INTRODUCTION Although anxiety is highly prevalent in primary care and a top reason for referral to primary care behavioral health (PCBH) services, there are limited data on which anxiety interventions are used in routine PCBH practice. The objective of this study was to identify interventions delivered when treating anxiety in PCBH practice. METHOD We conducted an online survey of PCBH providers regarding their clinical practice with patients who present for treatment of anxiety symptoms. The final sample comprised 209 PCBH providers recruited from e-mail listservs of national professional organizations (59.3% psychologists, 23.4% social workers, 12.4% counselors, 4.8% other). Providers reported on use (yes/no) of 17 interventions in their most recent session with their most recent adult patient presenting with a primary concern of non-trauma-related anxiety. RESULTS On average, patients were reported to be 42.2 (14.73) years old, White (73.7%), and male (56.5%) with anxiety symptoms of moderate severity (65.6%). Most reportedly had comorbid sleep difficulties (63.6%), depressive symptoms (58.4%), and/or stress/adjustment (56.0%). Providers reported delivering an average of 5.77 (2.05, range: 1-15) interventions, with psychoeducation (94.7%), relaxation training (64.1%), and supportive therapy (60.8%) being most common. Several highly efficacious evidence-based interventions for anxiety, including cognitive therapy (45.0%) and exposure (21.1%), were less common. DISCUSSION While PCBH providers delivered numerous brief interventions for anxiety, cognitive therapy and exposure were underutilized. Furthermore, PCBH patients with anxiety symptoms were complex, with significant severity and comorbidity. These results suggest implications for research, clinical training, intervention design, and future implementation efforts. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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在初级保健行为健康常规临床实践中提供的焦虑干预。

引言 尽管焦虑在初级保健中非常普遍，并且是转诊到初级保健行为健康 (PCBH) 服务的首要原因，但关于在常规 PCBH 实践中使用哪些焦虑干预措施的数据有限。本研究的目的是确定在 PCBH 实践中治疗焦虑时提供的干预措施。方法 我们对 PCBH 提供者进行了一项在线调查，了解他们对接受焦虑症状治疗的患者的临床实践。最终样本包括从国家专业组织的电子邮件列表服务中招募的 209 名 PCBH 提供者（59.3% 的心理学家、23.4% 的社会工作者、12.4% 的顾问、4.8% 的其他人）。提供者在最近一次治疗中报告了使用（是/否）17 项干预措施，他们最近的成年患者主要关注非创伤相关的焦虑。结果 平均而言，报告的患者年龄为 42.2 (14.73) 岁，白人 (73.7%) 和男性 (56.5%)，有中等严重程度的焦虑症状 (65.6%)。据报道，大多数人同时患有睡眠困难 (63.6%)、抑郁症状 (58.4%) 和/或压力/调整 (56.0%)。提供者报告平均提供 5.77 (2.05，范围：1-15) 次干预，其中最常见的是心理教育 (94.7%)、放松训练 (64.1%) 和支持疗法 (60.8%)。几种非常有效的焦虑症循证干预措施，包括认知疗法 (45.0%) 和暴露 (21.1%)，不太常见。讨论 虽然 PCBH 提供者提供了许多针对焦虑的简短干预措施，但认知疗法和暴露并未得到充分利用。此外，具有焦虑症状的 PCBH 患者很复杂，具有显着的严重程度和合并症。这些结果对研究、临床培训、干预设计和未来的实施工作具有重要意义。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。