AI Article Synopsis
- The study analyzed trends in recognizing and prescribing treatment for anxiety in children and young people (CYP) in primary care, revealing a stark increase in reported anxiety symptoms but stable diagnosis rates.
- Data from over 311,000 individuals showed that while overall prescriptions for anxiolytics remained unchanged, there was a significant rise in prescriptions for those aged 15-18.
- The findings highlight a gap in proper diagnosis and treatment guidelines for anxiety in CYP, especially for older adolescents, indicating a need for better assessment practices in primary care settings.
Article Abstract
Background: Little is known regarding the recognition of anxiety in children and young people (CYP) in primary care. This study examined trends in the presentation, recognition and recording of anxiety and of anxiolytic and hypnotic prescriptions for CYP in primary care.
Method: A population-based retrospective electronic cohort of individuals aged 6-18 years between 2003 and 2011 within the Secure Anonymised Information Linkage (SAIL) Databank primary care database was created. Incidence rates were calculated using person years at risk (PYAR) as a denominator accounting for deprivation, age and gender.
Results: We identified a cohort of 311,343 registered individuals providing a total of 1,546,489 person years of follow up. The incidence of anxiety symptoms more than tripled over the study period (Incidence Rate Ratio (IRR)=3.55, 95% CI 2.65-4.77) whilst that of diagnosis has remained stable. Anxiolytic/hypnotic prescriptions for the cohort as a whole did not change significantly over time; however there was a significant increase in anxiolytic prescriptions for the 15-18 year age group (IRR 1.62, 95% CI 1.30-2.02).
Limitations: There was a lack of reliable information regarding other interventions available or received at a primary, secondary or tertiary level such as psychological treatments.
Conclusions: There appears to be a preference over time for the recording of general symptoms over diagnosis for anxiety in CYP. The increase in anxiolytic prescriptions for 15-18 year olds is discrepant with current prescribing guidelines. Specific guidance is required for the assessment and management of CYP presenting with anxiety to primary care, particularly older adolescents.
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| http://dx.doi.org/10.1016/j.jad.2015.05.002 | DOI Listing |
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