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Screening for Anxiety Disorders in Adults: US Preventive Services Task Force Recommendation Statement
, Michael J Barry1, Wanda K Nicholson2
1Harvard Medical School, Boston, Massachusetts.
JAMA
|June 20, 2023
Summary
Screening for anxiety disorders in adults, including pregnant and postpartum individuals, is recommended due to moderate benefits. Evidence is insufficient for older adults, necessitating further research.
Area of Science:
- Preventive medicine
- Mental health screening
- Public health initiatives
Background:
- Anxiety disorders are prevalent but frequently missed in primary care, leading to treatment delays.
- Early identification and intervention are crucial for managing anxiety disorders effectively.
Purpose of the Study:
- To evaluate the benefits and harms of screening for anxiety disorders in asymptomatic adults.
- To inform clinical practice guidelines regarding anxiety disorder screening.
Main Methods:
- A systematic review was commissioned by the US Preventive Services Task Force (USPSTF).
- The review focused on asymptomatic adults aged 19 and older, including pregnant and postpartum persons.
Main Results:
- Screening for anxiety disorders in adults shows a moderate net benefit.
- Evidence is insufficient to determine the benefits and harms of screening in older adults (65+).
Conclusions:
- The USPSTF recommends screening for anxiety disorders in adults, including pregnant and postpartum persons (B recommendation).
- Current evidence is insufficient to assess screening for anxiety disorders in older adults (I statement).
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