Generalized Anxiety Disorder in Older Medical Patients: Diagnostic Recognition, Mental Health Management and Service Utilization

Springer Science and Business Media LLC - Tập 16 - Trang 178-185 - 2009
Jessica Calleo1, Melinda A. Stanley1,2, Anthony Greisinger3, Oscar Wehmanen3, Michael Johnson2,4, Diane Novy5, Nancy Wilson1,2, Mark Kunik1,2,6,7,8
1Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, USA
2Houston Center for Quality of Care & Utilization Studies, Michael E DeBakey VAMC (152), Houston, USA
3Kelsey Research Foundation, Houston, USA
4Department of Clinical Sciences and Administration, College of Pharmacy, University of Houston, Houston, USA
5Department of Anesthesiology and Pain Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, USA
6Michael E. DeBakey Veterans Affairs Medical Center, Houston, USA
7VA South Central Mental Illness Research Education, and Clinical Center, North Little Rock, USA
8Department of Medicine, Baylor College of Medicine, Houston, USA

Tóm tắt

Background Primary care physicians often treat older adults with Generalized Anxiety Disorder. Objective To estimate physician diagnosis and recognition of anxiety and compare health service use among older adults with GAD with two comparison samples with and without other DSM diagnoses. Methods Participants were 60+ patients of a multi-specialty medical organization. Administrative database and medical records were reviewed for a year. Differences in frequency of health service use were analyzed with logistic regression and between-subjects analysis of covariance. Results Physician diagnosis of GAD was 1.5% and any anxiety was 9%, and recognition of anxiety symptoms was 34% in older adults with GAD. After controlling for medical comorbidity, radiology appointments were increased in the GAD group relative to those with and without other psychiatric diagnoses, χ2 (2, N = 225) = 4.75, p < .05. Conclusions Most patients with anxiety do not have anxiety or symptoms documented in their medical records.

Tài liệu tham khảo

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Springer Science and Business Media LLC

Tập 16

178-185

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