Recognition of anxiety disorders by the general practitioner: Results from the DASMAP Study

Anna Fernández*, María Rubio-Valera, Juan A. Bellón, Alejandra Pinto-Meza, Juan Vicente Luciano, Juan M. Mendive, Josep Maria Haro, Diego J. Palao, Antoni Serrano-Blanco

*Autor corresponent d’aquest treball

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27 Cites (Scopus)

Resum

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 I Disorders (SCID-I) 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. © 2012 Elsevier Inc.
Idioma originalAnglès
Pàgines (de-a)227-233
Nombre de pàgines7
RevistaGeneral Hospital Psychiatry
Volum34
Número3
DOIs
Estat de la publicacióPublicada - 1 de maig 2012

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