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Cited by 2 publications
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CONTEXT Anxiety is common, screening tools are available, and treatment can be effective. Recently, anxiety screening has been recommended for adolescent girls beginning at 13 years of age. OBJECTIVE To evaluate the evidence regarding anxiety screening test accuracy in primary care for children and adolescents and assess the effectiveness of treatment of individuals identified through screening. DATA SOURCES We searched PubMed, the Cochrane library, and references to potentially eligible studies cited in other articles. STUDY SELECTION Screening studies were included if they were conducted in primary care or a similar population and employed a reference standard based on DSM criteria. Treatment studies were included if subjects were identified through screening and there was at least 1 comparator intervention or a placebo arm. DATA EXTRACTION At least 2 reviewers evaluated each identified reference. RESULTS Two screening studies (1 with low risk of bias and 1 with high risk of bias) and 1 treatment study with a low risk of bias were included. The screening study with a low risk of bias reported a sensitivity of 56% and specificity of 80%. The treatment study found individual cognitive behavioral therapy to be effective for screen-detected adolescents with social phobia. LIMITATIONS This review only included screening or treatment studies with clear evidence that the study populations were derived from an unselected population reflective of typical primary care. Relevant studies not indexed in PubMed or the Cochrane library could have been missed. CONCLUSIONS There are significant gaps in evidence related to anxiety screening in the primary care setting.
CONTEXT Anxiety is common, screening tools are available, and treatment can be effective. Recently, anxiety screening has been recommended for adolescent girls beginning at 13 years of age. OBJECTIVE To evaluate the evidence regarding anxiety screening test accuracy in primary care for children and adolescents and assess the effectiveness of treatment of individuals identified through screening. DATA SOURCES We searched PubMed, the Cochrane library, and references to potentially eligible studies cited in other articles. STUDY SELECTION Screening studies were included if they were conducted in primary care or a similar population and employed a reference standard based on DSM criteria. Treatment studies were included if subjects were identified through screening and there was at least 1 comparator intervention or a placebo arm. DATA EXTRACTION At least 2 reviewers evaluated each identified reference. RESULTS Two screening studies (1 with low risk of bias and 1 with high risk of bias) and 1 treatment study with a low risk of bias were included. The screening study with a low risk of bias reported a sensitivity of 56% and specificity of 80%. The treatment study found individual cognitive behavioral therapy to be effective for screen-detected adolescents with social phobia. LIMITATIONS This review only included screening or treatment studies with clear evidence that the study populations were derived from an unselected population reflective of typical primary care. Relevant studies not indexed in PubMed or the Cochrane library could have been missed. CONCLUSIONS There are significant gaps in evidence related to anxiety screening in the primary care setting.
Background:Anxiety is a common condition among young children that can be detected in the early years of life. Separation anxiety is a subtype of anxiety that can affect young children and negatively inuence their physical and intellectual development. Hence, the knowledge of parents about separation anxiety is crucial to reduce its incidence among children, Objective: This survey analysis aims to investigate the knowledge of parents living in Saudi Arabia towards separation anxiety, its causes, risk factors diagnosis, and treatment. Design and Setting:Aself-administered structured survey was sent to the public online targeting parents. The survey included questions to collect data on parents' demographics, their children, their knowledge about separation anxiety, and any children with separation anxiety. Data analysis was excuted through SPSS program version 26. Results: 1090 parents responded to this online survey, with 27.9% of them were in the age group between 36 to 45 years old, and 29.4% had two children aged less than 18 years old. As for the knowledge of patients regarding separation anxiety, 23.6% knew about the disease. 29.4% of parents strongly agreed that separation anxiety is a medical condition; 21.6% strongly agreed that these children are anxious and avoid going to school. As for parents who have children with separation anxiety, 7.6% of the parents had children with separation anxiety, and 7.3% had children with an age onset of the disease at less than four years old. As for treatment, 42.4% of the responders strongly agreed that separation anxiety should be treated as soon as possible to prevent mental health problems, and 73.2% of parents agreed that it could be achieved through family therapy, while only 4.2% of parents thought that there is no treatment for separation anxiety. The parents' average knowledge score was 4.6±3.6, with a minimum score of zero and a maximum score of 27. Factors that can signicantly inuence knowledge towards separation anxiety are gender, age group, nationality, marital status, educational level, employment status, place of residence, and having children less than 18 years old at p-value <0.001. Conclusion: The knowledge of parents towards childhood separation anxiety is considered unsatisfactory and requires improvement. Awareness campaigns in public areas should be held for this purpose.
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