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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

Published online by Cambridge University Press:  06 August 2018

E. Weiller ,
J.-C. Bisserbe ,
W. Maier  and
Y. Lecrubier
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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.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 173 , Issue S34: Recognition and management of anxiey syndromes , July 1998 , pp. 18 - 23
Copyright
Copyright © The Royal College of Psychiatrists, 1998 

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References

Angst, J. & Dobler-Mikola, A. (1985) The Zurich study: anxiety and phobia in young adults. European Archives of Psychiatry and Clinical Neuroscience, 235, 171–178.Google Scholar
Fifer, S. K., Mathias, S. D., Patrick, D. L., et al (1994) Untreated anxiety among adult primary care patients in a health maintenance organization. Archives of General Psychiatry, 51, 740–750.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community, The Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Goldberg, D. P. & Williams, P. (1988) A Users Guide to the General Health Questionnaire: GHQ. Windsor: NFER-Nelson.Google Scholar
Regier, D. A., Goldberg, I. D. & Taube, C. A. (1978) The de facto U.S. mental health services system. Archives of General Psychiatry, 35, 685–693.CrossRefGoogle Scholar
Robins, L. N., Helzer, J. E., Weissman, M. M., et al (1984) Lifetime prevalence of specific psychiatric disorders in three sites. Archives of General Psychiatry, 41, 949–958.CrossRefGoogle ScholarPubMed
Sartorius, N., B., Üstün. T., Costa e Silva, J. A., et al (1993) An international study of psychological problems in primary care. Preliminary report from the World Health Organization collaborative project on Psychological Problems in General Health Care”. Archives of General Psychiatry, 50, 819–824.CrossRefGoogle Scholar
Stewart, A. L., Hays, R. D. & Ware, J. E. (1988) The MOS short form general health survey: reliability and validity in a patient population. Medical Care, 26, 724–735.Google Scholar
Üstün, T. B. & Sartorius, N. (eds) (1995) Mental Illness in General Health Care. An International Study. Chichester: Wiley.Google Scholar
Von Korff, M. & Üstün, T. B. (1995) Methods of the WHO Collaborative Study on ‘Psychological Problems in General Health Care”. In Mental Illness in General Health Care. An International Study (edsT. B. Üstün & N. Sartorius), pp. 19–36. Chichester: Wiley.Google Scholar
Ware, J. E. J. & Sherbourne, C. D. (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care, 30, 473–483.Google Scholar
Weissman, M. M. & Merikangas, K. R. (1986) The epidemiology of anxiety and panic disorders: an update. Journal of Clinical Psychiatry, 47 (suppl.), 11–17.Google Scholar
Wittchen, H.-U., Essau, C. A., von Zerssen, D., et al (1992) Lifetime and six-month prevalence of mental disorders in the Munich Follow-up Study. European Archives of Psychiatry and Clinical Neuroscience, 241, 247–258.Google Scholar
World Health Organization (1991) The Primary Health Care Version of the Composite International Diagnostic Interview: CIDI-PHC. Geneva: WHO.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
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