中国全科医学 ›› 2024, Vol. 27 ›› Issue (14): 1665-1671.DOI: 10.12114/j.issn.1007-9572.2024.0003

所属专题: 指南/共识最新文章合集 美国预防临床服务指南工作组(USPSTF)指南解读系列

• USPSTF指南解读系列(三) • 上一篇    下一篇

2023年美国预防临床服务指南工作组《成年人焦虑障碍筛查推荐声明》解读

雷玉1, 曾欣1, 王婷婷2, 周诗盼1, 沈静1, 邹川1,*()   

  1. 1.611130 四川省成都市第五人民医院全科医学科
    2.611137 四川省成都市,成都中医药大学医学与生命学院
  • 收稿日期:2023-12-11 修回日期:2024-01-12 出版日期:2024-05-15 发布日期:2024-03-22
  • 通讯作者: 邹川

  • 作者贡献:

    雷玉、邹川进行文章的构思与设计,研究的实施与可行性分析,文献收集及整理,撰写论文,进行论文的修订;曾欣、王婷婷、周诗盼负责文献收集与整理、撰写论文;曾欣、沈静负责文章质量控制;曾欣、邹川负责文章的质量控制及审校,对文章整体负责,监督管理。

  • 基金资助:
    2023年四川省科学技术项目(2023YFS0027); 四川省卫生健康委员会课题(川干研2024-108); 2022年成都市医学科研课题(2021062)

Interpretation of Screening for Anxiety Disorders in Adults U.S. Preventive Services Task Force Recommendation Statement

LEI Yu1, ZENG Xin1, WANG Tingting2, ZHOU Shipan1, SHEN Jing1, ZOU Chuan1,*()   

  1. 1. Department of General Practice, Chengdu Fifth People's Hospital, Chengdu 611130, China
    2. Department of Faculty of Medicine and Life Sciences, Chengdu University of Traditional Chinese Medicine, Chengdu 611137, China
  • Received:2023-12-11 Revised:2024-01-12 Published:2024-05-15 Online:2024-03-22
  • Contact: ZOU Chuan

摘要: 焦虑障碍是最为常见的精神疾病,常在初级保健机构中被忽视,延误初始治疗的时间,严重影响患者的社会功能和生活质量。2023年美国预防临床服务指南工作组在JAMA上发表了《成年人焦虑障碍筛查推荐声明》(简称USPSTF推荐),并发布了最新证据报告和系统评价结果,其认为应对成年人进行焦虑障碍筛查,包括孕产妇,但目前对老年人进行焦虑障碍筛查的风险与获益证据不充分,无法确定筛查的利弊。本文结合USPSTF推荐和国内外研究现状,从成年人焦虑障碍的国内外流行病学现状、危险因素、早期筛查工具及利弊、治疗、声明对全科指导价值等方面进行了概述。

关键词: 焦虑, 筛查, 成年人, 声明, 美国预防临床服务指南工作组

Abstract:

Anxiety disorders are the most common mental illnesses and are often overlooked in primary care settings, with delays in initial treatment and significant impairment on patients' social function and quality of life. In 2023, the U.S. Preventive Services Task Force (USPSTF) published a recommendation statement on adult anxiety disorder screening in JAMA, along with the latest evidence report and systematic review results. The USPSTF suggests screening for anxiety in adults, including pregnant and postpartum women. However, current evidence on the risks and benefits of screening for anxiety in older adults is insufficient to determine the pros and cons of screening. This article combines the USPSTF statement with domestic and international research to provide an overview of several aspects: the current state of adult anxiety disorders domestically and internationally, a summary of the USPSTF recommendation statement, risk factors, early screening tools and their pros and cons, treatment, and the value of the statement for general practice guidance.

Key words: Anxiety, Screening, Adult, Statement, U.S. Preventive Services Task Force

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