{"id":9709,"date":"2024-09-16T21:32:30","date_gmt":"2024-09-16T18:32:30","guid":{"rendered":"https:\/\/medilab.km.ua\/?p=9709"},"modified":"2026-04-20T18:55:26","modified_gmt":"2026-04-20T15:55:26","slug":"anxiety-level-assessment-using-current-methodologies-scales-and-biomarkers","status":"publish","type":"post","link":"https:\/\/medilab.km.ua\/en\/anxiety-level-assessment-using-current-methodologies-scales-and-biomarkers\/","title":{"rendered":"Anxiety assessment: modern methods, scales and biomarkers"},"content":{"rendered":"<h2 data-start=\"292\" data-end=\"315\">What is anxiety?<\/h2>\n<p data-start=\"317\" data-end=\"635\">Anxiety is an emotional reaction to a real or perceived threat, which is accompanied by a feeling of internal tension, anticipation of danger, and physiological changes. Unlike ordinary stress, increased anxiety can become chronic and affect health: the cardiovascular, immune, and digestive systems.<\/p>\n<p data-start=\"637\" data-end=\"789\">Therefore, timely <strong data-start=\"652\" data-end=\"680\">anxiety level assessment<\/strong> important not only for psychologists, but also for general practitioners, psychiatrists, cardiologists, and neurologists.<\/p>\n<h2 data-start=\"791\" data-end=\"833\">Basic methods for diagnosing anxiety<\/h2>\n<p data-start=\"835\" data-end=\"1040\">You can assess your level of anxiety using either: <strong data-start=\"884\" data-end=\"911\">self-completed tests<\/strong>, and according to the results <strong data-start=\"935\" data-end=\"960\">laboratory tests<\/strong> or clinical interview. Below is a comparative table of the most common methods:<\/p>\n<div class=\"_tableContainer_16hzy_1\">\n<div class=\"_tableWrapper_16hzy_14 group flex w-fit flex-col-reverse\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"1042\" data-end=\"1804\">\n<thead data-start=\"1042\" data-end=\"1145\">\n<tr data-start=\"1042\" data-end=\"1145\">\n<th data-start=\"1042\" data-end=\"1073\" data-col-size=\"sm\">Method<\/th>\n<th data-start=\"1073\" data-end=\"1090\" data-col-size=\"sm\">Assessment type<\/th>\n<th data-start=\"1090\" data-end=\"1107\" data-col-size=\"sm\">Time of holding<\/th>\n<th data-start=\"1107\" data-end=\"1145\" data-col-size=\"md\">Appointment<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"1249\" data-end=\"1804\">\n<tr data-start=\"1249\" data-end=\"1350\">\n<td data-start=\"1249\" data-end=\"1279\" data-col-size=\"sm\">Beck Scale (BAI)<\/td>\n<td data-start=\"1279\" data-end=\"1296\" data-col-size=\"sm\">Psychometric<\/td>\n<td data-start=\"1296\" data-end=\"1313\" data-col-size=\"sm\">~10 min<\/td>\n<td data-start=\"1313\" data-end=\"1350\" data-col-size=\"md\">Self-rated general anxiety<\/td>\n<\/tr>\n<tr data-start=\"1351\" data-end=\"1469\">\n<td data-start=\"1351\" data-end=\"1381\" data-col-size=\"sm\">Spielberger-Hanin Scale<\/td>\n<td data-start=\"1381\" data-end=\"1398\" data-col-size=\"sm\">Psychometric<\/td>\n<td data-start=\"1398\" data-end=\"1415\" data-col-size=\"sm\">~7 min<\/td>\n<td data-start=\"1415\" data-end=\"1469\" data-col-size=\"md\">Measuring reactive and personality anxiety<\/td>\n<\/tr>\n<tr data-start=\"1470\" data-end=\"1583\">\n<td data-start=\"1470\" data-end=\"1500\" data-col-size=\"sm\">GAD-7 (Generalized Anxiety)<\/td>\n<td data-start=\"1500\" data-end=\"1517\" data-col-size=\"sm\">Screening<\/td>\n<td data-start=\"1517\" data-end=\"1534\" data-col-size=\"sm\">~5 min<\/td>\n<td data-start=\"1534\" data-end=\"1583\" data-col-size=\"md\">Identifying generalized anxiety disorder<\/td>\n<\/tr>\n<tr data-start=\"1584\" data-end=\"1687\">\n<td data-start=\"1584\" data-end=\"1614\" data-col-size=\"sm\"><a href=\"https:\/\/medilab.km.ua\/en\/analysis\/hormonal-panel\/gipotalamo-gipofizarno-nadnyrnykova-systema\/cortisol\/\">Cortisol analysis<\/a><\/td>\n<td data-start=\"1614\" data-end=\"1631\" data-col-size=\"sm\">Laboratory<\/td>\n<td data-start=\"1631\" data-end=\"1648\" data-col-size=\"sm\">1 day<\/td>\n<td data-start=\"1648\" data-end=\"1687\" data-col-size=\"md\">Objective biochemical assessment of stress<\/td>\n<\/tr>\n<tr data-start=\"1688\" data-end=\"1804\">\n<td data-start=\"1688\" data-end=\"1727\" data-col-size=\"sm\">Heart rate variability (HRV)<\/td>\n<td data-start=\"1727\" data-end=\"1743\" data-col-size=\"sm\">Physiological<\/td>\n<td data-start=\"1743\" data-end=\"1752\" data-col-size=\"sm\">~20 min<\/td>\n<td data-start=\"1752\" data-end=\"1804\" data-col-size=\"md\">Sympathetic nervous system activation indicator<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 data-start=\"1806\" data-end=\"1853\">Psychometric tests: accessible and informative<\/h2>\n<p data-start=\"1855\" data-end=\"2072\">Assessment using the Beck, Spielberger or GAD-7 scales allows you to quickly and effectively understand how prone a patient is to anxiety reactions. Such tests are widely used in clinical practice and psychotherapy. For example:<\/p>\n<ul data-start=\"2074\" data-end=\"2347\">\n<li data-start=\"2074\" data-end=\"2202\">\n<p data-start=\"2076\" data-end=\"2202\"><strong data-start=\"2076\" data-end=\"2085\">GAD-7<\/strong> is considered the gold standard in primary care. A score of \u226510 points is the criterion for referral to a psychiatrist.<\/p>\n<\/li>\n<li data-start=\"2204\" data-end=\"2347\">\n<p data-start=\"2206\" data-end=\"2347\"><strong data-start=\"2206\" data-end=\"2220\">Beck scale<\/strong> allows you to divide the level of anxiety into minimal, moderate and high, as well as track the dynamics during treatment.<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"2349\" data-end=\"2382\">Biochemical markers of anxiety<\/h2>\n<p data-start=\"2384\" data-end=\"2577\">Although anxiety is an emotional and behavioral category, modern medicine also uses <strong data-start=\"2472\" data-end=\"2486\">biomarkers<\/strong>, which can display <strong data-start=\"2511\" data-end=\"2543\">physiological state of the body<\/strong> with chronic stress. Among them:<\/p>\n<ul data-start=\"2579\" data-end=\"3017\">\n<li data-start=\"2579\" data-end=\"2702\">\n<p data-start=\"2581\" data-end=\"2702\"><strong data-start=\"2581\" data-end=\"2593\">Cortisol<\/strong> (in blood or saliva): elevated levels indicate hyperactivation of the hypothalamic-pituitary-adrenal axis.<\/p>\n<\/li>\n<li data-start=\"2703\" data-end=\"2816\">\n<p data-start=\"2705\" data-end=\"2816\"><strong data-start=\"2705\" data-end=\"2721\">CATECHOLAMINES<\/strong> (<a href=\"https:\/\/medilab.km.ua\/en\/blood-test-for-adrenaline-when-the-stress-hormone-becomes-a-marker-of-the-disease\/\">adrenalin<\/a>, <a href=\"https:\/\/medilab.km.ua\/en\/what-does-a-noradrenaline-test-show-when-it-is-worth-giving\/\">noradrenaline<\/a>): used to assess the function of the sympathetic nervous system.<\/p>\n<\/li>\n<li data-start=\"2817\" data-end=\"2924\">\n<p data-start=\"2819\" data-end=\"2924\"><strong data-start=\"2819\" data-end=\"2841\">C-reactive protein<\/strong> (CRP): sometimes elevated in chronic anxiety due to an inflammatory response.<\/p>\n<\/li>\n<li data-start=\"2925\" data-end=\"3017\">\n<p data-start=\"2927\" data-end=\"3017\"><strong data-start=\"2927\" data-end=\"2961\">Heart rate variability<\/strong>: low HRV is associated with high anxiety.<\/p>\n<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9711\" src=\"https:\/\/medilab.km.ua\/wp-content\/themes\/woodmart\/images\/lazy.svg\" data-src=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi.jpg\" alt=\"Table with biomarkers of anxiety\" width=\"1200\" height=\"800\" srcset=\"\" data-srcset=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi.jpg 1200w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi-150x100.jpg 150w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi-600x400.jpg 600w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi-300x200.jpg 300w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi-1024x683.jpg 1024w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/dogovorennost-o-koronaviruse-s-obrazcami-krovi-i-vakcinoi-768x512.jpg 768w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><\/p>\n<h2 data-start=\"3019\" data-end=\"3054\">When should you see a doctor?<\/h2>\n<p data-start=\"3056\" data-end=\"3107\">You should undergo an anxiety assessment if you:<\/p>\n<ul data-start=\"3109\" data-end=\"3368\">\n<li data-start=\"3109\" data-end=\"3171\">\n<p data-start=\"3111\" data-end=\"3171\">Feeling persistent tension or anxiety for \u22652 weeks<\/p>\n<\/li>\n<li data-start=\"3172\" data-end=\"3224\">\n<p data-start=\"3174\" data-end=\"3224\">You have sleep disorders, digestion, decreased appetite<\/p>\n<\/li>\n<li data-start=\"3225\" data-end=\"3266\">\n<p data-start=\"3227\" data-end=\"3266\">You often wake up with a feeling of panic.<\/p>\n<\/li>\n<li data-start=\"3267\" data-end=\"3313\">\n<p data-start=\"3269\" data-end=\"3313\">Avoiding social situations or contacts<\/p>\n<\/li>\n<li data-start=\"3314\" data-end=\"3368\">\n<p data-start=\"3316\" data-end=\"3368\">You observe fluctuations in blood pressure, heartbeat, tremors<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"3370\" data-end=\"3399\">Who performs the diagnosis?<\/h2>\n<p data-start=\"3401\" data-end=\"3515\">You can do an initial assessment yourself using online tests. However, a formal diagnosis should be made by:<\/p>\n<ul data-start=\"3517\" data-end=\"3727\">\n<li data-start=\"3517\" data-end=\"3580\">\n<p data-start=\"3519\" data-end=\"3580\"><strong data-start=\"3519\" data-end=\"3537\">family doctor<\/strong> or <strong data-start=\"3542\" data-end=\"3554\">neurologist<\/strong> \u2014 for primary complaints<\/p>\n<\/li>\n<li data-start=\"3581\" data-end=\"3631\">\n<p data-start=\"3583\" data-end=\"3631\"><strong data-start=\"3583\" data-end=\"3595\">psychiatrist<\/strong> \u2014 if a mental disorder is suspected<\/p>\n<\/li>\n<li data-start=\"3632\" data-end=\"3727\">\n<p data-start=\"3634\" data-end=\"3727\"><strong data-start=\"3634\" data-end=\"3650\">endocrinologist<\/strong> \u2014 if hormonal causes are suspected (hyperthyroidism, adrenal dysfunction)<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3734\" data-end=\"4026\">Assessing your anxiety level is not only a matter of emotional well-being, but also <strong data-start=\"3808\" data-end=\"3838\">important medical indicator<\/strong>, which affects overall health. Early diagnosis helps prevent complications, adapt lifestyle, and select effective therapy \u2014 both psychological and pharmacological.<\/p>","protected":false},"excerpt":{"rendered":"<p>What is anxiety? Anxiety is an emotional reaction to a real or perceived threat, which is accompanied by a feeling of internal tension, anticipation of danger,<\/p>","protected":false},"author":627,"featured_media":9710,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9709","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9709","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/users\/627"}],"replies":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/comments?post=9709"}],"version-history":[{"count":0,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/9709\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media\/9710"}],"wp:attachment":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media?parent=9709"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/categories?post=9709"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/tags?post=9709"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}