MULTIDISCIPLINARY APPROACH TO GENERALIZED ANXIETY DISORDER: A LITERATURE REVIEW
DOI:
https://doi.org/10.47820/recima21.v5i3.5024Keywords:
Generalized Anxiety Disorder, multidisciplinary approach. Integrative therapy. Combined treatment.Abstract
Introduction: Generalized Anxiety Disorder (GAD) is a common psychiatric condition characterized by persistent worry and physical and psychological symptoms. The multidisciplinary approach to the treatment of GAD involves the collaboration of various health professionals to provide a comprehensive intervention tailored to the individual needs of patients. Objective: The aim of this article is to analyze the role and effectiveness of the multidisciplinary approach in the treatment of Generalized Anxiety Disorder (GAD). Methods: A literature review was carried out using academic databases, searching for studies published in the last 15 years that investigated multidisciplinary approaches in the treatment of GAD. Twenty-five studies met the inclusion criteria and were included in the analysis. Results and Discussion: Cognitive-behavioral therapy (CBT) and pharmacotherapy are highlighted as effective interventions in the treatment of GAD. In addition, complementary therapies such as mindfulness and yoga are recognized for their positive impact on anxiety symptoms. However, the implementation of the multidisciplinary approach faces challenges, such as a shortage of trained professionals, a lack of coordination between the healthcare team and funding issues. Conclusion: The multidisciplinary approach offers a unique opportunity to provide more comprehensive and tailored care to patients with GAD. It is essential to promote the training of health professionals, interprofessional collaboration and awareness of GAD and its integrated therapeutic approach to improve access to treatment and promote better clinical outcomes.
Downloads
References
APOLINÁRIO-HAGEN, Jennifer; DRÜGE, Marie; FRITSCHE, Lara. Cognitive behavioral therapy, mindfulness-based cognitive therapy and acceptance commitment therapy for anxiety disorders: integrating traditional with digital treatment approaches. Anxiety disorders: Rethinking and understanding recent discoveries, p. 291-329, 2020. DOI: https://doi.org/10.1007/978-981-32-9705-0_17
BEHAR, Evelyn et al. Current theoretical models of generalized anxiety disorder (GAD): Conceptual review and treatment implications. Journal of anxiety disorders, v. 23, n. 8, p. 1011-1023, 2009. DOI: https://doi.org/10.1016/j.janxdis.2009.07.006
CAREK, Peter J.; LAIBSTAIN, Sarah E.; CAREK, Stephen M. Exercise for the treatment of depression and anxiety. The international journal of psychiatry in medicine, v. 41, n. 1, p. 15-28, 2011. DOI: https://doi.org/10.2190/PM.41.1.c
CARL, Emily et al. Psychological and pharmacological treatments for generalized anxiety disorder (GAD): a meta-analysis of randomized controlled trials. Cognitive Behaviour Therapy, v. 49, n. 1, p. 1-21, 2020. DOI: https://doi.org/10.1080/16506073.2018.1560358
CUIJPERS, Pim et al. Relative effects of cognitive and behavioral therapies on generalized anxiety disorder, social anxiety disorder and panic disorder: A meta-analysis. Journal of Anxiety Disorders, v. 43, p. 79-89, 2016. DOI: https://doi.org/10.1016/j.janxdis.2016.09.003
DEMARTINI, Jeremy; PATEL, Gayatri; FANCHER, Tonya L. Generalized anxiety disorder. Annals of internal medicine, v. 170, n. 7, p. ITC49-ITC64, 2019. DOI: https://doi.org/10.7326/AITC201904020
FAGAN, Harry A.; BALDWIN, David S. Pharmacological Treatment of Generalised Anxiety Disorder: Current Practice and Future Directions. Expert Review of Neurotherapeutics, p. 1-14, 2023. DOI: https://doi.org/10.1080/14737175.2023.2211767
GOODWIN, Guy M.; STEIN, Dan J. Generalised anxiety disorder and depression: contemporary treatment approaches. Advances in Therapy, v. 38, n. Suppl 2, p. 45-51, 2021. DOI: https://doi.org/10.1007/s12325-021-01859-8
HERSHENBERG, Rachel; GROS, Daniel F.; BRAWMAN-MINTZER, Olga. Role of atypical antipsychotics in the treatment of generalized anxiety disorder. CNS drugs, v. 28, p. 519-533, 2014. DOI: https://doi.org/10.1007/s40263-014-0162-6
HOFMANN, Stefan G. et al. The efficacy of cognitive behavioral therapy: A review of meta-analyses. Cognitive therapy and research, v. 36, p. 427-440, 2012. DOI: https://doi.org/10.1007/s10608-012-9476-1
HOGE, Elizabeth A. et al. Mindfulness-based stress reduction vs escitalopram for the treatment of adults with anxiety disorders: a randomized clinical trial. JAMA psychiatry, v. 80, n. 1, p. 13-21, 2023. DOI: https://doi.org/10.1001/jamapsychiatry.2022.3679
HOGE, Elizabeth A. et al. Randomized controlled trial of mindfulness meditation for generalized anxiety disorder: effects on anxiety and stress reactivity. The Journal of clinical psychiatry, v. 74, n. 8, p. 16662, 2013. DOI: https://doi.org/10.4088/JCP.12m08083
JOTHI, Neesha et al. Predicting generalized anxiety disorder among women using Shapley value. Journal of infection and public health, v. 14, n. 1, p. 103-108, 2021. DOI: https://doi.org/10.1016/j.jiph.2020.02.042
KACZKURKIN, Antonia N.; FOA, Edna B. Cognitive-behavioral therapy for anxiety disorders: an update on the empirical evidence. Dialogues in clinical neuroscience, v. 17, n. 3, p. 337-346, 2015. DOI: https://doi.org/10.31887/DCNS.2015.17.3/akaczkurkin
KANDOLA, Aaron et al. Moving to beat anxiety: epidemiology and therapeutic issues with physical activity for anxiety. Current psychiatry reports, v. 20, p. 1-9, 2018. DOI: https://doi.org/10.1007/s11920-018-0923-x
KASPER, Siegfried et al. Silexan in anxiety disorders: Clinical data and pharmacological background. The world journal of biological psychiatry, v. 19, n. 6, p. 412-420, 2018. DOI: https://doi.org/10.1080/15622975.2017.1331046
KELLY, Kristen M.; MEZUK, Briana. Predictors of remission from generalized anxiety disorder and major depressive disorder. Journal of Affective Disorders, v. 208, p. 467-474, 2017. DOI: https://doi.org/10.1016/j.jad.2016.10.042
KWOK, Jojo Y. Y. et al. Effects of mindfulness yoga vs stretching and resistance training exercises on anxiety and depression for people with Parkinson disease: a randomized clinical trial. JAMA neurology, v. 76, n. 7, p. 755-763, 2019. DOI: https://doi.org/10.1001/jamaneurol.2019.0534
LUO, Wei et al. Disorder-specific impaired neurocognitive function in major depression and generalized anxiety disorder. Journal of Affective Disorders, v. 318, p. 123-129, 2022. DOI: https://doi.org/10.1016/j.jad.2022.08.129
MARON, Eduard; NUTT, David. Biological markers of generalized anxiety disorder. Dialogues in clinical neuroscience, v. 19, n. 2, p. 147-158, 2017. DOI: https://doi.org/10.31887/DCNS.2017.19.2/dnutt
NEWMAN, Michelle G. et al. A review of technology-assisted self-help and minimal contact therapies for anxiety and depression: is human contact necessary for therapeutic efficacy?. Clinical psychology review, v. 31, n. 1, p. 89-103, 2011. DOI: https://doi.org/10.1016/j.cpr.2010.09.008
PATEL, Gayatri; FANCHER, Tonya L. Generalized anxiety disorder. Annals of internal medicine, v. 159, n. 11, p. ITC6-1, 2013. DOI: https://doi.org/10.7326/0003-4819-159-11-201312030-01006
RIBEIRO, Maria Margarida; ANDRADE, Ana; NUNES, Inês. Physical exercise in pregnancy: Benefits, risks and prescription. Journal of perinatal medicine, v. 50, n. 1, p. 4-17, 2022. DOI: https://doi.org/10.1515/jpm-2021-0315
SAEED, Sy Atezaz; CUNNINGHAM, Karlene; BLOCH, Richard M. Depression and anxiety disorders: benefits of exercise, yoga, and meditation. American family physician, v. 99, n. 10, p. 620-627, 2019.
SHOWRAKI, Mostafa; SHOWRAKI, Tiffany; BROWN, Kimberly. Generalized anxiety disorder: revisited. Psychiatric Quarterly, v. 91, p. 905-914, 2020. DOI: https://doi.org/10.1007/s11126-020-09747-0
SLEE, April et al. Pharmacological treatments for generalised anxiety disorder: a systematic review and network meta-analysis. The Lancet, v. 393, n. 10173, p. 768-777, 2019. DOI: https://doi.org/10.1016/S0140-6736(18)31793-8
STARCEVIC, Vladan. Generalized anxiety disorder: psychopharmacotherapy update on a common and commonly overlooked condition. Australasian Psychiatry, v. 23, n. 4, p. 338-342, 2015. DOI: https://doi.org/10.1177/1039856215587233
STRÖHLE, Andreas. Physical activity, exercise, depression and anxiety disorders. Journal of neural transmission, v. 116, p. 777-784, 2009. DOI: https://doi.org/10.1007/s00702-008-0092-x
Downloads
Published
License
Copyright (c) 2024 RECIMA21 - Revista Científica Multidisciplinar - ISSN 2675-6218
This work is licensed under a Creative Commons Attribution 4.0 International License.
Os direitos autorais dos artigos/resenhas/TCCs publicados pertecem à revista RECIMA21, e seguem o padrão Creative Commons (CC BY 4.0), permitindo a cópia ou reprodução, desde que cite a fonte e respeite os direitos dos autores e contenham menção aos mesmos nos créditos. Toda e qualquer obra publicada na revista, seu conteúdo é de responsabilidade dos autores, cabendo a RECIMA21 apenas ser o veículo de divulgação, seguindo os padrões nacionais e internacionais de publicação.
