|
|||||
|
|
Generalized Anxiety Disorder in Older Medical Patients: Diagnostic Recognition, Mental Health Management and Service Utilization |
|
| Authors: | Jessica Calleo Melinda A. Stanley Anthony Greisinger Oscar Wehmanen Michael Johnson Diane Novy Nancy Wilson Mark Kunik |
| Affiliation: | 1. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, TX, USA 2. Houston Center for Quality of Care & Utilization Studies, Michael E DeBakey VAMC (152), 2002 Holcombe, Houston, TX, 77030, USA 3. Kelsey Research Foundation, Houston, TX, USA 4. Department of Clinical Sciences and Administration, College of Pharmacy, University of Houston, Houston, TX, USA 5. Department of Anesthesiology and Pain Medicine, The University of Texas M.D. Anderson Cancer Center, Houston, TX, USA 6. Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX, USA 7. VA South Central Mental Illness Research, Education and Clinical Center, North Little Rock, AR, USA 8. Department of Medicine, Baylor College of Medicine, Houston, TX, USA |
| Abstract: | 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. |
| Keywords: | Generalized anxiety disorder Primary care Older patients Database study Medical record review |
| 本文献已被 SpringerLink 等数据库收录！ | |