焦虑查:美国预防服务工作组的证据报告和系统审查
Elizabeth A O'Connor1, Michelle L Henninger1, Leslie A Perdue1
1Kaiser Permanente Evidence-based Practice Center, Kaiser Permanente Center for Health Research, Portland, Oregon.
JAMA
|June 20, 2023
概括
在初级保健中对焦虑的查没有显而易见的好处, 但治疗是有效的. GAD-7查工具在检测通用焦虑症方面表现出可接受的准确性.
科学领域:
- 主要护理医学
- 精神病学
- 基于证据的实践
背景情况:
- 在初级保健机构中,焦虑是普遍存在的,导致患者负担很大.
- 有效的查和治疗策略对于控制这一群体的焦虑至关重要.
研究的目的:
- 在初级保健中评估焦虑查和治疗的益处和危害.
- 评估用于焦虑检测的仪器的准确性.
主要方法:
- 系统审查英语原始研究和系统审查.
- 在 MEDLINE,PsychINFO 和 Cochrane 图书馆搜索到 2022 年 11 月.
- 包括查,治疗和诊断准确性的研究;质量被独立评价.
主要成果:
- 两项查研究没有发现益处. 通用焦虑障碍 (GAD) - 7仪器显示了足够的准确性 (灵敏度为0.79,特异性为0.89).
- 有大量证据支持焦虑治疗的益处,心理干预显示症状严重程度的标准化平均差异为-0.41.
- 对于其他查工具和焦虑障碍的证据有限.
结论:
- 关于焦虑查程序的好处或危害的证据不足.
- 显而易见的证据证实焦虑治疗的好处.
- 一些焦虑查仪器,如GAD-7,在检测通用焦虑症方面表现出可接受的准确性.
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