Evidence map›Paper›PMID 29427898›Full record

ReviewJournal of anxiety disorders2018

Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research.

Robyn L Shepardson, Laura J Buchholz, Risa B Weisberg, Jennifer S Funderburk

Abstract readReview
In one paragraph

Review in Journal of anxiety disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Clinical practice for unspecified anxiety disorder in primary care.PCN reports : psychiatry and clinical neurosciences · 2023
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  18. Clinical considerations in designing brief exposure interventions for primary care behavioral health settings.Families, systems & health : the journal of collaborative family healthcare · 2020
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  19. Anxiety interventions delivered in primary care behavioral health routine clinical practice.Families, systems & health : the journal of collaborative family healthcare · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Robyn L ShepardsonCenter for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United States; Department of Psychology, Syracuse University, Syracuse, NY, United States. Electronic address: Robyn.Shepardson@va.gov.
Laura J BuchholzCenter for Integrated Healthcare, VA Western New York Healthcare System at Buffalo, Buffalo, NY, United States; Department of Psychology, University at Buffalo/State University of New York, Buffalo, NY, United States; Department of Psychology, University of Tampa, Tampa, FL, United States. Electronic address: lbuchholz@ut.edu.
Risa B WeisbergVA Boston Healthcare System, Boston, MA, United States; Boston University School of Medicine, Boston, MA, United States; Alpert Medical School of Brown University, Providence, RI, United States. Electronic address: Risa.WeisbergHawkins@va.gov.
Jennifer S FunderburkCenter for Integrated Healthcare, Syracuse VA Medical Center, Syracuse, NY, United States; Department of Psychology, Syracuse University, Syracuse, NY, United States; Department of Psychiatry, University of Rochester School of Medicine, Rochester, NY, United States. Electronic address: Jennifer.Funderburk@va.gov.

Funding

Improving Primary Care Anxiety Treatment Engagement and EffectivenessIK2HX002107 · VA · SYRACUSE VA MEDICAL CENTER · PI SHEPARDSON, ROBYN LEANNE · 2018 to 2021
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HSRD VA IK2 HX002107
6 · The paper itself

Abstract

Anxiety symptoms are prevalent in primary care, yet treatment rates are low. The integration of behavioral health providers into primary care via the Primary Care Behavioral Health (PCBH) model offers a promising way to improve treatment options by adding a team member with the necessary skillset to deliver evidence-based psychological interventions for anxiety. We conducted a narrative review of psychological interventions for anxiety applied within adult primary care settings (k = 44) to update the literature and evaluate the fit of existing interventions with the PCBH model. The majority of studies were randomized controlled trials (RCTs; 70.5%). Most interventions utilized cognitive-behavioral therapy (68.2%) and were delivered individually, face-to-face (52.3%). Overall, 65.9% of interventions (58.6% of RCTs, 91.7% of pre-post) were effective in reducing anxiety symptoms, and 83.3% maintained the gains at follow-up. Although it is encouraging that most interventions significantly reduced anxiety, their longer formats (i.e., number and duration of sessions) and narrow symptom targets make translation into practice difficult. Methodological limitations of the research included homogenous samples, failure to report key procedural details, pre-post designs, and restrictive eligibility criteria. We offer recommendations to guide future research to improve the likelihood of successful translation of anxiety interventions into clinical practice.

Indexed as

Cognitive Behavioral TherapyPrimary Health CareAdultAnxietyAnxiety DisordersHumansAnxietyInterventionPrimary carePrimary care behavioral healthReviewTreatment

Identifiers

PMID29427898
PMCPMC7909724

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.