[Early detection and treatment of XXXX with or without @entity8396 : update].

@entity1 @entity4697 @entity146 @entity8396 @entity1726
OBJECTIVE: To describe for family physicians screening, diagnosis, and treatment of @entity4697 with or without @entity8396 ( @entity1726 /A). QUALITY OF EVIDENCE: Articles were identified through PsycLIT, PsyINFO, and MEDLINE (1985 to 2006) using the terms @entity4697 , psychotherapy, psychosocial treatment, treatment, and pharmacotherapy. Recommendations on treatment choices and guidelines are based on data from high-quality studies only. Information about assessment and diagnosis of @entity1726 /A is supported by the most recent epidemiologic studies, as well as expert consensus and opinion. MAIN MESSAGE: @entity4697 with or without @entity8396 is a @entity146 frequently encountered in primary care. It appears to be underdiagnosed and undertreated in this medical setting. Early successful screening requires a focus on unexplained symptoms and specific questions aimed at identifying @entity4697 attacks and their meaning for @entity1 . The treatment of choice for @entity1726 /A is cognitive-behavioral therapy administered by a specialized psychologist or psychiatrist. When such therapy is hard to come by or unavailable, family physicians can prescribe drug therapy. CONCLUSION: Family physicians can contribute greatly to early detection and treatment of @entity1726 /A.
