Older adults are defined as those 65 years or older.Evidence AssessmentThe USPSTF concludes with moderate certainty that screening for anxiety disorders in adults, including pregnant and postpartum persons, has a moderate net benefit. The USPSTF concludes that the evidence is insufficient on screening for anxiety disorders in older adults.RecommendationThe USPSTF recommends screening for anxiety disorders in adults, including pregnant and postpartum persons. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for anxiety disorders in older adults. (I statement)

Publisher

American Medical Association (AMA)

Subject

General Medicine

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4. Epidemiology of anxiety disorders in the 21st century.;Bandelow;Dialogues Clin Neurosci,2015

5. Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States.;Kessler;Int J Methods Psychiatr Res,2012

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