NICE CG113 GAD & panic

Generalised anxiety disorder and panic disorder in adults: management (NICE guideline CG113)

CG113 organises generalised anxiety disorder into a four-step care pathway — identification and education, low-intensity self-help, high-intensity CBT or applied relaxation or an SSRI, then specialist input — and treats panic disorder along the same logic, with CBT and SSRIs as the two effective options. Benzodiazepines are explicitly not recommended for either condition beyond short-term crisis use. The register trials below sit under the psychological arm; the 2024 network meta-analysis of GAD treatments postdates the guideline by more than a decade.

Esta norma cita 1 dos 62 ensaios marcantes do nosso registo de Psiquiatria e psicoterapia.

Fonte
National Institute for Health and Care Excellence. Generalised anxiety disorder and panic disorder in adults: management. NICE guideline [CG113]. Published 26 January 2011; last updated 15 June 2020; last reviewed 7 May 2024.

CBT for generalised anxiety disorder1

  • 1993Borkovec-CostelloPsiquiatria · Ansiedade · Perturbação de ansiedade generalizadaEm 55 adultos com perturbação de ansiedade generalizada, a terapia cognitivo-comportamental ou relaxamento aplicado superaram a resposta terapêutica e o funcionamento de alto nível da terapia não diretiva.

Published since the guideline1

  • 2024Papola GAD NMAPsiquiatria · Ansiedade · Meta-análiseEm 65 RCTs e 5.048 adultos com PAG, TCC e terapias de terceira vaga superaram a redução de sintomas do tratamento habitual, sem diferenças significativas entre terapias bona fide.