Última revisión: 26 Sept 2020
Última actualización: 28 Feb 2020

Resumen

Definición

Anamnesis y exploración física

Factores clave de diagnóstico

  • presencia de factores de riesgo
  • preocupación excesiva durante al menos 6 meses
  • la ansiedad no se limita a otro trastorno de salud mental
  • ansiedad que no se debe a medicamentos o sustancias
  • tensión muscular
  • alteración del sueño
  • fatiga
  • inquietud
  • irritabilidad
  • mala concentración

Otros factores para el diagnóstico

  • cefalea
  • sudoración
  • mareos
  • síntomas gastrointestinales
  • dolores musculares
  • aumento de la frecuencia cardíaca
  • disnea
  • temblor
  • respuesta de susto exagerada
  • dolor torácico

Factores de riesgo

  • antecedentes familiares de ansiedad
  • estrés emocional o físico
  • Antecedentes de traumatismo físico, sexual o emocional
  • otro trastorno de ansiedad
  • afección crónica de la salud física
  • sexo femenino

Pruebas diagnósticas

Pruebas que considerar

  • pruebas de función tiroidea
  • cribado de tóxicos en orina
  • orina de 24 horas para ácido vanililmandélico y metanefrinas
  • pruebas funcionales respiratorias
  • electrocardiograma (ECG)
Más pruebas que considerar

Algoritmo de tratamiento

Colaboradores

Research Director

Consultant Psychiatrist

Southern District Health Board

Senior Lecturer

Department of Psychological Medicine

Dunedin School of Medicine

Otago University

Dunedin

New Zealand

Conflicto de intereses

CG is an author of the Royal Australian and New Zealand College of Psychiatrists clinical practice guideline on social phobia, panic disorder, and generalised anxiety disorder. He is a contributor to the Cochrane Common Mental Disorders group, writing on generalised anxiety disorder, and has authored papers relating to heterogeneity of the database separately to Cochrane work. Otago University has commercial and research relationships with multiple pharmaceutical companies. He is an author of a number of references cited in this topic.

Dr Christopher Gale would like to gratefully acknowledge Dr Richard P. Swinson, Dr Elizabeth Hoge, and Dr Phebe Tucker, previous contributors to this topic. 

Conflicto de intereses

RPS has personally received royalties for articles published in UpToDate (Wolters Kluwer) and the Compendium of Therapeutic Choices, 2nd edition (Canadian Pharmacists Association). EH is an author of a number of references cited in this topic. PT has done research for GlaxoSmithKline, Bristol-Myers Squibb, Wyeth Pharmaceuticals, Astra-Zeneca, Cephalon, Inc., and Ortho-McNeil. She has also consulted for Forest Pharmaceuticals and received honoraria from Pfizer, Inc. and Forest Pharmaceuticals.

Revisores paresVER TODO

Research Director

University of Alabama

School of Medicine Tuscaloosa Campus

College of Community Health Sciences

Tuscaloosa

AL

Conflicto de intereses

LD declares that she has no competing interests.

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