期刊
GENERAL HOSPITAL PSYCHIATRY
卷 34, 期 3, 页码 227-233出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.genhosppsych.2012.01.012
关键词
Anxiety disorders; Epidemiology; General practitioner
类别
资金
- Direccio General de Planificacio i Avaluacio Sanitaria-Departament de Salut-Generalitat de Catalunya (Barcelona, Spain)
- Ministerio de Sanidad y Consumo, Instituto de Salud Carlos III [Red RD06/0018/0017]
Objectives: The objectives were to determine the levels of general practitioner (GP) recognition of anxiety disorders and examine associated factors. Methods: An epidemiological survey was carried out in 77 primary care centers representative of Catalonia. A total of 3815 patients were assessed. Results: GPs identified 185 of the 666 individuals diagnosed as meeting the Structured Clinical Interview for DSM-IV Axis 1 Disorders (SCID-1) criteria for any anxiety disorder (sensitivity 0.28). Regarding specific anxiety disorders, panic disorder was registered in just three of the patients who, according to the SCID-I, did not meet the criteria for this condition. Generalized anxiety disorder was recorded by the GP in 46 cases, 4 of them being concordant with the SCID-I (sensitivity 0.03). The presence of comorbid hypertension was associated with an increased probability of recognition. Emotional problems as the patients' main complaint and additional appointments with a mental health specialist were associated with both adequate and erroneous recognition. Being female, having more frequent appointments with the GP and having higher levels of self-perceived stress were related to false positives. As disability increased, the probability of being erroneously detected decreased. Conclusion: GPs recognized anxiety disorders in some sufferers but still failed with respect to differentiating between anxiety disorder subtypes and disability assessment. (C) 2012 Elsevier Inc. All rights reserved.
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