Identifying target groups for the prevention of anxiety disorders in the general population
Batelaan NM, Smit F, de Graaf R, van Balkom AJLM, Vollebergh WAM, Beekman ATF. Identifying target groups for the prevention of anxiety disorders in the general population. Objective: To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary....
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| Veröffentlicht in: | Acta psychiatrica Scandinavica 2010-07, Vol.122 (1), p.56-65 |
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| container_title | Acta psychiatrica Scandinavica |
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| creator | Batelaan, N. M. Smit, F. De Graaf, R. Van Balkom, A. J. L. M. Vollebergh, W. A. M. Beekman, A. T. F. |
| description | Batelaan NM, Smit F, de Graaf R, van Balkom AJLM, Vollebergh WAM, Beekman ATF. Identifying target groups for the prevention of anxiety disorders in the general population.
Objective: To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary. Recent studies have shown that prevention is effective. To maximize the health gain and minimize the effort, preventive strategies should focus on high‐risk groups.
Method: Using data from a large prospective national survey, high‐risk groups were selected for i) the prevention of first ever (n = 4437) and ii) either first‐ever or recurrent incident anxiety disorders (n = 4886). Indices used were: exposure rate, odds ratio, population attributable fraction and number needed to be treated. Risk indicators included sociodemographic, psychological and illness‐related factors.
Results: Recognition of a few patient characteristics enables efficient identification of high‐risk groups: (subthreshold) panic attacks; an affective disorder; a history of depressed mood; a prior anxiety disorder; chronic somatic illnesses and low mastery.
Conclusion: Preventive efforts should be undertaken in the selected high‐risk groups. |
| doi_str_mv | 10.1111/j.1600-0447.2009.01488.x |
| format | Article |
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Objective: To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary. Recent studies have shown that prevention is effective. To maximize the health gain and minimize the effort, preventive strategies should focus on high‐risk groups.
Method: Using data from a large prospective national survey, high‐risk groups were selected for i) the prevention of first ever (n = 4437) and ii) either first‐ever or recurrent incident anxiety disorders (n = 4886). Indices used were: exposure rate, odds ratio, population attributable fraction and number needed to be treated. Risk indicators included sociodemographic, psychological and illness‐related factors.
Results: Recognition of a few patient characteristics enables efficient identification of high‐risk groups: (subthreshold) panic attacks; an affective disorder; a history of depressed mood; a prior anxiety disorder; chronic somatic illnesses and low mastery.
Conclusion: Preventive efforts should be undertaken in the selected high‐risk groups.</description><identifier>ISSN: 0001-690X</identifier><identifier>EISSN: 1600-0447</identifier><identifier>DOI: 10.1111/j.1600-0447.2009.01488.x</identifier><identifier>PMID: 19824988</identifier><identifier>CODEN: APYSA9</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject><![CDATA[Adult ; Age of Onset ; Anxiety ; Anxiety Disorders - diagnosis ; Anxiety Disorders - epidemiology ; Anxiety Disorders - prevention & control ; Biological and medical sciences ; Disease prevention ; early intervention ; Female ; Health Promotion - organization & administration ; Humans ; Incidence ; Male ; Medical sciences ; Mental health ; Middle Aged ; Mood Disorders - epidemiology ; Mood Disorders - prevention & control ; Netherlands ; Odds Ratio ; Panic attacks ; Panic Disorder - epidemiology ; Panic Disorder - prevention & control ; population surveys ; Prevention. Health policy. Planification ; Preventive Health Services - organization & administration ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Public health ; public mental health ; Risk Factors ; Severity of Illness Index ; Social psychiatry. Ethnopsychiatry ; Socioeconomic Factors ; Somatoform Disorders - epidemiology ; Somatoform Disorders - prevention & control ; Young Adult]]></subject><ispartof>Acta psychiatrica Scandinavica, 2010-07, Vol.122 (1), p.56-65</ispartof><rights>2009 John Wiley & Sons A/S</rights><rights>2015 INIST-CNRS</rights><rights>2010 John Wiley & Sons A/S</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4968-970330c91c03248f2c50f1b3170559f29eaa420c65b88d04744cae5b3e98f6033</citedby><cites>FETCH-LOGICAL-c4968-970330c91c03248f2c50f1b3170559f29eaa420c65b88d04744cae5b3e98f6033</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0447.2009.01488.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0447.2009.01488.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22838700$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19824988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Batelaan, N. M.</creatorcontrib><creatorcontrib>Smit, F.</creatorcontrib><creatorcontrib>De Graaf, R.</creatorcontrib><creatorcontrib>Van Balkom, A. J. L. M.</creatorcontrib><creatorcontrib>Vollebergh, W. A. M.</creatorcontrib><creatorcontrib>Beekman, A. T. F.</creatorcontrib><title>Identifying target groups for the prevention of anxiety disorders in the general population</title><title>Acta psychiatrica Scandinavica</title><addtitle>Acta Psychiatr Scand</addtitle><description>Batelaan NM, Smit F, de Graaf R, van Balkom AJLM, Vollebergh WAM, Beekman ATF. Identifying target groups for the prevention of anxiety disorders in the general population.
Objective: To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary. Recent studies have shown that prevention is effective. To maximize the health gain and minimize the effort, preventive strategies should focus on high‐risk groups.
Method: Using data from a large prospective national survey, high‐risk groups were selected for i) the prevention of first ever (n = 4437) and ii) either first‐ever or recurrent incident anxiety disorders (n = 4886). Indices used were: exposure rate, odds ratio, population attributable fraction and number needed to be treated. Risk indicators included sociodemographic, psychological and illness‐related factors.
Results: Recognition of a few patient characteristics enables efficient identification of high‐risk groups: (subthreshold) panic attacks; an affective disorder; a history of depressed mood; a prior anxiety disorder; chronic somatic illnesses and low mastery.
Conclusion: Preventive efforts should be undertaken in the selected high‐risk groups.</description><subject>Adult</subject><subject>Age of Onset</subject><subject>Anxiety</subject><subject>Anxiety Disorders - diagnosis</subject><subject>Anxiety Disorders - epidemiology</subject><subject>Anxiety Disorders - prevention & control</subject><subject>Biological and medical sciences</subject><subject>Disease prevention</subject><subject>early intervention</subject><subject>Female</subject><subject>Health Promotion - organization & administration</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Mood Disorders - epidemiology</subject><subject>Mood Disorders - prevention & control</subject><subject>Netherlands</subject><subject>Odds Ratio</subject><subject>Panic attacks</subject><subject>Panic Disorder - epidemiology</subject><subject>Panic Disorder - prevention & control</subject><subject>population surveys</subject><subject>Prevention. Health policy. Planification</subject><subject>Preventive Health Services - organization & administration</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Public health</subject><subject>public mental health</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Socioeconomic Factors</subject><subject>Somatoform Disorders - epidemiology</subject><subject>Somatoform Disorders - prevention & control</subject><subject>Young Adult</subject><issn>0001-690X</issn><issn>1600-0447</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0U-L1DAYBvAgijuufgUJgnhqffOvTS7CMujuwqCCqy54CJlMOmbsNDVp3Zlvb7ozjOBFc0lKfu9DyoMQJlCSvF5vSlIBFMB5XVIAVQLhUpa7B2h2uniIZgBAikrB7Rl6ktImfwoC8jE6I0pSrqScoW_XK9cNvtn7bo0HE9duwOsYxj7hJkQ8fHe4j-7XZEKHQ4NNt_Nu2OOVTyGuXEzYd_ds7ToXTYv70I-tmfhT9KgxbXLPjvs5-vzu7c38qlh8uLyeXywKy1UlC1UDY2AVscAolw21AhqyZKQGIVRDlTOGU7CVWEq5Al5zbo0TS-aUbKo8e45eHXL7GH6OLg1665N1bWs6F8aka14x4Iyqf0vGMq0pyfLFX3ITxtjl39BMVKoijFYZyQOyMaQUXaP76Lcm7jUBPRWlN3rqQ0996KkofV-U3uXR58f8cbl1qz-Dx2YyeHkEJlnTNtF01qeTo1QyWQNk9-bg7nzr9v_9AH0x__hpOuaA4hDg0-B2pwATf-iqZrXQX99fanZzu_hChNCc_QZGqbx8</recordid><startdate>201007</startdate><enddate>201007</enddate><creator>Batelaan, N. M.</creator><creator>Smit, F.</creator><creator>De Graaf, R.</creator><creator>Van Balkom, A. J. L. M.</creator><creator>Vollebergh, W. A. M.</creator><creator>Beekman, A. T. F.</creator><general>Blackwell Publishing Ltd</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201007</creationdate><title>Identifying target groups for the prevention of anxiety disorders in the general population</title><author>Batelaan, N. M. ; Smit, F. ; De Graaf, R. ; Van Balkom, A. J. L. M. ; Vollebergh, W. A. M. ; Beekman, A. T. F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4968-970330c91c03248f2c50f1b3170559f29eaa420c65b88d04744cae5b3e98f6033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Age of Onset</topic><topic>Anxiety</topic><topic>Anxiety Disorders - diagnosis</topic><topic>Anxiety Disorders - epidemiology</topic><topic>Anxiety Disorders - prevention & control</topic><topic>Biological and medical sciences</topic><topic>Disease prevention</topic><topic>early intervention</topic><topic>Female</topic><topic>Health Promotion - organization & administration</topic><topic>Humans</topic><topic>Incidence</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Mood Disorders - epidemiology</topic><topic>Mood Disorders - prevention & control</topic><topic>Netherlands</topic><topic>Odds Ratio</topic><topic>Panic attacks</topic><topic>Panic Disorder - epidemiology</topic><topic>Panic Disorder - prevention & control</topic><topic>population surveys</topic><topic>Prevention. Health policy. Planification</topic><topic>Preventive Health Services - organization & administration</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Public health</topic><topic>public mental health</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Socioeconomic Factors</topic><topic>Somatoform Disorders - epidemiology</topic><topic>Somatoform Disorders - prevention & control</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Batelaan, N. M.</creatorcontrib><creatorcontrib>Smit, F.</creatorcontrib><creatorcontrib>De Graaf, R.</creatorcontrib><creatorcontrib>Van Balkom, A. J. L. M.</creatorcontrib><creatorcontrib>Vollebergh, W. A. M.</creatorcontrib><creatorcontrib>Beekman, A. T. F.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta psychiatrica Scandinavica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Batelaan, N. M.</au><au>Smit, F.</au><au>De Graaf, R.</au><au>Van Balkom, A. J. L. M.</au><au>Vollebergh, W. A. M.</au><au>Beekman, A. T. F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Identifying target groups for the prevention of anxiety disorders in the general population</atitle><jtitle>Acta psychiatrica Scandinavica</jtitle><addtitle>Acta Psychiatr Scand</addtitle><date>2010-07</date><risdate>2010</risdate><volume>122</volume><issue>1</issue><spage>56</spage><epage>65</epage><pages>56-65</pages><issn>0001-690X</issn><eissn>1600-0447</eissn><coden>APYSA9</coden><abstract>Batelaan NM, Smit F, de Graaf R, van Balkom AJLM, Vollebergh WAM, Beekman ATF. Identifying target groups for the prevention of anxiety disorders in the general population.
Objective: To avert the public health consequences of anxiety disorders, prevention of their onset and recurrence is necessary. Recent studies have shown that prevention is effective. To maximize the health gain and minimize the effort, preventive strategies should focus on high‐risk groups.
Method: Using data from a large prospective national survey, high‐risk groups were selected for i) the prevention of first ever (n = 4437) and ii) either first‐ever or recurrent incident anxiety disorders (n = 4886). Indices used were: exposure rate, odds ratio, population attributable fraction and number needed to be treated. Risk indicators included sociodemographic, psychological and illness‐related factors.
Results: Recognition of a few patient characteristics enables efficient identification of high‐risk groups: (subthreshold) panic attacks; an affective disorder; a history of depressed mood; a prior anxiety disorder; chronic somatic illnesses and low mastery.
Conclusion: Preventive efforts should be undertaken in the selected high‐risk groups.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>19824988</pmid><doi>10.1111/j.1600-0447.2009.01488.x</doi><tpages>10</tpages></addata></record> |
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| subjects | Adult Age of Onset Anxiety Anxiety Disorders - diagnosis Anxiety Disorders - epidemiology Anxiety Disorders - prevention & control Biological and medical sciences Disease prevention early intervention Female Health Promotion - organization & administration Humans Incidence Male Medical sciences Mental health Middle Aged Mood Disorders - epidemiology Mood Disorders - prevention & control Netherlands Odds Ratio Panic attacks Panic Disorder - epidemiology Panic Disorder - prevention & control population surveys Prevention. Health policy. Planification Preventive Health Services - organization & administration Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Public health public mental health Risk Factors Severity of Illness Index Social psychiatry. Ethnopsychiatry Socioeconomic Factors Somatoform Disorders - epidemiology Somatoform Disorders - prevention & control Young Adult |
| title | Identifying target groups for the prevention of anxiety disorders in the general population |
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