TY - JOUR
T1 - Recognition of anxiety disorders by the general practitioner: Results from the DASMAP Study
AU - Fernández, Anna
AU - Rubio-Valera, María
AU - Bellón, Juan A.
AU - Pinto-Meza, Alejandra
AU - Luciano, Juan Vicente
AU - Mendive, Juan M.
AU - Haro, Josep Maria
AU - Palao, Diego J.
AU - Serrano-Blanco, Antoni
N1 - Funding Information:
This study was funded by the “Direcció General de Planificació i Avaluació Sanitària-Departament de Salut-Generalitat de Catalunya” (Barcelona, Spain) . A.F. and J.V.L. are grateful to the “Ministerio de Sanidad y Consumo, Instituto de Salud Carlos III” ( Red RD06/0018/0017 ) for a predoctoral and a postdoctoral contract, respectively.
PY - 2012/5/1
Y1 - 2012/5/1
N2 - 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.
AB - 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.
KW - Anxiety disorders
KW - Epidemiology
KW - General practitioner
UR - http://www.scopus.com/inward/record.url?scp=84860366758&partnerID=8YFLogxK
U2 - https://doi.org/10.1016/j.genhosppsych.2012.01.012
DO - https://doi.org/10.1016/j.genhosppsych.2012.01.012
M3 - Article
C2 - 22341732
SN - 0163-8343
VL - 34
SP - 227
EP - 233
JO - General Hospital Psychiatry
JF - General Hospital Psychiatry
IS - 3
ER -
