Algorithms for the management of patients with anxiety in the internist’s practice
https://doi.org/10.15829/1728-8800-2023-3526
Abstract
The development of guidelines for the detection and further management of patients with anxiety for outpatient physicians is relevant due to the high incidence of anxiety disorders in patients with non-communicable diseases, including cardiovascular diseases, deterioration in quality of life and an increase in adverse outcomes in patients with anxiety. In addition, there is an insufficient awareness of outpatient doctors about the importance of diagnosing and treating anxiety disorders. The aim was to present original "Algorithms for the Management of Patients with Anxiety in the Internist’s Practice" for the detection and timely treatment of anxiety disorders in the routine practice of an internal medicine doctor. The algorithms are intended for internal medicine specialists working in primary outpatient healthcare, as well as for residents.
About the Authors
V. N. Shishkova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
Yu. G. Dranitsyna
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation
Russian Federation
Moscow
References
1. Psychiatry. National leadership. Ed. Alexandrovsky Yu.A., Neznanov N. G. M.: GEOTAR-Media 2020: 1008p. (In Russ.) ISBN: 978-5-9704-4462-7.
2. Drapkina OM, Kontsevaya AV, Kalinina AM, et al. 2022 Prevention of chronic non-communicable diseases in the Russian Federation. National guidelines. Cardiovascular Therapy and Prevention. 2022;21(4):3235. (In Russ.) doi:10.15829/1728-8800-2022-3235. EDN DNBVAT.
3. Drapkina OM, Shishkova VN, Kotova MB. Psychoemotional risk factors for non-communicable diseases in outpatient practice. Guidelines for internists. Cardiovascular Therapy and Prevention. 2022;21(10):3438. (In Russ.) doi:10.15829/1728-8800-2022-3438.
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What is already known about the subject?
- Anxiety is the most frequent psycho-emotional factor in the clinical practice of general practitioners.
- Anxiety disorders increase the risk of cardiovascular diseases, worsen the quality of life, reduce motivation and adherence to treatment.
What might this study add?
- Detection and timely treatment of anxiety disorders are important conditions for effective treatment of noncommunicable diseases.
- The potential of using safe medications for the treatment of anxiety may be a promising plan for patients with cardiovascular and other noncommunicable diseases.
Review
For citations:
Shishkova V.N., Dranitsyna Yu.G., Drapkina O.M. Algorithms for the management of patients with anxiety in the internist’s practice. Cardiovascular Therapy and Prevention. 2023;22(2):3526. (In Russ.) https://doi.org/10.15829/1728-8800-2023-3526
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