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

TitleCanadian clinical practice guidelines for the management of anxiety, posttraumatic stress and obsessive-compulsive disorders.
Publication TypeJournal Article
Year of Publication2014
AuthorsKatzman MA, Bleau P, Blier P, Chokka P, Kjernisted K, Van Ameringen M, Antony MM, Bouchard S, Brunet A, Flament M, Grigoriadis S, Mendlowitz S, O'Connor K, Rabheru K, Richter PMA, Robichaud M, Walker JR
Corporate AuthorsCanadian Anxiety Guidelines Initiative Group on behalf of the Anxiety Disorders Association of Canada/Association Canadienne des troubles anxieux and McGill University
JournalBMC Psychiatry
Volume14 Suppl 1
PaginationS1
Date Published2014
ISSN1471-244X
KeywordsAnxiety Disorders, Canada, Humans, Obsessive-Compulsive Disorder, Practice Guidelines as Topic, Stress Disorders, Post-Traumatic
Abstract

BACKGROUND: Anxiety 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.METHODS: These 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.RESULTS: These 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.CONCLUSIONS: Anxiety 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.

DOI10.1186/1471-244X-14-S1-S1
Alternate JournalBMC Psychiatry
PubMed ID25081580
PubMed Central IDPMC4120194
Grant List / / Canadian Institutes of Health Research / Canada