We all know what anxiety feels like—breathlessness, racing heart, sweating, sudden exhaustion. But managing it is a completely different story. A new test, developed by researchers from Indiana University School of Medicine, may help with that. According to ANI, the test works by examines biomarkers that can help them objectively determine someone's risk for developing anxiety, the severity of their current anxiety and which therapies would likely treat their anxiety the best.
"Many people are suffering from anxiety, which can be very disabling and interfere with daily life," said professor of psychiatry Alexander Niculescu, MD, PhD to ANI. He added that the current approach is to talk to people about how they feel to see if they could be on medications. “But some medications can be addictive and create more problems. We wanted to see if our approach to identify blood biomarkers could help us match people to existing medications that will work better and could be a non-addictive choice,” he said.
ANI reported that Niculescu's past research has led to the development of blood tests for pain, depression/bipolar disorder and post-traumatic stress disorder. “This latest work, published in Molecular Psychiatry, uses similar methods for anxiety,” reported ANI, adding that the study included three independent cohorts -- discovery, validation and testing. “Participants would complete a blood test every 3-6 months or whenever a new psychiatric hospitalization occurred. By examining the RNA biomarkers in the blood, researchers could identify a patient's current state of anxiety and matches them with medications and nutraceuticals, showing how effective different options could be for them based on their biology,” said ANI.
According to Niculescu, anxiety can be treated using cognitive behavioural therapy and lifestyle changes, as well as medicines. However, he admits to ANI that “having something objective like this where we can know what someone's current state is as well as their future risk and what treatment options match their profile is very powerful in helping people,” he said.
He also said that, since a person's biomarkers can also change over time, the test could help evaluate a person's risk of developing higher levels of anxiety in the future as well as how other factors might impact their anxiety, like hormonal changes. "There are people who have anxiety and it is not properly diagnosed, then they have panic attacks, but think they're having a heart attack and up in the ER with all sorts of physical symptoms," Niculescu said to ANI. "If we can know that earlier, then we can hopefully avoid this pain and suffering and treat them earlier with something that matches their profile."
He added that this new test could also be used in combination with the other blood tests his research has led to, providing a more comprehensive view of a patient's mental health and risk of future mental health concerns. Researchers can also use the test to develop new treatments for anxiety that are more targeted to individual biomarkers, he told ANI. "This is something that could be a panel test as part of a patient's regular wellness visits to evaluate their mental health over time and prevent any future distress," Niculescu told ANI. "Prevention is better in the long run, so our goal is to be able to provide a comprehensive report for patients and their physicians using simply one tube of blood."