Journal ArticleDOI
Prevalence and recognition of anxiety syndromes in five European primary care settings. A report from the WHO study on Psychological Problems in General Health Care.
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TLDR
Since people with subthreshold anxiety show a substantial degree of disability and suffering, GPs may consider diagnostic criteria to be insufficient, and their awareness of specific definitions and treatment patterns for anxiety disorders still needs a lot of improvement.Abstract:
Background This study explored the prevalence, socio-demographic characteristics and severity of different anxiety syndromes in five European primary care settings, as well as medical help-seeking, recognition by general practitioners (GPs) and treatment prescribed. Method The data were collected as part of the WHO study on Psychological Problems in General Health Care. Among 9714 consecutive primary care patients, 1973 were interviewed using the Composite International Diagnostic Interview. Reason for contact, ICD-10 diagnoses, severity and disability were assessed. Recognition rates and treatment prescribed were obtained from the GPs. Results Anxiety syndromes, whether corresponding to well-defined disorders or to subthreshold conditions, are frequent in primary care and are associated with a clinically significant degree of severity and substantial psychosocial disability. Their recognition by GPs as well as the proportion treated are low. Conclusions Since people with subthreshold anxiety show a substantial degree of disability and suffering, GPs may consider diagnostic criteria to be insufficient. However, their awareness of specific definitions and treatment patterns for anxiety disorders still needs a lot of improvement both for patients' well-being and for the cost resulting from non-treatment.read more
Citations
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Journal ArticleDOI
Anxiety Disorders in Primary Care: Prevalence, Impairment, Comorbidity, and Detection
TL;DR: A large primary carebased anxiety study is analyzed to ascertain commonalities among anxiety diagnoses that are traditionally considered to be discrete and to determine whether a single measure can be used as a first step, common metric.
Journal ArticleDOI
Global prevalence of anxiety disorders: a systematic review and meta-regression
TL;DR: Anxiety disorders are common and the substantive and methodological factors identified here explain much of the variability in prevalence estimates, and specific attention should be paid to cultural differences in responses to survey instruments for anxiety disorders.
Journal ArticleDOI
Evidence-based guidelines for the pharmacological treatment of anxiety disorders: recommendations from the British Association for Psychopharmacology
David S. Baldwin,Ian M. Anderson,David J. Nutt,Borwin Bandelow,Alyson J. Bond,Jonathan R. T. Davidson,J.A. den Boer,Naomi A. Fineberg,Martin Knapp,Jan Scott,Hans-Ulrich Wittchen +10 more
TL;DR: These British Association for Psychopharmacology guidelines cover the diagnosis of anxiety disorders and key steps in clinical management, including acute treatment, relapse prevention and approaches for patients who do not respond to first-line treatments.
Journal ArticleDOI
Development and validation of an Overall Anxiety Severity And Impairment Scale (OASIS)
TL;DR: The Overall Anxiety Severity and Impairment Scale (OASIS) demonstrated excellent 1‐month test–retest reliability, and convergent and divergent validity, and merits consideration as a brief measure of anxiety‐related severity and impairment that can be used across anxiety disorders.
Journal ArticleDOI
Evidence-based pharmacological treatment of anxiety disorders, post-traumatic stress disorder and obsessive-compulsive disorder: A revision of the 2005 guidelines from the British Association for Psychopharmacology
David S. Baldwin,David S. Baldwin,Ian M. Anderson,David J. Nutt,Christer Allgulander,Borwin Bandelow,Johan A. den Boer,David M Christmas,Simon J. C. Davies,Naomi A. Fineberg,Nicky Lidbetter,Andrea Malizia,Paul McCrone,Daniel Nabarro,Catherine O'Neill,Jan Scott,Nic J.A. van der Wee,Hans-Ulrich Wittchen +17 more
TL;DR: This revision of the 2005 British Association for Psychopharmacology guidelines for the evidence-based pharmacological treatment of anxiety disorders provides an update on key steps in diagnosis and clinical management, including recognition, acute treatment, longer-term treatment, combination treatment, and further approaches for patients who have not responded to first-line interventions.
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