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Patrick J Lustman - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Anxiety in adults with diabetes a systematic review
Journal of Psychosomatic Research, 2002Co-Authors: Allison B Grigsby, Ryan J Anderson, Kenneth E Freedland, Ray E Clouse, Patrick J LustmanAbstract:Background: Anxiety is associated with decreased functioning and quality of life. It may have added importance in diabetes for its potential adverse effects on regimen adherence and glycemic control. Objective: To estimate the Prevalence of clinically significant Anxiety in adults with diabetes. Research Design and Methods: MEDLINE and PsycINFO databases and published reference lists were searched to identify studies that determined the Prevalence of Anxiety in diabetes from threshold scores on self-report measures or from diagnostic interviews. Prevalence was calculated as an aggregate mean weighted by the combined number of subjects in the included studies. Results: Eighteen studies having a combined population (N) of 4076 (2584 diabetic subjects, 1492 controls) satisfied the inclusion criteria. Most did not adjust for the effects of moderator variables such as gender, and only one was community-based. Generalized Anxiety disorder (GAD) was present in 14% of patients with diabetes. The subsyndromal presentation of Anxiety disorder not otherwise specified and of elevated Anxiety symptoms were found in 27% and 40%, respectively, of patients with diabetes. The Prevalence of elevated symptoms was significantly higher in women compared to men (55.3% vs. 32.9%, P<.0001) and similar in patients with Type 1 vs. Type 2 diabetes (41.3% vs. 42.2%, P=.80). Conclusion: GAD is present in 14% and elevated symptoms of Anxiety in 40% of patients with diabetes who participate in clinical studies. Additional epidemiological studies are needed to determine the Prevalence of Anxiety in the broader population of persons with diabetes.
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Prevalence of Anxiety in adults with diabetes: a systematic review.
Journal of psychosomatic research, 2002Co-Authors: Allison B Grigsby, Ryan J Anderson, Kenneth E Freedland, Ray E Clouse, Patrick J LustmanAbstract:Background: Anxiety is associated with decreased functioning and quality of life. It may have added importance in diabetes for its potential adverse effects on regimen adherence and glycemic control. Objective: To estimate the Prevalence of clinically significant Anxiety in adults with diabetes. Research Design and Methods: MEDLINE and PsycINFO databases and published reference lists were searched to identify studies that determined the Prevalence of Anxiety in diabetes from threshold scores on self-report measures or from diagnostic interviews. Prevalence was calculated as an aggregate mean weighted by the combined number of subjects in the included studies. Results: Eighteen studies having a combined population (N) of 4076 (2584 diabetic subjects, 1492 controls) satisfied the inclusion criteria. Most did not adjust for the effects of moderator variables such as gender, and only one was community-based. Generalized Anxiety disorder (GAD) was present in 14% of patients with diabetes. The subsyndromal presentation of Anxiety disorder not otherwise specified and of elevated Anxiety symptoms were found in 27% and 40%, respectively, of patients with diabetes. The Prevalence of elevated symptoms was significantly higher in women compared to men (55.3% vs. 32.9%, P
Javier Santabárbara - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies.
Progress in neuro-psychopharmacology & biological psychiatry, 2020Co-Authors: Javier Santabárbara, Raúl López-antón, Antonio Lobo, Isabel Lasheras, Darren M Lipnicki, Juan Bueno-notivol, María Pérez Moreno, Concepción De La Cámara, Patricia Gracia-garcíaAbstract:The unprecedented worldwide crisis caused by the rapid spread of COVID-19 and the restrictive public health measures enforced by some countries to slow down its transmission have severely threatened the physical and mental wellbeing of communities globally. We conducted a systematic review and meta-analysis to determine the Prevalence of Anxiety in the general population during the COVID-19 pandemic. Two researchers independently searched for cross-sectional community-based studies published between December 1, 2019 and August 23, 2020, using PubMed, WoS, Embase, and other sources (e.g., grey literature, manual search). of 3049 records retrieved, 43 studies were included. These studies yielded an estimated overall Prevalence of Anxiety of 25%, which varied significantly across the different tools used to measure Anxiety. Consistently reported risk factors for the development of Anxiety included initial or peak phase of the outbreak, female sex, younger age, marriage, social isolation, unemployment and student status, financial hardship, low educational level, insufficient knowledge of COVID-19, epidemiological or clinical risk of disease and some lifestyle and personality variables. As the overall global Prevalence of Anxiety disorders is estimated to be 7.3% normally, our results suggest that rates of Anxiety in the general population could be more than 3 times higher during the COVID-19 pandemic. These findings suggest a substantial impact on mental health that should be targeted by individual and population-level strategies. Copyright © 2019. Published by Elsevier Inc.
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Prevalence of Anxiety in Medical Students during the COVID-19 Pandemic: A Rapid Systematic Review with Meta-Analysis.
International journal of environmental research and public health, 2020Co-Authors: Isabel Lasheras, Raúl López-antón, Antonio Lobo, Darren M Lipnicki, Juan Bueno-notivol, Concepción De La Cámara, Patricia Gracia-garcía, Javier SantabárbaraAbstract:The novel coronavirus disease (COVID-19) pandemic has brought a great deal of pressure for medical students, who typically show elevated Anxiety rates. Our aim is to investigate the Prevalence of Anxiety in medical students during this pandemic. This systematic review and mini meta-analysis has been conducted following the PRISMA guidelines. Two researchers independently searched PubMed on 26 August 2020 for cross-sectional studies on medical students during the COVID-19 outbreak, with no language restrictions applied. We then performed a manual search to detect other potentially eligible investigations. To the 1361 records retrieved in the initial search, 4 more were added by manual search on medRxiv. Finally, eight studies were finally included for qualitative and quantitative analysis, which yielded an estimated Prevalence of Anxiety of 28% (95% CI: 22-34%), with significant heterogeneity between studies. The Prevalence of Anxiety in medical students is similar to that prior to the pandemic but correlates with several specific COVID-related stressors. While some preventive and risk factors have been previously identified in a non-pandemic context, knowledge and cognitions on COVID-19 transmission, treatment, prognosis and prevention negatively correlate with Anxiety, emerging as a key preventive factor that may provide a rationale for why the levels of Anxiety have remained stable in medical students during the pandemic while increasing in their non-medical peers and the general population. Other reasons for the invariability of Anxiety rates in this population are discussed. A major limitation of our review is that Chinese students comprised 89% the total sample, which could compromise the external validity of our work.
Raúl López-antón - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies.
Progress in neuro-psychopharmacology & biological psychiatry, 2020Co-Authors: Javier Santabárbara, Raúl López-antón, Antonio Lobo, Isabel Lasheras, Darren M Lipnicki, Juan Bueno-notivol, María Pérez Moreno, Concepción De La Cámara, Patricia Gracia-garcíaAbstract:The unprecedented worldwide crisis caused by the rapid spread of COVID-19 and the restrictive public health measures enforced by some countries to slow down its transmission have severely threatened the physical and mental wellbeing of communities globally. We conducted a systematic review and meta-analysis to determine the Prevalence of Anxiety in the general population during the COVID-19 pandemic. Two researchers independently searched for cross-sectional community-based studies published between December 1, 2019 and August 23, 2020, using PubMed, WoS, Embase, and other sources (e.g., grey literature, manual search). of 3049 records retrieved, 43 studies were included. These studies yielded an estimated overall Prevalence of Anxiety of 25%, which varied significantly across the different tools used to measure Anxiety. Consistently reported risk factors for the development of Anxiety included initial or peak phase of the outbreak, female sex, younger age, marriage, social isolation, unemployment and student status, financial hardship, low educational level, insufficient knowledge of COVID-19, epidemiological or clinical risk of disease and some lifestyle and personality variables. As the overall global Prevalence of Anxiety disorders is estimated to be 7.3% normally, our results suggest that rates of Anxiety in the general population could be more than 3 times higher during the COVID-19 pandemic. These findings suggest a substantial impact on mental health that should be targeted by individual and population-level strategies. Copyright © 2019. Published by Elsevier Inc.
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Prevalence of Anxiety in Medical Students during the COVID-19 Pandemic: A Rapid Systematic Review with Meta-Analysis.
International journal of environmental research and public health, 2020Co-Authors: Isabel Lasheras, Raúl López-antón, Antonio Lobo, Darren M Lipnicki, Juan Bueno-notivol, Concepción De La Cámara, Patricia Gracia-garcía, Javier SantabárbaraAbstract:The novel coronavirus disease (COVID-19) pandemic has brought a great deal of pressure for medical students, who typically show elevated Anxiety rates. Our aim is to investigate the Prevalence of Anxiety in medical students during this pandemic. This systematic review and mini meta-analysis has been conducted following the PRISMA guidelines. Two researchers independently searched PubMed on 26 August 2020 for cross-sectional studies on medical students during the COVID-19 outbreak, with no language restrictions applied. We then performed a manual search to detect other potentially eligible investigations. To the 1361 records retrieved in the initial search, 4 more were added by manual search on medRxiv. Finally, eight studies were finally included for qualitative and quantitative analysis, which yielded an estimated Prevalence of Anxiety of 28% (95% CI: 22-34%), with significant heterogeneity between studies. The Prevalence of Anxiety in medical students is similar to that prior to the pandemic but correlates with several specific COVID-related stressors. While some preventive and risk factors have been previously identified in a non-pandemic context, knowledge and cognitions on COVID-19 transmission, treatment, prognosis and prevention negatively correlate with Anxiety, emerging as a key preventive factor that may provide a rationale for why the levels of Anxiety have remained stable in medical students during the pandemic while increasing in their non-medical peers and the general population. Other reasons for the invariability of Anxiety rates in this population are discussed. A major limitation of our review is that Chinese students comprised 89% the total sample, which could compromise the external validity of our work.
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Prevalence of Anxiety disorder among older adults in Spain: A meta-analysis.
Journal of affective disorders, 2018Co-Authors: Beatriz Villagrasa, Beatriz Olaya, Raúl López-antón, C De La Cámara, Antonio Lobo, J. SantabárbaraAbstract:Abstract Background Anxiety disorders are recognized as one of the most prevalent mental disorders in late-life. However, the Prevalence of Anxiety disorders in older Spanish people has not yet been determined. The aim was to review epidemiological studies systematically to calculate the overall Prevalence of Anxiety in Spanish older adults by using meta-analytic techniques. Methods We searched relevant published studies in electronic databases up to January 2018 providing data on the Prevalence of Anxiety among people aged 65+ years in Spain. Overall Anxiety Prevalence estimates were calculated using random-effects models. Sources of heterogeneity were explored by means of univariate meta-regressions. Results A total of 9 studies were included in the meta-analysis (N = 12,577). Pooled overall Prevalence of Anxiety was 11% (95% confidence interval (CI): 6%–18%) representing 1958,471 people aged 65+ (95%CI: 1068,257–3204,771). Point, 12-month and lifetime Prevalence of Anxiety disorders were 12%, 6% and 19%, respectively. Limitations We detected a small publication bias effect for life-time Prevalence of Anxiety. The use of different diagnostic methods across the studies would have required separate analyzes. Conclusion Some heterogeneity was found across studies, probably due to different methodological issues. Overall, the pooled Prevalence of Anxiety disorders in Spanish older adults was lower than that observed in other countries. Due to the negative consequences of Anxiety disorders in older adults, detection and treatment should be a priority in this population.
Antonio Lobo - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Anxiety in the COVID-19 pandemic: An updated meta-analysis of community-based studies.
Progress in neuro-psychopharmacology & biological psychiatry, 2020Co-Authors: Javier Santabárbara, Raúl López-antón, Antonio Lobo, Isabel Lasheras, Darren M Lipnicki, Juan Bueno-notivol, María Pérez Moreno, Concepción De La Cámara, Patricia Gracia-garcíaAbstract:The unprecedented worldwide crisis caused by the rapid spread of COVID-19 and the restrictive public health measures enforced by some countries to slow down its transmission have severely threatened the physical and mental wellbeing of communities globally. We conducted a systematic review and meta-analysis to determine the Prevalence of Anxiety in the general population during the COVID-19 pandemic. Two researchers independently searched for cross-sectional community-based studies published between December 1, 2019 and August 23, 2020, using PubMed, WoS, Embase, and other sources (e.g., grey literature, manual search). of 3049 records retrieved, 43 studies were included. These studies yielded an estimated overall Prevalence of Anxiety of 25%, which varied significantly across the different tools used to measure Anxiety. Consistently reported risk factors for the development of Anxiety included initial or peak phase of the outbreak, female sex, younger age, marriage, social isolation, unemployment and student status, financial hardship, low educational level, insufficient knowledge of COVID-19, epidemiological or clinical risk of disease and some lifestyle and personality variables. As the overall global Prevalence of Anxiety disorders is estimated to be 7.3% normally, our results suggest that rates of Anxiety in the general population could be more than 3 times higher during the COVID-19 pandemic. These findings suggest a substantial impact on mental health that should be targeted by individual and population-level strategies. Copyright © 2019. Published by Elsevier Inc.
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Prevalence of Anxiety in Medical Students during the COVID-19 Pandemic: A Rapid Systematic Review with Meta-Analysis.
International journal of environmental research and public health, 2020Co-Authors: Isabel Lasheras, Raúl López-antón, Antonio Lobo, Darren M Lipnicki, Juan Bueno-notivol, Concepción De La Cámara, Patricia Gracia-garcía, Javier SantabárbaraAbstract:The novel coronavirus disease (COVID-19) pandemic has brought a great deal of pressure for medical students, who typically show elevated Anxiety rates. Our aim is to investigate the Prevalence of Anxiety in medical students during this pandemic. This systematic review and mini meta-analysis has been conducted following the PRISMA guidelines. Two researchers independently searched PubMed on 26 August 2020 for cross-sectional studies on medical students during the COVID-19 outbreak, with no language restrictions applied. We then performed a manual search to detect other potentially eligible investigations. To the 1361 records retrieved in the initial search, 4 more were added by manual search on medRxiv. Finally, eight studies were finally included for qualitative and quantitative analysis, which yielded an estimated Prevalence of Anxiety of 28% (95% CI: 22-34%), with significant heterogeneity between studies. The Prevalence of Anxiety in medical students is similar to that prior to the pandemic but correlates with several specific COVID-related stressors. While some preventive and risk factors have been previously identified in a non-pandemic context, knowledge and cognitions on COVID-19 transmission, treatment, prognosis and prevention negatively correlate with Anxiety, emerging as a key preventive factor that may provide a rationale for why the levels of Anxiety have remained stable in medical students during the pandemic while increasing in their non-medical peers and the general population. Other reasons for the invariability of Anxiety rates in this population are discussed. A major limitation of our review is that Chinese students comprised 89% the total sample, which could compromise the external validity of our work.
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Prevalence of Anxiety disorder among older adults in Spain: A meta-analysis.
Journal of affective disorders, 2018Co-Authors: Beatriz Villagrasa, Beatriz Olaya, Raúl López-antón, C De La Cámara, Antonio Lobo, J. SantabárbaraAbstract:Abstract Background Anxiety disorders are recognized as one of the most prevalent mental disorders in late-life. However, the Prevalence of Anxiety disorders in older Spanish people has not yet been determined. The aim was to review epidemiological studies systematically to calculate the overall Prevalence of Anxiety in Spanish older adults by using meta-analytic techniques. Methods We searched relevant published studies in electronic databases up to January 2018 providing data on the Prevalence of Anxiety among people aged 65+ years in Spain. Overall Anxiety Prevalence estimates were calculated using random-effects models. Sources of heterogeneity were explored by means of univariate meta-regressions. Results A total of 9 studies were included in the meta-analysis (N = 12,577). Pooled overall Prevalence of Anxiety was 11% (95% confidence interval (CI): 6%–18%) representing 1958,471 people aged 65+ (95%CI: 1068,257–3204,771). Point, 12-month and lifetime Prevalence of Anxiety disorders were 12%, 6% and 19%, respectively. Limitations We detected a small publication bias effect for life-time Prevalence of Anxiety. The use of different diagnostic methods across the studies would have required separate analyzes. Conclusion Some heterogeneity was found across studies, probably due to different methodological issues. Overall, the pooled Prevalence of Anxiety disorders in Spanish older adults was lower than that observed in other countries. Due to the negative consequences of Anxiety disorders in older adults, detection and treatment should be a priority in this population.
Felicity Goodyear-smith - One of the best experts on this subject based on the ideXlab platform.
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Prevalence of Anxiety among women attending a primary care clinic in Malaysia.
The British journal of general practice : the journal of the Royal College of General Practitioners, 2011Co-Authors: Sherina Mohd Sidik, Bruce Arroll, Felicity Goodyear-smithAbstract:This is the first study investigating Anxiety among women attending a primary care clinic in Malaysia. The objective was to determine the factors associated with Anxiety among these women. This cross-sectional study was conducted in a government-funded primary care clinic in Malaysia. Consecutive female patients attending the clinic during the data-collection period were invited to participate in the study. Participants were given self-administered questionnaires, which included the validated Generalised Anxiety Disorder-7 questionnaire (GAD-7) Malay version to detect Anxiety. of the 1023 patients who were invited, 895 agreed to participate (response rate 87.5%). The Prevalence of Anxiety in this study was 7.8%, based on the GAD-7 (score ≥8). Multiple logistic regression analysis found that certain stressful life events and the emotional aspect of domestic violence were significantly associated with Anxiety (P<0.05). The Prevalence of Anxiety among women in this study is similar to that found in other countries. Factors found to be associated with Anxiety, especially issues on domestic violence, need to be addressed and managed appropriately.
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Prevalence of Anxiety among women attending a primary care clinic in Malaysia.
British Journal of General Practice, 2011Co-Authors: Sherina Mohd Sidik, Bruce Arroll, Felicity Goodyear-smithAbstract:Background This is the first study investigating Anxiety among women attending a primary care clinic in Malaysia. Aim The objective was to determine the factors associated with Anxiety among these women. Design This cross-sectional study was conducted in a government-funded primary care clinic in Malaysia. Consecutive female patients attending the clinic during the data-collection period were invited to participate in the study. Method Participants were given self-administered questionnaires, which included the validated Generalised Anxiety Disorder-7 questionnaire (GAD-7) Malay version to detect Anxiety. Results of the 1023 patients who were invited, 895 agreed to participate (response rate 87.5%). The Prevalence of Anxiety in this study was 7.8%, based on the GAD-7 (score ≥8). Multiple logistic regression analysis found that certain stressful life events and the emotional aspect of domestic violence were significantly associated with Anxiety ( P