Canadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders

BMC Psychiatry

Review

Michael Van Ameringen¹  Pierre Blier²  Pierre Bleau³  Pratap Chokka⁴  Kevin Kjernisted⁵  Martin A Katzman⁶ 

[1] Department of Psychiatry and Behavioural Neuroscience, McMaster University, L8N 3K7, Hamilton, ON, Canada;Department of Psychiatry and Cellular/Molecular Medicines, University of Ottawa, K1Z 7K4, Ottawa, ON, Canada;Department of Psychiatry, McGill University, H3A 1A1, Montreal, QC, Canada;Department of Psychiatry, University of Alberta, T6G 2R7, Edmonton, AB, Canada;Department of Psychiatry, University of British Columbia, V6T 2A1, Vancouver, BC, Canada;Department of Psychiatry, University of Toronto, M5S 1A1, Toronto, ON, Canada;

关键词: guidelines;    recommendations;    anxiety disorders;    panic disorder;    agoraphobia;    specific phobia;    social anxiety disorder;    generalized anxiety disorder;    GAD;    obsessive-compulsive disorder;    OCD;    posttraumatic stress disorder;    PTSD;    pharmacotherapy;    psychotherapy;    special populations;   

DOI  :  10.1186/1471-244X-14-S1-S1

来源: Springer

【 摘 要 】

BackgroundAnxiety and related disorders are among the most common mental disorders, with lifetime prevalence reportedly as high as 31%. Unfortunately, anxiety disorders are under-diagnosed and under-treated.MethodsThese guidelines were developed by Canadian experts in anxiety and related disorders through a consensus process. Data on the epidemiology, diagnosis, and treatment (psychological and pharmacological) were obtained through MEDLINE, PsycINFO, and manual searches (1980–2012). Treatment strategies were rated on strength of evidence, and a clinical recommendation for each intervention was made, based on global impression of efficacy, effectiveness, and side effects, using a modified version of the periodic health examination guidelines.ResultsThese guidelines are presented in 10 sections, including an introduction, principles of diagnosis and management, six sections (Sections 3 through 8) on the specific anxiety-related disorders (panic disorder, agoraphobia, specific phobia, social anxiety disorder, generalized anxiety disorder, obsessive-compulsive disorder, and posttraumatic stress disorder), and two additional sections on special populations (children/adolescents, pregnant/lactating women, and the elderly) and clinical issues in patients with comorbid conditions.ConclusionsAnxiety and related disorders are very common in clinical practice, and frequently comorbid with other psychiatric and medical conditions. Optimal management requires a good understanding of the efficacy and side effect profiles of pharmacological and psychological treatments.

【 授权许可】

CC BY   
© Katzman et al; licensee BioMed Central Ltd. 2014