Anxiety and anxiety disorders

焦虑和焦虑症
  • 文章类型: Journal Article
    尽管有证据支持心理干预对预防焦虑的有效性,对其成本效益知之甚少。这项研究的目的是对预防焦虑的心理干预措施的健康经济学评估进行系统回顾。
    PubMed,PsycInfo,WebofScience,Embase,Cochrane中央控制试验登记册,EconLit,国家卫生服务(NHS)经济评价数据库,NHS健康技术评估,和OpenGrey数据库于2022年12月23日进行了电子搜索。纳入的研究侧重于基于心理干预预防焦虑的随机对照试验的经济评估。提取研究数据,通过使用卫生经济标准共识和Cochrane偏倚风险工具评估选定研究的质量。
    所有纳入的研究(N=5)的经济评估被认为是高质量的。在两项研究中,与常规治疗组相比,干预措施显示出良好的成本-效果.在一项研究中,干预措施不具成本效益.另一项研究的结果对干预的成本效益产生了怀疑,并且无法确定其余研究中干预措施的成本效益。
    尽管研究结果表明了一些初步证据表明心理干预措施对预防焦虑的成本效益,它们受到纳入研究数量少的限制。需要对不同国家和人群的焦虑心理干预措施的成本效益进行更多研究。
    UNASSIGNED: Although evidence supports the effectiveness of psychological interventions for prevention of anxiety, little is known about their cost-effectiveness. The aim of this study was to conduct a systematic review of health-economic evaluations of psychological interventions for anxiety prevention.
    UNASSIGNED: PubMed, PsycInfo, Web of Science, Embase, Cochrane Central Register of Controlled Trials, EconLit, National Health Service (NHS) Economic Evaluations Database, NHS Health Technology Assessment, and OpenGrey databases were searched electronically on December 23, 2022. Included studies focused on economic evaluations based on randomized controlled trials of psychological interventions to prevent anxiety. Study data were extracted, and the quality of the selected studies was assessed by using the Consensus on Health Economic Criteria and the Cochrane risk-of-bias tool.
    UNASSIGNED: All included studies (N=5) had economic evaluations that were considered to be of good quality. In two studies, the interventions showed favorable cost-effectiveness compared with usual care groups. In one study, the intervention was not cost-effective. Findings from another study cast doubt on the cost-effectiveness of the intervention, and the cost-effectiveness of the intervention in the remaining study could not be established.
    UNASSIGNED: Although the findings suggest some preliminary evidence of cost-effectiveness of psychological interventions for preventing anxiety, they were limited by the small number of included studies. Additional research on the cost-effectiveness of psychological interventions for anxiety in different countries and populations is required.
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  • 文章类型: Journal Article
    身心干预在焦虑症状方面越来越受欢迎;然而,目前还不清楚它们在焦虑症的治疗中扮演什么角色,比如广泛性焦虑症,恐慌症,和社交焦虑症.虽然精神药理学和心理治疗干预措施是可用的,身心干预可能是低污名化的选择,可以作为有效的替代方案。这篇综述的目的是为临床医生提供高质量研究的概述,以研究最充分的身心干预措施。这篇综述涉及对主要文献的搜索,包括荟萃分析,系统评价,和随机对照试验(RCT),评估了治疗焦虑症的身心干预措施。当公布的证据有限时,对低质量的研究进行了综述。总的来说,大多数身心疗法治疗焦虑症的疗效数据有限.瑜伽存在最高质量的数据,基于正念的干预措施,并对焦虑症应用放松。然而,研究结果有时不一致,一些研究受到小样本量的限制,定义不清的随机化和盲法程序,和不足的对照组。尽管没有足够的数据推荐身心干预作为主要治疗方案,考虑到它们相对较低的风险水平,它们可以被视为更大治疗计划的一部分.研究人员未来的步骤包括与足够的对照组进行额外的随机对照试验,将身心疗法与现有疗法进行比较,并检查身心干预的长期效果。
    Mind-body interventions have gained increasing popularity for use with anxiety symptoms; however, it is unclear what role they play in the treatment of anxiety disorders, such as generalized anxiety disorder, panic disorder, and social anxiety disorder. Although psychopharmacology and psychotherapy treatment interventions are available, mind-body interventions may be low-stigma options that can serve as effective alternatives. The goal of this review is to provide clinicians with an overview of high-quality studies for the most well researched mind-body interventions. This review involved a search of the primary literature, including meta-analyses, systematic reviews, and randomized controlled trials (RCTs), that evaluated mind-body interventions for the treatment of anxiety disorders. When published evidence was limited, lower-quality studies were reviewed. Overall, data were limited on the efficacy of most mind-body modalities for anxiety disorders. The highest-quality data existed for yoga, mindfulness-based interventions, and applied relaxation for anxiety disorders. However, findings were sometimes inconsistent across studies, and some studies were limited by small sample sizes, poorly defined randomization and blinding procedures, and inadequate control groups. Although not enough data exist to recommend mind-body interventions as primary treatment options, they may be considered as part of a larger treatment plan given their relatively low levels of risk. Future steps for researchers include conducting additional RCTs with adequate control groups, comparing mind-body treatments with existing treatments, and examining long-term effects of mind-body interventions.
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