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screening for anxiety

see generalized anxiety disorder scale (GAD-2, GAD-7) Indications: - all children & adolescents age 8-18 years (USPSTF) [2] - USPSTF recommends screening for anxiety disorders in adults, including pregnant & postpartum women [3] - USPSTF concludes that current evidence is insufficient to assess the balance of benefits & harms of screening for anxiety disorders in older adults [3] - depression frequently coexists with anxiety; also screen for depression Clinical significance: - anxiety detected by screening is likely due to PTSD [3] - suicidal ideation detected in 5% of persons screened for anxiety or depression [3] * "In the past 2 weeks, how often were you not able to stop worrying or control your worrying? is the single bests screening question [1]

General

screening cognitive assessment

References

  1. Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022
  2. Mangione CM et al. Screening for anxiety in children and adolescents: US Preventive Services Task Force recommendation statement. JAMA 2022 Oct 11; 328:1438. PMID: 36219403 https://jamanetwork.com/journals/jama/fullarticle/2797219 - Viswanathan M et al. Screening for anxiety in children and adolescents: Evidence report and systematic review for the US Preventive Services Task Force. JAMA 2022 Oct 11; 328:1445. PMID: 36219404 https://jamanetwork.com/journals/jama/fullarticle/2797220
  3. US Preventive Services Task Force Screening for Anxiety Disorders in Adults. US Preventive Services Task Force Recommendation Statement. JAMA. 2023;329(24):2163-2170 PMID: 37338866 https://jamanetwork.com/journals/jama/fullarticle/2806250 - O'Connor EA, Henninger ML, Perdue LA et al Anxiety Screening. Evidence Report and Systematic Review for the US Preventive Services Task Force. JAMA. 2023;329(24):2171-2184 PMID: 37338868 https://jamanetwork.com/journals/jama/fullarticle/2806251 - Stein MB, Hill LL. Are there reasons to fear anxiety screening? JAMA 2023 Jun 27; 329:2132. PMID: 37338897 https://jamanetwork.com/journals/jama/fullarticle/2806253