Treatments for Anxiety Disorders in Malaysia

| Posted in: Science

Journal name: The Malaysian Journal of Medical Sciences
Original article title: Treatments for Anxiety Disorders in Malaysia
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
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Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Jamilah Hanum Abdul Khaiyom, Firdaus Mukhtar, Oei Tian Po


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: Treatments for Anxiety Disorders in Malaysia

Year: 2019 | Doi: 10.21315/mjms2019.26.3.2

Copyright (license): CC BY 4.0


Download the PDF file of the original publication


Summary of article contents:

Introduction

Anxiety disorders (AD) are prevalent mental health issues globally, with significant impacts on individuals' daily lives and functioning. A systematic review was conducted to evaluate the treatments for anxiety disorders specifically within Malaysia. Utilizing databases such as PsycINFO and MEDLINE, along with 28 local journals, eight out of 281 articles were selected for review, comprising a total of 598 participants. The analysis aimed to compare the effectiveness of various interventions, including pharmacotherapy, psychotherapy, and their combinations, to discern optimal treatment strategies.

Efficacy of Treatment Combinations

The review highlighted that the combination of pharmacotherapy and psychotherapy yielded superior treatment outcomes compared to either treatment method alone. Notably, the pairing of selective serotonin reuptake inhibitors (SSRIs) with cognitive-behavioral therapy (CBT) was found to be particularly effective for patients with AD in Malaysia. This combination aligns with clinical practice guidelines from recognized health organizations, suggesting a robust framework for future treatment protocols. The review acknowledges some methodological limitations in the included studies; however, it underscores the importance of combining treatment modalities to enhance therapeutic effectiveness and improve patient outcomes.

Conclusion

In conclusion, the systematic review emphasizes the value of integrated treatment approaches for anxiety disorders in Malaysia, with promising evidence supporting the combination of pharmacology and psychotherapy. Despite the limitations in methodology, the findings encourage future research aimed at refining treatment strategies and broadening the scope of interventions. As the understanding of anxiety disorders evolves, continued exploration into culturally relevant therapeutic options will be crucial in enhancing mental health care in Malaysia.

FAQ section (important questions/answers):

What is the focus of the systematic review conducted in Malaysia?

The systematic review aimed to analyze the treatments for anxiety disorders in Malaysia, evaluating various pharmacological and psychological interventions, as well as their effectiveness based on existing studies.

How many studies were included in the review and what was their focus?

Eight studies were included in the review, focusing on treatments for anxiety disorders, involving a total of 598 participants with various types of anxiety disorders.

What combination of treatments yielded the best outcomes for anxiety disorders?

The combination of pharmacotherapy, specifically selective serotonin reuptake inhibitors (SSRIs), and cognitive behavior therapy (CBT) provided better treatment outcomes compared to using either method alone.

What were some limitations noted in the reviewed studies?

The studies had limitations, including small sample sizes, lack of consistent reporting on demographics, and unclear procedures concerning treatment protocols and assessment times.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Treatments for Anxiety Disorders in Malaysia”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Study (Studying):
Study in this context refers to the systematic research conducted to investigate the treatments for anxiety disorders in Malaysia. This systematic review analyzes existing literature to identify effective interventions, treatment outcomes, and the prevalence of anxiety disorders, thereby contributing valuable insights into mental health practices within the region.

2) Anxiety:
Anxiety is a common mental health condition characterized by excessive worry, fear, and apprehension. It encompasses various disorders, including generalized anxiety disorder, panic disorder, and social anxiety disorder. Understanding anxiety is essential for determining effective treatment options and addressing the mental health needs of affected populations, particularly in Malaysia.

3) Pharmacotherapy:
Pharmacotherapy refers to the use of medications to treat anxiety disorders. This aspect is crucial as various classes of drugs, including selective serotonin reuptake inhibitors (SSRIs), are highlighted in the studies reviewed. The efficacy of pharmacotherapy compared to psychotherapeutic options informs clinical practice and enhances treatment outcomes for patients.

4) Pharmacological:
Pharmacological relates to the branch of medicine that deals with the uses and effects of drugs. The review examines the pharmacological treatments available for anxiety disorders, including SSRIs and benzodiazepines. Understanding pharmacological treatments is key to developing integrated approaches that combine medication with psychotherapy to optimize patient outcomes.

5) Table:
In the context of the study, Table refers to a specific section that summarizes key characteristics of the research studies included in the review. Tables provide a clear and organized way to present data, such as sample sizes, interventions used, and findings, facilitating comparisons and understanding of study outcomes.

6) Depression:
Depression is a mood disorder commonly co-occurring with anxiety disorders. It is crucial to consider depression when analyzing treatment strategies, as patients with anxiety may also experience depressive symptoms. Understanding the interplay between anxiety and depression ensures comprehensive care and informs the effectiveness of combined treatment approaches.

7) Post:
Post refers to the phase of assessment after treatment has been administered. Post-treatment evaluations are vital for measuring the effectiveness of the interventions employed in the studies. Understanding changes in patients' symptoms post-treatment can guide future clinical practice and improve treatment strategies for anxiety disorders.

8) Line:
Line, as in 'first-line treatments,’ denotes the most effective or recommended interventions for a specific condition. This phrase is important in identifying which pharmacological or psychological treatments are deemed optimal for managing anxiety disorders, providing clinical guidelines for practitioners to enhance patient care.

9) Science (Scientific):
Scientific represents the systematic, evidence-based approach employed in the review and research of anxiety treatments. This emphasis on scientific methodology ensures that findings are credible and can reliably influence clinical practice, ultimately contributing to improved mental health strategies and patient care.

10) Training:
Training refers to the educational preparation and skill development necessary for clinicians to provide effective treatment for anxiety and related disorders. Understanding various therapeutic techniques, pharmacological interventions, and cultural considerations is essential for healthcare professionals to deliver high-quality mental health services.

11) Ter:
Ther typically refers to therapy or therapeutic interventions. In treating anxiety disorders, various forms of therapy, including cognitive behavioral therapy (CBT), play a significant role. Highlighting the importance of effective therapeutic modalities can guide practitioners in choosing appropriate treatment options based on individual patient needs.

12) Mental disorder:
Mental disorder encompasses a range of psychological conditions, including anxiety disorders, that affect an individual's mood, thinking, and behavior. Identifying and addressing mental disorders is crucial for effective treatment and recovery, promoting mental wellness within populations, particularly in regions with rising mental health concerns like Malaysia.

13) Quality:
Quality refers to the standard of care and outcomes achieved in treating anxiety disorders. Ensuring high-quality treatment involves assessing intervention efficacy, patient satisfaction, and overall mental health improvements. This focus on quality is vital for developing effective therapeutic practices that optimize patient care and outcomes.

14) Calculation:
Calculation in research relates to determining statistical values, including effect sizes and sample sizes, necessary for analyzing treatment efficacy. Proper calculation enhances the validity of study findings, ensures appropriate power to detect significant effects, and ultimately guides clinicians in implementing evidence-based treatment strategies.

15) Drug:
Drug refers to the substances used in pharmacotherapy for treating anxiety disorders. Understanding the specific medications, their mechanisms of action, and their effectiveness is crucial for providing comprehensive care and ensuring that patients receive the most appropriate treatment options available.

16) Life:
Life in this context may relate to the quality of life experienced by individuals with anxiety disorders. Improving quality of life is a critical goal of effective treatment, as addressing mental health challenges can lead to better overall well-being, social functioning, and fulfillment in personal and professional areas.

17) Mental health:
Mental health encompasses emotional, psychological, and social well-being, significantly influencing how individuals cope with stress and relate to others. The concern for mental health is crucial in Malaysia, given the rising prevalence of anxiety disorders, highlighting the importance of effective treatment strategies to enhance overall mental well-being.

18) Medicine:
Medicine refers to the field focused on health care, diagnosis, and treatment of illnesses, including mental health disorders like anxiety. Advances in medicine contribute to improved treatment practices, ensuring that healthcare providers utilize the latest research findings to enhance patient care and outcomes within mental health.

19) Valley:
Valley might refer to the Klang Valley area in Malaysia, which is significant as a population center. Understanding regional mental health needs in urban centers like Klang Valley is essential for developing targeted treatment strategies that address the specific challenges faced by urban populations concerning anxiety disorders.

20) Fear:
Fear is a primary emotional response associated with anxiety disorders. Understanding fear mechanisms is essential for developing effective therapies aimed at reducing fear responses, which are central to disorders such as panic disorder and phobias, thereby improving treatment efficacy and patient outcomes.

21) Hand:
Hand could signify the importance of healthcare provider-patient relationships in treatments for anxiety disorders. Effective communication and trust are essential in therapeutic settings to ensure patients feel supported, facilitating better adherence to treatment plans and ultimately leading to improved mental health outcomes.

22) Gold (Golden):
Gold often refers to the 'gold standard' treatment, denoting the best possible treatment option based on current evidence. Identifying gold standard therapies for anxiety disorders ensures that clinicians can provide the most effective and validated care options available, maximizing treatment success for their patients.

23) Discussion:
Discussion refers to the section of research where findings are interpreted, implications are explored, and future research directions are suggested. This analytical component is pivotal for contextualizing results within existing literature, understanding their significance, and recommending actions for improved mental health treatment strategies.

24) Psychosis:
Psychosis is a severe mental disorder characterized by a disconnection from reality. Although the primary focus here is on anxiety disorders, understanding its differentiation from other conditions like psychosis is vital for accurate diagnosis and treatment planning to ensure appropriate interventions and care.

25) Language:
Language may refer to the importance of clear communication in therapy and research contexts. Understanding the use of the Malay language in mental health assessments and interventions is crucial for ensuring that treatments are culturally appropriate and accessible to the Malaysian population.

26) Disease:
Disease encompasses various health conditions, including anxiety disorders classified as mental health diseases. Recognizing anxiety as a disease is essential for effectively addressing public health concerns, broadening the focus on prevention, and ensuring adequate resources are allocated for mental health treatment and education.

27) Family:
Family may imply the impact of mental disorders on family dynamics and relationships. Understanding how anxiety affects not only individuals but also their families can guide comprehensive treatment approaches that include family interventions, support systems, and education about anxiety disorders.

28) Gupta:
Gupta may refer to researchers or professionals who contribute to studies on anxiety disorders or mental health. Acknowledging contributions from various experts enhances the credibility of research and promotes collaborative efforts in addressing mental health challenges through shared knowledge and resources.

29) Mud:
Mood refers to the emotional state of individuals, which plays a crucial role in anxiety disorders. Understanding the relationship between mood and anxiety can help inform treatment approaches, enabling clinicians to develop strategies that address both anxiety symptoms and associated mood disturbances effectively.

30) Chan:
Chan likely references specific researchers or studies in mental health that examine treatment methodologies and outcomes. Noting contributions from various researchers, like Chan, is important for acknowledging diverse perspectives and approaches to managing anxiety disorders treatment and expanding the body of knowledge.

31) Urban center (Urban centre):
Urban centre designates significant geographic areas with concentrated populations and resources, often characterized by unique mental health needs due to lifestyle factors. Addressing anxiety disorders effectively in urban settings requires tailored treatment approaches that consider diverse societal, cultural, and economic influences impacting residents' mental health.

32) Knowledge:
Knowledge refers to the information gathered through research that aids in understanding and addressing anxiety disorders. Building a strong base of knowledge is essential for clinicians to make informed decisions about treatment options and strategies, directly impacting patient outcomes and clinical effectiveness.

33) Relative:
Relative signifies the importance of context when evaluating anxiety disorders and their treatments. Considering factors like culture, demographics, and personal experiences can aid practitioners in tailoring interventions to meet the unique needs of individuals, improving overall treatment acceptance and effectiveness.

34) Meeting:
Meeting may refer to collaborative efforts among mental health professionals to discuss findings, treatments, and best practices for managing anxiety disorders. These gatherings foster the exchange of ideas and strategies, enhancing collective understanding and promoting advancements in anxiety disorder treatment practices.

35) Flying:
Flying could relate to specific phobias, such as fear of flying, which is categorized under anxiety disorders. Understanding phobias is essential for effective treatment planning, as targeted interventions can help individuals overcome these fears, thus improving their quality of life and functional capacity.

36) Putra:
Putra likely refers to Universiti Putra Malaysia, an institution involved in mental health research and education. Recognizing the contributions of academic institutions is important for advancing knowledge and understanding regarding effective treatments for anxiety disorders within Malaysia's diverse population.

37) Patel:
Patel may refer to researchers or clinicians contributing to the field of mental health. Acknowledging diverse authorship ensures the research is representative of various perspectives and practices, ultimately enriching the collective understanding and strategies to address anxiety disorders effectively.

38) Rules:
Rules may refer to guidelines and protocols established in clinical practice concerning the diagnosis and treatment of anxiety disorders. Recognizing and adhering to established rules is essential for ensuring high standards of care and systematic approaches to addressing mental health conditions.

39) Pulse:
Pulse is a vital sign often monitored in patients experiencing anxiety, as emotional distress can manifest physically. Understanding the physiological aspects of anxiety, including pulse and other indicators, allows clinicians to assess the severity of anxiety symptoms and tailor treatment strategies accordingly.

40) Blood:
Blood refers to the physiological measurements, such as blood pressure, often monitored during mental health assessments. Measuring blood parameters can help identify stress responses associated with anxiety disorders, providing valuable insights for tailoring interventions and ensuring comprehensive patient care.

41) Pir:
Peer refers to the involvement of colleagues or fellow researchers in the mental health field. Engaging peers in collaborative research and discussions enhances knowledge sharing and ensures that varied methodologies and perspectives inform treatment strategies for anxiety disorders.

42) Pur:
Poor reflects the challenges faced by individuals with anxiety disorders, including inadequate access to appropriate treatment and support. Addressing the needs of those with poor mental health resources is vital for enhancing treatment outcomes and ensuring equitable access to mental health services.

Other Science Concepts:

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