{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:52:39Z","timestamp":1791445959897,"version":"4.3.3"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":7,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Anxiety disorders impose a substantial burden across Asia, yet comprehensive regional surveillance remains limited. In addition, the utility of the Health\u2010Related Quality of Life Instrument with 8 Items (HINT\u20108) for anxiety screening in the Korean population has not been fully clarified. This study integrated data from Global Burden of Disease (GBD) 2021 and Korea National Health and Nutrition Examination Survey (KNHANES) to comprehensively assess the prevalence, incidence, and disability\u2010adjusted life year (DALY) rates of Anxiety disorders across 48 Asian countries and territories from 1990 to 2021. Joinpoint regression, age\u2010period\u2010cohort modelling, decomposition analysis, and health inequality indices were employed to analyse trends and driving factors. In the Korean dataset, eight machine learning algorithms were compared. SHAP analysis was used to interpret the results, and the best\u2010performing model was ultimately developed into an online prediction model. In 2021, Asia accounted for over half of global anxiety cases, and age\u2010standardized rates increased by 14.6%\u201317.1% since 1990. After 2019, incidence (APC\u00a0=\u00a09.532%) and DALY rates (APC\u00a0=\u00a09.157%) rose sharply. Burden patterns varied by sex and age, and population growth was a major driver. In the Korean dataset, XGBoost showed the best performance (AUC\u00a0=\u00a00.894). An 8\u2010feature parsimonious model performed comparably to the 17\u2010feature model while improving interpretability and practical feasibility. Asia's growing anxiety burden demands prioritised care for women, adolescents, and middle\u2010aged populations and better crisis mental health services. A Korean machine\u2010learning tool shows potential but requires broader Asian validation.<\/jats:p>","DOI":"10.1002\/smi.70231","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T07:07:13Z","timestamp":1791443233000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Decoding the Anxiety Burden in Asia and Developing an XGBoost\u2010Based Online Screening Tool Using Korean Data"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8173-2961","authenticated-orcid":false,"given":"Runmin","family":"Cao","sequence":"first","affiliation":[{"name":"Clinical Medical College Jinzhou Medical University  Jinzhou Liaoning Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-7335-9272","authenticated-orcid":false,"given":"Yurun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Rehabilitation Therapy Shandong XIANDAI University  Jinan City Shandong Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Cao","sequence":"additional","affiliation":[{"name":"Jieshou City Center for Disease Control and Prevention  Fuyang City Anhui Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3799-7202","authenticated-orcid":false,"given":"Honghe","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine Anhui University of Science and Technology  Huainan City Anhui Province China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2019.00127"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201019729\u20107"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.23160"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171200147X"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.2307\/2531595"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(17)32154\u20102"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2022.05.082"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/nhs.70080"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978\u2010981\u201032\u20109705\u20100_9"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.3961\/jpmph.21.498"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18115755"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/life12101569"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyt228"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1467385"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.yhbeh.2015.04.002"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2011.03.006"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.21037\/qims\u201023\u2010154"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(21)00359\u20107"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5986"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010021\u201003346\u20104"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.22172"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2008.11.003"},{"key":"e_1_2_14_24_1","unstructured":"UNESCO.2019. \u201cBehind the Numbers: Ending School Violence and Bullying.\u201dhttps:\/\/unesdoc.unesco.org\/ark:\/48223\/pf0000366483."},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11920\u2010020\u201001203\u2010x"},{"key":"e_1_2_14_26_1","unstructured":"World Bank.2022. \u201cPopulation Total. 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