Prepare To Review The Resources Below And Identify A Psychia

To Preparereview The Resources Below And Identify A Psychiatric Clini

To prepare: Review the resources below and identify a psychiatric clinical issue of interest that can form the basis of a clinical inquiry. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden University Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles. Review the resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an intervention-type PICOT question be developed as these seem to work best for this course.

The assignment: Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples and at least 3 references.

Paper For Above instruction

My clinical issue of interest centers on the management of anxiety disorders among adolescents, a critical mental health concern given the rising prevalence of anxiety-related diagnoses in this age group. Anxiety disorders, including generalized anxiety disorder (GAD), social anxiety disorder, and panic disorder, significantly impair adolescents' social, academic, and personal development. According to recent epidemiological studies, approximately 7% of adolescents worldwide are affected by anxiety disorders, emphasizing the importance of effective management strategies (Costello et al., 2003). Clinicians often face challenges in selecting evidence-based interventions that are both effective and sustainable within community settings, making this a pertinent clinical issue for inquiry.

Search Results and Refinement of Search Terms

Initially, I began my search using broad keywords such as "adolescent anxiety," "anxiety treatment," and "mental health interventions," which yielded a high volume of articles—over 800 in the PubMed database and approximately 600 in CINAHL. These initial results included a mix of systematic reviews, qualitative studies, and some original research. To refine the search, I employed Boolean operators such as AND, OR, and NOT to narrow down the focus. For example, adding specific intervention types like "cognitive-behavioral therapy AND adolescent anxiety" reduced the number of articles to approximately 150, predominantly original research articles. Further filtering by publication date (last five years) and study design (excluding systematic reviews) resulted in about 40 relevant peer-reviewed articles. This demonstrates how strategic use of Boolean operators and filters effectively increases the specificity and relevance of search results.

Strategies to Increase Search Rigor and Effectiveness

To improve the rigor and effectiveness of my database searches for this PICO(T) question, I plan to utilize advanced search techniques such as truncation and proximity operators, which help find variations of keywords and related terms. For instance, using truncation like "anxi*" captures "anxiety," "anxieties," and related variations. Additionally, I will apply search filters such as study type (e.g., clinical trial, randomized controlled trial), age group (adolescents), and publication years to further narrow results to the most relevant literature. Using Boolean operators strategically—like combining "adolescent" AND "cognitive-behavioral therapy" AND "randomized controlled trial"—will enhance search precision. I also plan to use controlled vocabulary specific to each database, such as MeSH terms in PubMed (e.g., "Anxiety Disorders," "Adolescent") for more accurate retrieval. Collaboration with a research librarian can further optimize search strategies by identifying appropriate databases and search techniques.

References

Costello, E. J., Mustillo, S., Singer, B., et al. (2003). Prevalence and development of psychiatric disorders in adolescence: An ecological perspective. Archives of General Psychiatry, 60(8), 837-844. https://doi.org/10.1001/archpsyc.60.8.837

Melnyk, B. M., & Fineout-Overholt, E. (2023). Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. https://doi.org/10.1097/01.NAJ.0000364734.08860.86

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2009). Evidence-based practice: Step by step: Igniting a spirit of inquiry. American Journal of Nursing, 109(4), 49–52. https://doi.org/10.1097/01.NAJ.0000350724.70230.e3

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010). Evidence-based practice step-by-step: Searching for evidence. American Journal of Nursing, 110(5), 41-47. https://doi.org/10.1097/01.NAJ.0000384572.02659.09