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Screening for Anxiety in Adolescent and Adult Women

Educational Objective
To identify the key insights or developments described in this article
1 Credit CME

Anxiety disorders include generalized anxiety disorder, panic disorder, and social or school anxiety disorder, among other types.1 According to an analysis in 2019, anxiety disproportionately affects women, with an age-standardized prevalence of 4694.7 per 100 000 people, 1.64 times the prevalence among men.2 Brief anxiety screening may identify individuals who could benefit from further evaluation and management; however, there have been no evidence-based clinical guidelines for anxiety screening.

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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

Article Information

Corresponding Author: Tiffany I. Leung, MD, MPH, Faculty of Health, Medicine, and Life Sciences, Maastricht University, Postbus 5800, Maastricht 6202 AZ, the Netherlands (t.leung@maastrichtuniversity.nl).

Conflict of Interest Disclosures: None reported.

References
1.
American Psychiatric Association.  Diagnostic and Statistical Manual of Mental Disorders. 5th ed. American Psychiatric Association; 2013.
2.
COVID-19 Mental Disorders Collaborators.  Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic.   Lancet. 2021;398(10312):1700-1712. doi:10.1016/S0140-6736(21)02143-7PubMedGoogle ScholarCrossref
3.
Gregory  KD , Chelmow  D , Nelson  HD ,  et al; Women’s Preventive Services Initiative.  Screening for anxiety in adolescent and adult women: a recommendation from the Women’s Preventive Services Initiative.   Ann Intern Med. 2020;173(1):48-56. doi:10.7326/M20-0580PubMedGoogle ScholarCrossref
4.
American College of Obstetricians and Gynecologists Foundation. Women’s Preventive Services Initiative grant request. Accessed July 11, 2021. https://grants.hrsa.gov/2010/web2External/Interface/Common/PublicWebLinkController.aspx?GrantNumber=UH0MC29440&WL_WEBLINK_ID=1
5.
Women’s Preventive Services Initiative. Recommendation development process methodology. Accessed July 11, 2021. https://www.womenspreventivehealth.org/wp-content/uploads/Methodology-sson.pdf
6.
Nelson  HD , Cantor  A , Pappas  M , Weeks  C .  Screening for anxiety in adolescent and adult women.   Ann Intern Med. 2020;173(1):29-41. doi:10.7326/M20-0579PubMedGoogle ScholarCrossref
7.
Hunot  V , Churchill  R , Silva de Lima  M , Teixeira  V .  Psychological therapies for generalised anxiety disorder.   Cochrane Database Syst Rev. 2007;(1):CD001848.PubMedGoogle Scholar
8.
Slee  A , Nazareth  I , Bondaronek  P ,  et al.  Pharmacological treatments for generalised anxiety disorder.   Lancet. 2019;393(10173):768-777. doi:10.1016/S0140-6736(18)31793-8PubMedGoogle ScholarCrossref
9.
 Anxiety in Children. Agency for Healthcare Research and Quality; 2017. Comparative Effectiveness Review 192. AHRQ publication 17-EHC023-EF.
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