Introduction

In the wake of the cultural and mental health consequences that arose since the COVID-19 pandemic, primary care providers must be able to assess and initiate treatment of anxiety disorders in the pediatric population. Only 59% of children with a diagnosable anxiety disorder are identified and receive treatment. This quality improvement project aimed to evaluate the implementation of universal anxiety screening using the General Anxiety Disorder-7 tool in pediatric primary care.

Methods

Screening was performed on adolescents (aged 12–18 years) to evaluate the frequency and acceptability of tool administration and identification of anxiety and referrals to mental health care for treatment. Employing a pretest-posttest design, the effect of universal anxiety screening for adolescents was measured at well-child visits.

Results

Anxiety screening and anxiety diagnosis rates were significantly increased post-implementation.

Discussion

Universal screening for anxiety was efficacious in the project setting for identifying cases of anxiety.

中文翻译：

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通过门诊儿科初级保健办公室的普遍焦虑筛查改善青少年患者的心理健康结果：质量改进项目

介绍

鉴于自 COVID-19 大流行以来产生的文化和心理健康后果，初级保健提供者必须能够评估并启动儿科人群焦虑症的治疗。只有 59% 的患有可诊断焦虑症的儿童被发现并接受治疗。该质量改进项目旨在评估在儿科初级保健中使用广泛性焦虑症 7 工具进行普遍焦虑筛查的实施情况。

方法

对青少年（12-18 岁）进行筛查，以评估工具管理的频率和可接受性、焦虑的识别以及转诊至精神卫生保健机构接受治疗。采用前测后测设计，在健康儿童就诊时测量了青少年普遍焦虑筛查的效果。

结果

实施后焦虑筛查和焦虑诊断率显着提高。

讨论

普遍的焦虑筛查在项目设置中对于识别焦虑病例是有效的。