Diagnostic Accuracy of Tools to Identify Anxiety Symptoms and Disorders in Persons with Dementia: a Systematic Review Updatea.

Limited anxiety tools validated against a diagnostic gold standard in the context of dementia have been identified. A systematic review update was completed to identify publications since 2017 describing tools to detect anxiety in persons with dementia compared to a diagnostic gold standard. The ori...

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Publicado en:Canadian Geriatrics Journal Vol. 28; no. 4; pp. 374 - 382
Autores principales: Atchison, Kayla, Wu, Pauline, Seitz, Dallas, Watt, Jennifer A., Goodarzi, Zahra
Formato: research systematic review tables/charts Journal Article
Publicado: Canadian Geriatrics Society Dec2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2025
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      pub: Canadian Geriatrics Society
      place: Markham, Ontario
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        atl: Diagnostic Accuracy of Tools to Identify Anxiety Symptoms and Disorders in Persons with Dementia: a Systematic Review Updatea.
      aug:
        au:
          Atchison, Kayla
          Wu, Pauline
          Seitz, Dallas
          Watt, Jennifer A.
          Goodarzi, Zahra
        affil: Department of Medicine, University of Calgary, Calgary
      sug:
        subj:
          Dementia Patients
          Anxiety Disorders Diagnosis
          Anxiety Disorders Symptoms
          Human
          Systematic Review
          Generalized Anxiety Disorder Diagnosis
          Generalized Anxiety Disorder Symptoms
          Social Anxiety Disorders Diagnosis
          Social Anxiety Disorders Symptoms
          Phobic Disorders Diagnosis
          Phobic Disorders Symptoms
          Medline
          Embase
          Psycinfo
          Scales
          Psychological Tests
      ab: Limited anxiety tools validated against a diagnostic gold standard in the context of dementia have been identified. A systematic review update was completed to identify publications since 2017 describing tools to detect anxiety in persons with dementia compared to a diagnostic gold standard. The original search strategy was replicated in MEDLINE, Embase, and PsycINFO. Pooled prevalence and diagnostic accuracy estimates were calculated based on three or more studies presenting comparable information from either the original or updated review search. No pooled estimates were calculated in the original review given limited evidence. One study evaluating the Rating Anxiety in Dementia (RAID) scale, Neuropsychiatric Inventory, and Hamilton Anxiety Rating Scale met review inclusion criteria. The pooled prevalence of generalized anxiety disorder (GAD) (n=3, 36.7%, 95% Confidence Interval (CI): 24.3–49.2%) and diagnostic accuracy outcomes for the RAID scale (≥11 cut-off) to detect GAD (n=3, sensitivity: 89%, 95% CI: 78–95%; specificity: 73%, 95% CI: 60–82%) were calculated using data from two studies identified in the original review and the newly included study from the review update. The RAID scale has the most evidence and adequate sensitivity to support its use in identifying anxiety in persons with dementia. Validated tools to detect anxiety in persons with dementia remain understudied.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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