Anxiety disorders and healthcare utilization: A systematic review

Horenstein, Arielle; Heimberg, Richard G.

doi:10.1016/j.cpr.2020.101894

Cited by 183Anxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health Treatment and AccessPsychosomatic Disorders and Their Treatments

Anxiety disorders and healthcare utilization: A systematic review

Horenstein, Arielle, Heimberg, Richard G.·2020·Clinical Psychology Review

DOI 10.1016/j.cpr.2020.101894

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Abstract

Anxiety disorders and related traits have become increasingly relevant to the study of physical health and health behaviors over the years. One important health behavior is healthcare utilization, and both over- and under-use have important implications within both personal and public health domains. Anxiety disorders are associated with reassurance-seeking, avoidance behaviors, and other characteristics and traits that may impact patterns of healthcare utilization. The current paper reviews the literature on the known associations between anxiety disorders and healthcare utilization, including studies (N = 70) that examined the association of healthcare utilization with generalized anxiety disorder, social anxiety disorder, panic disorder and agoraphobia, dental and blood-injection-injury phobias, and illness anxiety disorder/health anxiety. Overall, the majority of the studies reviewed indicate that anxiety disorders and health anxiety are associated with increased healthcare utilization across multiple care settings. In addition, there is preliminary but limited evidence that, in some cases, anxiety can be associated with delayed, irregular, or inconsistent use of healthcare services. More work is needed to fine-tune our understanding of the impact of anxiety disorders in healthcare settings.

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“Overutilisation of health services is also considered a core maladaptive coping behaviour in health anxiety [11, 59].”
From Illness Anxiety Disorder: A Review of the Current Research and Future Directions (2024) · cites this paper as [59]

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Wagner, J. A., Pietrzak, R. H., & Petry, N. M. (2008) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-008-0377-2 · Cited by 30 · see citing works
Precipitating events, locations and reactions associated with initial unexpected panic attacks.
Shulman, I., Cox, B., Swinson, R., Kuch, K., & Reichman, J. T. (1994) · Behaviour Research and Therapy · doi:10.1016/0005-7967(94)90079-5 · Cited by 29 · see citing works
The relationship of chronic pain with and without comorbid psychiatric disorder to sleep disturbance and health care utilization: Results from the Israel National Health Survey
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The association between symptoms of generalized anxiety disorder and appointment adherence, overnight hospitalization, and emergency department/urgent care visits among adults living with HIV enrolled in care
Mannes, Z. L., Hearn, L. E., Zhou, Z., Janelle, J. W., Cook, R. L., & Ennis, N. (2018) · Journal of Behavioral Medicine · doi:10.1007/s10865-018-9988-6 · Cited by 28 · see citing works
Effects of psychological intervention on panic attack patients in the emergency department.
Dyckman, J. M., Rosenbaum, R. L., Hartmeyer, R. J., & Walter, L. (1999) · Psychosomatics · doi:10.1016/s0033-3182(99)71207-7 · Cited by 27 · see citing works
Somatoform disorder in primary care: T he influence of co‐morbidity with anxiety and depression on health care utilization
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Health care utilization in outpatients with somatoform disorders: Descriptives, interdiagnostic differences, and potential mediating factors
Weiss, F. D., Rief, W., & Kleinstäuber, M. (2016) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2016.10.003 · Cited by 24 · see citing works
Atypical Chest Pain and Panic Disorder
Mateos, A., Perez, B., Carrasco, S.-D., & Olivares, D. (2010) · Psychotherapy and Psychosomatics · doi:10.1159/000288305 · Cited by 21 · see citing works
Health care utilization and expenditures of persons with diabetes comorbid with anxiety disorder: a national population-based cohort study
Huang, C., Chiu, H., Hsieh, H., Yen, J., Lee, M., Chang, K., Li, C.-Y., & Lin, C. (2015) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2015.04.008 · Cited by 21 · see citing works
Panic disorder, cardiac diagnosis and emergency department utilization in an epidemiologic community sample
Korczak, D. J., Goldstein, B. I., & LEVITT, A. J. (2007) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2007.03.006 · Cited by 18 · see citing works
Treating a Man With Needle Phobia Who Requires Daily Injections of Medication
Jacobsen, P. B. (1991) · Psychiatric Services · doi:10.1176/ps.42.9.877 · Cited by 18 · see citing works
Distress Symptoms and High-Risk Behaviors Prospectively Associated With Treatment Use Among Returning Veterans
Naragon‐Gainey, K., Hoerster, K. D., Malte, C. A., & Jakupcak, M. (2012) · Psychiatric Services · doi:10.1176/appi.ps.201100349 · Cited by 18 · see citing works
Comparison between the psychopathological profile of dental anxiety patients and an average dental population.
Kaufman, E., Bauman, A., Lichtenstein, T., Garfunkel, A. A., & Dg, H. (1991) · PubMed · Cited by 17 · see citing works
How does anxiety sensitivity increase risk of chronic medical conditions?
Horenstein, A., Potter, C. M., & Heimberg, R. G. (2018) · Clinical Psychology: Science and Practice · doi:10.1037/h0101753 · Cited by 16 · see citing works
Self-citation
Patterns of healthcare utilization in patients with generalized anxiety disorder in general practice in Germany
Berger, A., Dukes, E. M., Wïttchen, H., Morlock, R., Edelsberg, J., & Oster, G. (2009) · The European Journal of Psychiatry · doi:10.4321/s0213-61632009000200003 · Cited by 15 · see citing works
Panic disorder in public sector primary care: Clinical characteristics and illness severity compared with ?mainstream? primary care panic disorder
Roy‐Byrne, P., Russo, J. E., Cowley, D. S., & Katon, W. J. (2003) · Depression and Anxiety · doi:10.1002/da.10082 · Cited by 14 · see citing works
Time course of attentional bias for health-related information in individuals with health anxiety
Kim, S., & Lee, J.-H. (2014) · Journal of Health Psychology · doi:10.1177/1359105314557976 · Cited by 14 · see citing works
Impact of psychiatric illness upon asthma patients’ health care utilization and illness control. Are all psychiatric comorbidities created equal?
Pilipenko, N., Karekla, M., Georgiou, A., & Feldman, J. M. (2016) · Psychology Health & Medicine · doi:10.1080/13548506.2015.1131995 · Cited by 13 · see citing works
Clinical implications of panic symptoms in dental phobia
Potter, C. M., Kinner, D. G., Téllez, M., Ismail, A. I., & Heimberg, R. G. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.07.013 · Cited by 11 · see citing works
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Characteristics of panic disorder patients consulting an emergency department with noncardiac chest pain.
Belleville, G., Foldes‐Busque, G., & Marchand, A. (2010) · Primary psychiatry · Cited by 11 · see citing works
Factors Influencing Care Seeking for a Self-Defined Worst Panic Attack
Katerndahl, D. A. (2002) · Psychiatric Services · doi:10.1176/appi.ps.53.4.464 · Cited by 10 · see citing works
Patients with psychiatric disorders in gynecologic practice—a three year follow-up
Malmenström, M., Bixo, M., Björn, I., Åström, M., & Poromaa, I. S. (2006) · Journal of Psychosomatic Obstetrics & Gynecology · doi:10.1080/01674820500165968 · Cited by 8 · see citing works
Independent Relationships among Outcomes and Their Predictors in Subjects with Panic Attacks
Katerndahl, D. A., & Palmer, R. F. (2000) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200010000-00011 · Cited by 4 · see citing works

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The prevalence and characteristics of misophonia in Ankara, Turkey: population-based study
Kılıç, C., Öz, G., Avanoğlu, K. B., & Aksoy, S. (2021) · BJPsych Open · doi:10.1192/bjo.2021.978 · Cited by 88 · see citing works
The impact of COVID-19 on individual oral health: a scoping review
Dickson‐Swift, V., Kangutkar, T., Knevel, R. J. M., & Down, S. (2022) · BMC Oral Health · doi:10.1186/s12903-022-02463-0 · Cited by 69 · see citing works
Health anxiety among adults with congenital heart disease
Roseman, A., Morton, L., & Kovacs, A. H. (2020) · Current Opinion in Cardiology · doi:10.1097/hco.0000000000000811 · Cited by 62 · see citing works
The relationship between self-reported interoception and anxiety: A systematic review and meta-analysis
Clemente, R., Murphy, A., & Murphy, J. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105923 · Cited by 61 · see citing works
Testing the Pragmatic Effectiveness of a Consumer-Based Mindfulness Mobile App in the Workplace: Randomized Controlled Trial
Huberty, J. L., Espel-Huynh, H. M., Neher, T. L., & Puzia, M. E. (2022) · JMIR mHealth and uHealth · doi:10.2196/38903 · Cited by 44 · see citing works
Public Perspectives on Decisions About Emergency Care Seeking for Care Unrelated to COVID-19 During the COVID-19 Pandemic
Gale, R., Eberlein, S. A., Fuller, G., Khalil, C., Almario, C. V., & Spiegel, B. M. R. (2021) · JAMA Network Open · doi:10.1001/jamanetworkopen.2021.20940 · Cited by 46 · see citing works
Obsessive-compulsive disorder in the World Mental Health surveys
Stein, D. J., Ruscio, A. M., Altwaijri, Y. A., Chiu, W. T., Sampson, N. A., Aguilar‐Gaxiola, S., Al-Hamzawi, A., Alonso, J., Chardoul, S., Gureje, O., et al. (2025) · BMC Medicine · doi:10.1186/s12916-025-04209-5 · Cited by 42 · see citing works
Illness Anxiety Disorder: A Review of the Current Research and Future Directions
Kikas, K., Werner-Seidler, A., Upton, E., & Newby, J. (2024) · Current Psychiatry Reports · doi:10.1007/s11920-024-01507-2 · Cited by 31 · see citing works
“Overutilisation of health services is also considered a core maladaptive coping behaviour in health anxiety [11, 59].”
Background
Social inequalities in health anxiety: A systematic review and meta-analysis
Barbek, R., Makowski, A. C., & Knesebeck, O. V. D. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110706 · Cited by 34 · see citing works
Dental fear, anxiety, and phobia; causes, diagnostic criteria and the medical and social impact
Avramova, N. (2022) · Journal of Mind and Medical Sciences · doi:10.22543/2392-7674.1348 · Cited by 29 · see citing works
Global prevalence of anxiety symptoms and its associated factors in older adults: A systematic review and meta‐analysis
Shafiee, A., Mohammadi, I., Rajai, S., Jafarabady, K., & Abdollahi, A. (2024) · Journal of general and family medicine · doi:10.1002/jgf2.750 · Cited by 38 · see citing works
Influence of perceived stress on fertility intention among women of childbearing age without children: multiple mediating effect of anxiety, family communication and subjective well-being
Zhao, J., Qi, W., Cheng, Y., Hao, R., Yuan, M., Jin, H., Wang, Y., Lv, H., Wu, Y., & Hu, J. (2024) · Reproductive Health · doi:10.1186/s12978-024-01855-5 · Cited by 30 · see citing works
Barriers to healthcare for Australian autistic adults
Arnold, S. R. C., Bruce, G., Weise, J. C., Mills, C., Trollor, J. N., & Coxon, K. (2023) · Autism · doi:10.1177/13623613231168444 · Cited by 25 · see citing works
Clusters of COVID-19 protective and risky behaviors and their associations with pandemic, socio-demographic, and mental health factors in the United States
Nishimi, K. M., Borsari, B. E., Marx, B. P., Rosen, R. C., Cohen, B. E., Woodward, E., Maven, D., Tripp, P., Jiha, A., Woolley, J. D., et al. (2021) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2021.101671 · Cited by 25 · see citing works
Symptoms of depression and anxiety, and unmet healthcare needs in adults during the COVID-19 pandemic: a cross-sectional study from the Canadian Longitudinal Study on Aging
Khattar, J., Griffith, L. E., Jones, A., Rubeis, V. D., de Groh, M., Jiang, Y., Basta, N. E., Kirkland, S., Wolfson, C. M., Raina, P. S., et al. (2022) · BMC Public Health · doi:10.1186/s12889-022-14633-4 · Cited by 25 · see citing works
Generalised anxiety and panic symptoms in the German National Cohort (NAKO)
Erhardt, A., Gelbrich, G., Klinger-König, J., Streit, F., Kleineidam, L., Riedel-Heller, S. G., NAKO Investigators, Schmidt, B., Schmiedek, F., Wagner, M., et al. (2021) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2021.2011409 · Cited by 21 · see citing works
Effect of Work–Family Conflict on Three-Child Fertility Intention of Working Women of Reproductive Age under the Background of Active Reproductive Support: The Moderating and Mediating Effects of Anxiety Disorders and Life Stress
Jiang, M., Wu, Z., He, B., Tu, A., & Wu, Y. (2022) · Sustainability · doi:10.3390/su142114615 · Cited by 21 · see citing works
Serious mental illness, other mental health disorders, and outpatient health care as predictors of 30-day readmissions following medical hospitalization
Cook, J. Α., Burke-Miller, J. K., Razzano, L. A., Steigman, P. J., Jonikas, J. A., & Santos, A. B. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2021.02.004 · Cited by 19 · see citing works
Psychological distress, social support, and use of outpatient care among adult men and women with coronary artery disease or other non-cardiovascular chronic disease
Bouchard, V., Robitaille, A., Perreault, S., Cyr, M., Tardif, J., Busseuil, D., & D’Antono, B. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111131 · Cited by 18 · see citing works
The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
Duberstein, Z. T., Brunner, J., Panisch, L. S., Bandyopadhyay, S., Irvine, C., Macri, J. A., Pressman, E. K., Thornburg, L. L., Poleshuck, E. L., Bell, K., et al. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.746803 · Cited by 20 · see citing works
Risk factors for initial appointment non-attendance at Improving Access to Psychological Therapy (IAPT) services: A retrospective analysis
Sweetman, J., Knapp, P., McMillan, D., Fairhurst, C. M., Delgadillo, J., & Hewitt, C. E. (2022) · Psychotherapy Research · doi:10.1080/10503307.2022.2140616 · Cited by 17 · see citing works
The Childbirth Fear Questionnaire and the Wijma Delivery Expectancy Questionnaire as Screening Tools for Specific Phobia, Fear of Childbirth
Fairbrother, N., Albert, A., Collardeau, F., & Keeney, C. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084647 · Cited by 16 · see citing works
Social Anxiety Symptoms in Survivors of Childhood and Adolescent Cancer
Schilstra, C. E., Fardell, J. E., Ellis, S. J., Jones, K. M., Anazodo, A. C., Trahair, T. N., Lah, S. S., Cohn, R. J., Wakefield, C. E., & Sansom‐Daly, U. M. (2021) · Journal of Adolescent and Young Adult Oncology · doi:10.1089/jayao.2021.0050 · Cited by 16 · see citing works
Exploring the impact of mental health conditions on vaccine uptake in high-income countries: a systematic review
Suffel, A. M., Ojo-Aromokudu, O., Carreira, H., Mounier‐Jack, S., Osborn, D., Warren‐Gash, C., & McDonald, H. I. (2023) · BMC Psychiatry · doi:10.1186/s12888-022-04512-y · Cited by 15 · see citing works
Financial Anxiety is Associated With Cancer Screening Adherence in Women at High Risk of Breast Cancer
Jones, S. M. W., Schuler, T. A., Padamsee, T. J., & Andersen, M. R. (2021) · Annals of Behavioral Medicine · doi:10.1093/abm/kaab010 · Cited by 15 · see citing works
Anxiety and Related Disorders During the Perinatal Period
Fairbrother, N., Challacombe, F. L., Green, S. M., & O’Mahen, H. (2025) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081423-020126 · Cited by 14 · see citing works
Psychometric properties and diagnostic accuracy of the short form of the geriatric anxiety scale (GAS-10)
Carlucci, L., Balestrieri, M., Maso, E., Marini, A., Conte, N., & Balsamo, M. (2021) · BMC Geriatrics · doi:10.1186/s12877-021-02350-3 · Cited by 11 · see citing works
The Impact of the COVID-19 Pandemic on Avoidance of Health Care, Symptom Severity, and Mental Well-Being in Patients With Coronary Artery Disease
Maehl, N., Bleckwenn, M., Riedel-Heller, S. G., Mehlhorn, S., Lippmann, S., Deutsch, T., & Schrimpf, A. M. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.760265 · Cited by 13 · see citing works
Prevalence and predictors of depressive and anxiety symptoms in a sample of women who use drugs in Tanzania: the key role of drug use stigma
Saleem, H. T., West, N., & Likindikoki, S. L. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05008-z · Cited by 13 · see citing works
Factors Associated With Intended Utilization of Home-Based Long-Term Care Among Older Adults in China: The Moderating Effect of Community Support
Che, R., & Cheung, M. (2024) · The Journals of Gerontology Series B · doi:10.1093/geronb/gbae146 · Cited by 15 · see citing works
Development of a patient‐centered text message‐based platform for the self‐management of interstitial cystitis/bladder pain syndrome symptoms
Kim, E. K., Brown, L. A., Seltzer, E., Hartzell‐Leggin, D., Borodyanskaya, Y., Andy, U. U., Rosin, R. M., WHITMORE, K. E., Newman, D. K., & Arya, L. A. (2022) · Neurourology and Urodynamics · doi:10.1002/nau.25115 · Cited by 13 · see citing works
Prevalence of Mood and Anxiety Disorders in Canadians with Cardiovascular Disease: A Cross-Sectional Study
Sohier, L., Dallaire-Habel, S., Turcotte, S., & Foldes‐Busque, G. (2024) · Heart and Mind · doi:10.4103/hm.hm-d-23-00060 · Cited by 12 · see citing works
Biobehavioral approach to distinguishing panic symptoms from medical illness
Tunnell, N. C., Corner, S. E., Roque, A. D., Kroll, J. L., Ritz, T., & Meuret, A. E. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1296569 · Cited by 15 · see citing works
Broadening the conceptualization of panic disorder to include the fear presentation of avoidant/restrictive food intake disorder: The legacy of panic control therapy.
Zickgraf, H. F., & Schwartz, R. A. (2024) · Behaviour Research and Therapy · doi:10.1016/j.brat.2024.104677 · Cited by 10 · see citing works
Validation of the Achalasia Patient‐Reported Outcomes Questionnaire
Pandolfino, J. E., Carlson, D. A., McGarva, J., Kahrilas, P. J., Vaezi, M. F., Katzka, D. A., & Taft, T. (2022) · Alimentary Pharmacology & Therapeutics · doi:10.1111/apt.17230 · Cited by 12 · see citing works
Diet and Lifestyle in the Spanish Population and Their Relationship with Sociodemographic Variables: A Descriptive Study
Sandri, E., Larumbe, E. C., Part-Ferrer, R., Ferrer‐Torregrosa, J., & Fernández-Ehrling, N. (2023) · Foods · doi:10.3390/foods12183409 · Cited by 12 · see citing works
The anti-anxiety/depression effect of a combined complex of casein hydrolysate and γ-aminobutyric acid on C57BL/6 mice
Cai, L., Tao, Q., Li, W., Zhu, X., & Cui, C. (2022) · Frontiers in Nutrition · doi:10.3389/fnut.2022.971853 · Cited by 11 · see citing works
Differential Associations of Depressive Symptomology to HIV Care Engagement Among Young Black Sexual Minority Men with HIV (YBSMM+) in the US South: A Multi-Group Analysis of Mood, Intimate Partner Violence, and Alcohol Use
Ramos, S. D., Vincent, W., Siconolfi, D. E., Pollack, L. M., Horvath, K. J., Campbell, C. K., Tebbetts, S., Kegeles, S. M., & Storholm, E. D. (2023) · AIDS and Behavior · doi:10.1007/s10461-023-04186-x · Cited by 12 · see citing works
Determinants of Telemedicine Service Use Among Middle-Aged and Older Adults in Germany During the COVID-19 Pandemic: Cross-Sectional Survey Study
Neumann, A., König, H., & Hajek, A. (2024) · JMIR Aging · doi:10.2196/50938 · Cited by 10 · see citing works
A systematic review on physiology-based anxiety detection using machine learning
Shikha, S., Sethia, D., & Indu, S. (2025) · Biomedical Physics & Engineering Express · doi:10.1088/2057-1976/add5fc · Cited by 7 · see citing works
P‐4.34: Virtual Reality Content Generation for Anxiety and Stress Management: Current Status, Challenges, and Future Developments
Zheng, Y., Li, Z., Ma, W., Li, T., Zheng, J., & Wang, L. (2024) · SID Symposium Digest of Technical Papers · doi:10.1002/sdtp.17227 · Cited by 7 · see citing works
Interoceptive Interventions
Ritz, T., Meuret, A. E., & Corner, S. E. (2024) · Springer eBooks · doi:10.1007/978-3-031-68521-7_12 · Cited by 7 · see citing works
MENTAL DISORDERS AND CARDIOVASCULAR DISEASES: GUIDELINES OF THE BAIKAL PSYCHOSOMATIC ASSOCIATION AND THE SIBERIAN PSYCHOSOMATIC ASSOCIATION
Fi, B., Sumin, A. N., Garganeeva, N. P., Ларева, Н. В., Петрова, М. М., Петрунько, О. В., Попонина, Т. М., Repin, A. N., & Собенников, В. С. (2024) · Complex Issues of Cardiovascular Diseases · doi:10.17802/2306-1278-2024-13-3s-222-253 · Cited by 7 · see citing works
Exploring Factors and Associate Responses for Anxiety in the Coronavirus Disease 2019 Pandemic: A Web-Based Survey in Japan
Zhuang, J., Cai, G., Lu, Y., Xu, X., Lin, Y., Wong, L. P., Hu, Z., Yamamoto, T., Morita, K., Aoyagi, K., et al. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.795219 · Cited by 7 · see citing works
Systematic review to explore the effect of yoga on anxiety in adults
Laban-Sharman, A., Deveci, M. M., & Laban-Sharman, D. R. (2023) · Mental Health Global Challenges Journal · doi:10.56508/mhgcj.v6i1.150 · Cited by 7 · see citing works
Physiological Sensing and Machine Learning Approaches Toward Anxiety Detection: A Systematic Review
Ahmadi, N., Abbasian, P., Hou, Q., Powell, L., & Hammond, T. (2025) · IEEE Sensors Reviews · doi:10.1109/sr.2025.3643386 · Cited by 7 · see citing works
Clinical and cognitive insight in panic disorder: phenomenology and treatment effects in internet cognitive behavior therapy
Halaj, A., Strauss, A. Y., Zlotnick, E., Zalaznik, D., Fradkin, I., Andersson, G., Ebert, D. D., & Huppert, J. D. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.02.011 · Cited by 6 · see citing works
Health-related quality of life, service utilisation and costs for anxiety disorders in children and young people: A systematic review and meta-analysis
Dona, S. W. A., McKenna, K., Ho, T. Q. A., Mudiyanselage, S. B., Seymour, M., Le, H., & Gold, L. H. (2025) · Social Science & Medicine · doi:10.1016/j.socscimed.2025.118023 · Cited by 7 · see citing works
The Influence of Transaction Process With Doctors on Patient Satisfaction, Self-Rating Anxiety and Self-Efficacy Among International Students in China
Julien, J., Wang, X., Han, M., Zhou, Q., Wang, D., & Zhang, X. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.737278 · Cited by 6 · see citing works
Associations of Mental Health Measures and Retention in a Community-Based Perinatal Care Recovery Support Program for Women of Childbearing Age With Substance Use Disorder
Hodges, M., Chambers, J. E., Denne, S. C., Wiehe, S. E., Tang, Q., Park, S., & Litzelman, D. K. (2022) · Journal of Dual Diagnosis · doi:10.1080/15504263.2022.2124008 · Cited by 6 · see citing works
Examining the relationship between cognitive factors and insight in panic disorder before and during treatment
Halaj, A., Strauss, A. Y., Zalaznik, D., Fradkin, I., Zlotnick, E., Andersson, G., Ebert, D., & Huppert, J. (2023) · Cognitive Behaviour Therapy · doi:10.1080/16506073.2023.2179539 · Cited by 7 · see citing works
Who uses food barcode scanner apps and why? Exploration of users' characteristics and development of the Food Barcode Scanner App Questionnaire
Hanras, E., Chevrier, B., Dorard, G., & Boujut, É. (2023) · Journal of Human Nutrition and Dietetics · doi:10.1111/jhn.13240 · Cited by 6 · see citing works
Blended Mobile-Based Interventions With Integrated Virtual Reality Exposure Therapy for Anxiety Disorders: Thematic Analysis of Patient Perspectives
Planert, J., Hildebrand, A. S., Machulska, A., Roesmann, K., Neubert, M., Pilgramm, S., Pilgramm, J., & Klucken, T. (2025) · JMIR Human Factors · doi:10.2196/60957 · Cited by 5 · see citing works
Care trajectories of individuals with anxiety disorders: A retrospective cohort study
Roberge, P., Hudon, C., Courteau, J., Courteau, M., Dufour, I., & Chiu, Y. M. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.12.043 · Cited by 5 · see citing works
Anxiety and hypertension in young and middle-aged adults: a longitudinal cohort study
Jones, L., & Romeiser, J. L. (2025) · Journal of Public Health · doi:10.1093/pubmed/fdaf039 · Cited by 5 · see citing works
An exploratory randomized controlled trial of an AI-enabled mental health intervention for generalized anxiety
Allen, A., Young, A. H., Jellesma, F. C., Vorobev, A., Ivanova, E., Babakov, N., Gisnarian, A., & Kannis‐Dymand, L. (2026) · Journal of Affective Disorders · doi:10.1016/j.jad.2026.121275 · Cited by 5 · see citing works
Associations between atrial fibrillation symptom clusters and major adverse cardiovascular events following catheter ablation
Scharp, D., Zhao, Y., Bulck, L. V., Volodarskiy, A., Slotwiner, D. J., & Turchioe, M. R. (2024) · Heart Rhythm O2 · doi:10.1016/j.hroo.2024.08.013 · Cited by 4 · see citing works
Differences in need for and access to eye health services between older people with and without disability: A cross-sectional survey in four districts of northern Uganda
Jolley, E., Davey, C., Bechange, S., Atto, G., Denis, E., Otim, A., Sentongo, J., Wani, A., Adera, T. H., Kasadhakawo, M., et al. (2024) · PLOS Global Public Health · doi:10.1371/journal.pgph.0003645 · Cited by 4 · see citing works
Life expectancy associated with specific mental disorders and the contribution of causes of death: a population-based study in the region of Catalonia
Moneta, M. V., Haro, J. M., Plana‐Ripoll, O., & Olaya, B. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116480 · Cited by 4 · see citing works
Analysis of factors influencing delayed treatment seeking for dental caries in preschool children: a cross-sectional study
Huang, J., Sun, J., Ji, Y., Chen, C., Yang, Z., & Zhao, H. (2025) · BMC Public Health · doi:10.1186/s12889-025-22936-5 · Cited by 4 · see citing works
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Authors: Horenstein, A., & Heimberg, R. G.
Affiliations: Temple University (US)
Corresponding author: Heimberg, Richard G.
ORCID: Horenstein, Arielle
Heimberg, Richard G.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2020-11
Volume: 81
Pages: 101894
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2020.101894
OpenAlex: W3047067270
Cited by: 183
References: 119
Citations by year: 2026: 31 · 2025: 42 · 2024: 41 · 2023: 25 · 2022: 24 · 2021: 18 · 2020: 2
FWCI: 2.52
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords: anxiety disorders, health care utilization, generalized anxiety disorder, social anxiety disorder, panic disorder, agoraphobia, phobia, health anxiety, reassurance seeking, avoidance behavior
MeSH terms: Phobia, Social, Adult, Aged, Anxiety Disorders, Female, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Phobic Disorders, Panic Disorder

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Anxiety disorders and healthcare utilization: A systematic review

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