Anxiety

Anxiety and Panic

This section covers anxiety and panic attacks, causes, treatment and support.

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Protecting our most vulnerable patientsAnalysts at NHS England have looked at the approaches taken by five new care model vanguards (Tower Hamlets, Sunderland, North East Hants and Farnham, Erewash and Morecambe Bay) to identify patients... 19/10/2017
Making Individual Placement and Support work: an evaluation of implementation and sustainability.This report is an independent evaluation of the Making Individual Placement and Support (IPS) Work programme. Across six sites where IPS was being expanded, InHealth Associates interviewed... 12/10/2017
Analysis of multisource data establishes wide-ranging antecedents of youth suicide in England.Suicide is a leading cause of death among young people worldwide and an international public health concern.1 While research has established common risk factors that may serve as key components of... 25/09/2017
Internet-based cognitive behavioural therapy for young people with suicide-related behaviour (Reframe-IT): a randomised controlled trial.Background Suicide-related behaviours are common in young people and associated with a range of negative outcomes. There are few evidence-based interventions; however, cognitive behavioural therapy... 25/09/2017
Increased serotonin 1A receptor availability in the raphe nuclei predicts future suicidal behaviourEach year, suicide ends an estimated 800GÇë000 lives worldwide.1 Thus, identifying risk factors of future suicidal behaviour is of great importance. Accumulating evidence for-áthe last 40 years have... 25/09/2017
Systematic review of interventions for treating or preventing antipsychotic-induced tardive dyskinesiaAntipsychotic medication can cause tardive dyskinesia (TD) – late-onset, involuntary, repetitive movements, often involving the face and tongue. TD occurs in > 20% of adults taking antipsychotic... 25/09/2017
Better mental health: JSNA toolkit. 2017.The guide accompanies the 2 External 0 0 0 Mental Health and Wellbeing JSNA fingertips profile false http://fingertips.phe.org.uk/profile-group/mental-health/profile/mh-jsna true ... 25/09/2017
A pilot randomised controlled trial of community-led ANtipsychotic Drug REduction for Adults with Learning DisabilitiesData suggest that approximately 50,000 adults with learning disabilities (LDs) in England and Wales are currently prescribed antipsychotic medication. Illness in this population is common, including... 25/09/2017
HCR-20 shows poor field validity in clinical forensic psychiatry settingsAssessment and prediction of violence risk is central to forensic psychiatry practice. From the 1970s, increasing awareness of the limitations of clinical judgement alone meant services began to... 25/09/2017
Treatment of anorexia nervosa: a multimethod investigation translating experimental neuroscience into clinical practiceAnorexia nervosa (AN) is a severe psychiatric condition and evidence on how to best treat it is limited. This programme consists of seven integrated work packages (WPs) and aims to develop and... 25/09/2017
Applying deep neural networks to unstructured text notes in electronic medical records for phenotyping youth depressionWe report a study of machine learning applied to the phenotyping of psychiatric diagnosis for research recruitment in youth depression, conducted with 861 labelled electronic medical records (EMRs)... 25/09/2017
Cost and Outcome of BehaviouRal Activation (COBRA): a randomised controlled trial of behavioural activation versus cognitive behavioural therapy for depressionDepression is a common, debilitating and costly disorder. The best-evidenced psychological therapy – cognitive–behavioural therapy (CBT) – is complex and costly. A simpler therapy, behavioural... 25/09/2017
Managing Faecal INcontinence in people with advanced dementia resident in Care Homes (FINCH) study: a realist synthesis of the evidence.Eighty per cent of care home residents in the UK are living with dementia. The prevalence of faecal incontinence (FI) in care homes is estimated to range from 30% to 50%. There is limited evidence of... 25/09/2017
Challenge Demcare: Management of challenging behaviour in dementia at home and in care homes.Dementia with challenging behaviour (CB) causes significant distress for caregivers and the person with dementia. It is associated with breakdown of care at home and disruption in care homes.... 25/09/2017
Online parental training may help to improve behaviour in childrenOnline parental training led to reasonable improvements in behaviour problems in children and young people, compared to no training. The findings of this review suggest that additional support and... 25/09/2017
Atypical antipsychotics for disruptive behaviour disorders in children and youthsThis is an update of the original Cochrane Review, last published in 2012 (Loy 2012). Children and youths with disruptive behaviour disorders may present to health services, where they may be treated... 25/09/2017
Talking therapy given by parents shows promise for childhood anxiety disordersBrief guided cognitive behavioural therapy (CBT) delivered by parents was as good as a commonly used treatment, delivered by a therapist, in improving anxiety levels in children. Anxiety continued to... 25/09/2017
Subthreshold hypomania affects half of patients with bipolar disorder presenting with depressive symptomsIt is well established that mixed features are a common presentation in bipolar disorder (BD).1 It is also previously reported that subthreshold depressive symptoms are common during hypomania and... 25/09/2017
Structured group psychoeducation in patients with bipolar disorder delays time to mania and time to any episode compared with a peer support groupClinical effectiveness and acceptability of structured group psychoeducation versus optimised unstructured peer support for patients with remitted bipolar disorder (PARADES): a pragmatic,... 25/09/2017
Childhood comorbidity and parental mental health problems appear to be associated with ADHD persistenceWhile many children with attention-deficit-áhyperactivity disorder-á(ADHD) will experience remission of the disorder,1 a substantial proportion will continue to have ADHD and associated impairments... 25/09/2017
Spoken language shows some improvement following intervention for children with autism: but for which children and why?Autism is a neurodevelopmental disorder of core social-communication impairment and behavioural inflexibility, often accompanied by delayed language development.1 A key research goal is to understand... 25/09/2017
Short-term efficacy of psychological and psychopharmacological interventions for panic disorder appears not to be differentPsychological therapies versus pharmacological interventions for panic disorder with or without agoraphobia in adults. Cochrane Database Syst Rev 2016;10:CD011170.The efficacy of psychological... 25/09/2017
Pilot of a randomised controlled trial of the selective serotonin reuptake inhibitor sertraline versus cognitive behavioural therapy for anxiety symptoms in people with generalised anxiety disorder who have failed to respond to low-intensity psycholoGeneralised anxiety disorder (GAD) is common, causing unpleasant symptoms and impaired functioning. The National Institute for Health and Care Excellence (NICE) guidelines have established good... 25/09/2017
Social anxiety apps: a systematic review and assessment of app descriptors across mobile store platformsQuestion The aim of this systematic review is twofold: (1) to characterise the purpose and description of available social anxiety apps and (2) to review the evidence on the effectiveness of social... 25/09/2017
Computer-based versus in-person interventions for preventing and reducing stress in workersChronic exposure to stress has been linked to several negative physiological and psychological health outcomes. Among employees, stress and its associated effects can also result in productivity... 25/09/2017
Mental ill-health among children of the new century.The briefing summaries the prevalence of mental health problems among children taking part in the Millennium Cohort Study and shows that while the majority of 3-14-year-olds in the UK are not... 21/09/2017

Links & Resources

NICE Guidance:

CG 113 Generalised anxiety disorder and panic disorder in adults: management. January 2011

CG 159 Social anxiety disorder: recognition, assessment and treatment. May 2013

Journal of Anxiety Disorders (Contains Open Access content)