Target groups for the prevention of late-life anxiety. (1/10)

BACKGROUND: Anxiety disorders in older people are highly prevalent, yet there is little evidence to guide targeted prevention strategies. AIMS: To identify subgroups at increased risk of developing anxiety in later life. METHOD: Anxiety was measured with the Hospital Anxiety and Depression anxiety sub-scale in 1931 people aged 55-85 years followed over 3 years. Risk factors were identified that had a high combined attributable fraction, indicative of substantial health gains when the adverse effect of the risk factors can be contained. RESULTS: Factors significantly associated with increased risk of developing anxiety included sub-threshold anxiety, depression, two or more chronic illnesses, poor sense of mastery, poor self-rated health and low educational level. CONCLUSIONS: The identified risk groups are small, thus providing prevention with a narrow focus, and health gains are likely to be more substantial than in groups not exposed to these risk factors. Nevertheless, more research is needed to produce evidence on target groups where prevention has optimal impacts.  (+info)

Racial and ethnic disparities in pediatric mental health. (2/10)

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Preventive psychiatry: a paradigm to improve population mental health and well-being. (3/10)

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Symptoms of anxiety and associated risk and protective factors in young Asian American children. (4/10)

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Health care reform and integrated care: a golden opportunity for preventive psychiatry. (5/10)

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Preventive psychiatry in the Board of Education. (6/10)

The Board of Education has a significant role in the psychiatric prevention of criminal and psychiatric disorders. Two hundred and seventy-four children were seen over a two year period and their diagnostic groupings are presented. Follow-up was possible on 150 of the children and it was found that 70 percent of them were better. The findings and conclusions from this sample are presented.  (+info)

Early detection and intervention for initial episodes of schizophrenia. (7/10)

Comprehensive programs of drug and psychosocial interventions with adults who show early signs and symptoms of schizophrenic disorders may contribute to a lower incidence and prevalence of florid episodes of schizophrenia. These programs combine (1) early detection of psychotic features by family practitioners and other primary care providers and (2) close liaison with mental health professionals well trained in psychiatric assessment and treatment strategies effective in reducing the prevalence of established cases of schizophrenia. Long-term monitoring for signs of recurrence of these subthreshold psychotic episodes, with further intervention as needed, appears essential to maintain these benefits.  (+info)

Monitoring and care of young people at incipient risk of psychosis. (8/10)

This article describes the theoretical background, origins, and development of a new clinical service for intervention in the putatively prodromal phase of schizophrenia and other psychotic disorders. Establishing such a service required examination of conceptual issues such as the meaning of the prodrome in psychosis and its association with risk of subsequent psychosis, and of practical issues related to identifying prodromal patients in the community and engaging them in monitoring and treatment. Patients' needs, timing, and mode of treatment had to be considered. Preliminary data from the service's 20-month pilot phase are presented to help inform these issues.  (+info)

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