Evidence map›Paper›PMID 31049391›Full record

ArticleAlzheimer's & dementia (Amsterdam, Netherlands)2019

Detection of anxiety symptoms in persons with dementia: A systematic review.

Zahra Goodarzi, Leyla Samii, Feeha Azeem, Ramnik Sekhon, Stephanie Crites, Tamara Pringsheim, Eric E Smith, Zahinoor Ismail, Jayna Holroyd-Leduc

Open access · goldAbstract read
In one paragraph

Article in Alzheimer's & dementia (Amsterdam, Netherlands), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% of its field
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Evaluating the Use of Anxiety Patient-Reported Outcome Measures (PROMs) in Dementia Clinical Trials: A Systematic Review.Health expectations : an international journal of public participation in health care and health policy · 2026
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Biomedicines · 2022
    Article
  7. Article
  8. Article
  9. Altered phobic reactions in frontotemporal dementia: A behavioural and neuroanatomical analysis.Cortex; a journal devoted to the study of the nervous system and behavior · 2020
    Article
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

9 authors at 2 institutions in 1 country.

Zahra GoodarziDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Leyla SamiiDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Feeha AzeemDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Ramnik SekhonDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Stephanie CritesDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Tamara PringsheimDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Eric E SmithHotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
Zahinoor IsmailHotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
Jayna Holroyd-LeducDepartment of Medicine, University of Calgary and Alberta Health Services, Calgary, Alberta, Canada.
Alberta Health Services · CAUniversity of Calgary · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAnxiety is a common symptom for those experiencing dementia and is associated with worse outcomes. The aim of the study was to examine which anxiety tools have been validated compared with a gold standard diagnostic criterion in persons with dementia.

methodsWe completed a systematic review of the literature, which was registered a priori with PROSPERO (CRD42016042123). Three databases were searched, MEDLINE, EMBASE, and PsycINFO, as well as the gray literature. Abstracts and full text were searched in duplicate for inclusion. Risk of bias was assessed in duplicate.

resultsWe identified 9626 citations from all sources after duplicates were removed. Many excluded studies used tools for anxiety, for which no diagnostic accuracy study was identified. Four articles were included in the final synthesis. Included articles had between 32 to 101 participants with mild to moderate dementia. The gold standard criteria focused on either generalized anxiety or all anxiety subtypes. The prevalence of anxiety was between 27.7% and 63.4%. Three tools were examined, the Geriatric Anxiety Inventory, Penn State Worry Questionnaire, and the Rating Anxiety in Dementia (RAID) scale. Sensitivity varied but was the highest in the RAID at 90% and lowest in the self-rated version of the Geriatric Anxiety Inventory (58%). DISCUSSION: Given how burdensome the symptoms of anxiety are to persons with dementia, valid tools are needed to help identify symptoms. We identified three validated tools, but further validation of these and other tools are needed. Practitioners should consider the use of tools with high sensitivity such as the RAID in persons with dementia.

Indexed as

AnxietyDementiaDetectionDiagnostic accuracyGeneralized anxiety disorderNeuropsychiatric symptomsSystematic review

Identifiers

PMID31049391
PMCPMC6479642
OpenAlexW2946903827

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.