Anxiety interventions delivered in primary care behavioral health routine clinical practice.
Anxiety interventions delivered in primary care behavioral health routine clinical practice.
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DOI：
10.1037/fsh0000493
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发表时间：
2020-06
期刊：
影响因子：
--
通讯作者：
Funderburk JS
中科院分区：
文献类型：
--
作者：
Shepardson RL;Minnick MR;Funderburk JS
虽然焦虑在初级保健中非常普遍，并且是转诊到初级保健行为健康（PCBH）服务的首要原因，但有关常规PCBH实践中使用焦虑干预措施的数据有限。本研究的目的是确定在PCBH实践中治疗焦虑时提供的干预措施。我们对PCBH提供者进行了一项在线调查，了解他们对目前治疗焦虑症状的患者的临床实践。最终的样本包括209个PCBH提供者从国家专业组织的电子邮件列表中招募（59.3%心理学家，23.4%社会工作者，12.4%咨询师，4.8%其他）。提供者报告了在他们最近的一次会议上使用（是/否）17种干预措施，他们最近的成年患者主要关注非创伤相关焦虑。据报告，患者平均年龄为42.2（14.73）岁，为白色（73.7%）和男性（56.5%），焦虑症状为中度（65.6%）。据报告，大多数患者患有睡眠困难（63.6%）、抑郁症状（58.4%）和/或压力/适应（56.0%）。提供者报告平均提供了5.77（2.05，范围：1-15）项干预措施，其中心理教育（94.7%），放松训练（64.1%）和支持性治疗（60.8%）最常见。一些高度有效的基于证据的焦虑干预措施，包括认知疗法（45.0%）和暴露（21.1%），不太常见。虽然PCBH提供者针对焦虑症提供了许多简短的干预措施，但认知疗法和暴露并未得到充分利用。PCBH患者的焦虑症状复杂，严重程度和共病性显著。这些结果表明，研究，临床培训，干预设计和未来的实施工作的影响。
Although anxiety is highly prevalent in primary care and a top reason for referral to Primary Care Behavioral Health (PCBH) services, there are limited data on which anxiety interventions are used in routine PCBH practice. The objective of this study was to identify interventions delivered when treating anxiety in PCBH practice. We conducted an online survey of PCBH providers regarding their clinical practice with patients who present for treatment of anxiety symptoms. The final sample comprised 209 PCBH providers recruited from email listservs of national professional organizations (59.3% psychologists, 23.4% social workers, 12.4% counselors, 4.8% other). Providers reported on use (yes/no) of 17 interventions in their most recent session with their most recent adult patient presenting with a primary concern of non-trauma related anxiety. On average, patients were reported to be 42.2 (14.73) years old, White (73.7%), and male (56.5%) with anxiety symptoms of moderate severity (65.6%). Most reportedly had comorbid sleep difficulties (63.6%), depressive symptoms (58.4%), and/or stress/adjustment (56.0%). Providers reported delivering an average of 5.77 (2.05, range: 1–15) interventions, with psychoeducation (94.7%), relaxation training (64.1%), and supportive therapy (60.8%) being most common. Several highly efficacious evidence-based interventions for anxiety, including cognitive therapy (45.0%) and exposure (21.1%), were less common. While PCBH providers delivered numerous brief interventions for anxiety, cognitive therapy and exposure were underutilized. Furthermore, PCBH patients with anxiety symptoms were complex, with significant severity and comorbidity. These results suggest implications for research, clinical training, intervention design, and future implementation efforts.
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DOI：
10.1007/s10880-017-9512-0
发表时间：
2018-06-01
影响因子：
2.2
作者：
Hunter, Christopher L.;Funderburk, Jennifer S.;Hunter, Christine M.
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DOI：
10.1007/s10880-011-9230-y
发表时间：
2011-03-01
影响因子：
2.2
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影响因子：
39.2
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影响因子：
7
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Sawchuk, Craig N.;Craner, Julia R.;Katzelnick, David J.
通讯作者：
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影响因子：
10.3
作者：
Shepardson RL;Buchholz LJ;Weisberg RB;Funderburk JS
通讯作者：
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