TY - JOUR
KW - Adult
KW - Anxiety
KW - Anxiety Disorders/psychology/therapy
KW - Anxiety/psychology/therapy
KW - cognitive behavioral therapy
KW - Humans
KW - Intervention
KW - primary care
KW - primary care behavioral health
KW - Primary Health Care
KW - Review
KW - treatment
AU - R. L. Shepardson
AU - L. J. Buchholz
AU - R. B. Weisberg
AU - J. S. Funderburk
A1 - 
AB - 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.
BT - Journal of anxiety disorders
C5 - General Literature
CY - Netherlands
JF - Journal of anxiety disorders
N2 - 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.
PP - Netherlands
PY - 2018
SN - 1873-7897; 0887-6185
SP - 71
EP - 86
EP - 
T1 - Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research
T2 - Journal of anxiety disorders
TI - Psychological interventions for anxiety in adult primary care patients: A review and recommendations for future research
U1 - General Literature
U2 - 29427898
VL - 54
VO - 1873-7897; 0887-6185
Y1 - 2018
ER -