Interpretation of Chinese guideline for the prevention and treatment of anxiety disorders (the second edition)
10.3760/cma.j.cn113661-20240221-00065
- VernacularTitle:《中国焦虑障碍防治指南》第二版解读
- Author:
Shenxun SHI
1
;
Ning ZHANG
;
Tianmei SI
;
Zheng LU
;
Jiyang PAN
;
Xiufeng XU
;
Wenyuan WU
Author Information
1. 复旦大学附属华山医院,上海 200040
- Publication Type:Journal Article
- Keywords:
Anxiety disorders;
Panic disorder;
Generalized anxiety disorder;
Social anxiety disorder;
Separation anxiety disorder;
Anxiety disorder due to another medi
- From:
Chinese Journal of Psychiatry
2024;57(6):327-336
- CountryChina
- Language:Chinese
-
Abstract:
The second edition of the Chinese guideline for the prevention and treatment of anxiety disorders was published in August 2023, 13 years after the first edition. The revision principles for the second edition were maintaining the first edition's framework, and based on that framework, making necessary revisions by incorporating research progress and supplementing the latest research findings from the domestic studies and the overseas literature. Referring to the DSM-5 and ICD-11 classifications of mental disorders and the actual clinical situation in China, the anxiety disorders in the second edition were panic disorder, generalized anxiety disorder, social anxiety disorder, separation anxiety disorder, and anxiety disorder due to another medical condition. The latest epidemiological data on anxiety disorders in China were added. Following the international guidelines, medications not included in the first edition have been added. Chinese traditional medicines, physical therapy, and internet web-based psychotherapy were also supplemented to fit Chinese clinical settings. Based on a literature review, the latest information on the risks of using antidepressants during pregnancy has been added.A whole course of treatment across the acute phase, consolidation phase, and maintenance phase was further addressed as the treatment principle. First-line and second-line recommendations are provided for medication selections.