Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
Recent trends in the incidence of anxiety diagnoses and symptoms in primary care.
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DOI：
10.1371/journal.pone.0041670
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Nazareth I
中科院分区：
文献类型：
--
作者：
Walters K;Rait G;Griffin M;Buszewicz M;Nazareth I
焦虑是常见的，具有显着的发病率，但很少有人知道的介绍和记录的焦虑诊断和症状在初级保健。本研究旨在确定全科医生（GP）记录的焦虑、混合焦虑/抑郁、恐慌和焦虑症状诊断的发病率和社会人口统计学变化趋势。焦虑症诊断和症状的年发病率是从1998年至2008年期间为健康改善网络（THIN）数据库提供的361个英国一般实践中计算出来的，并根据诊断年份，性别，年龄和剥夺进行了调整。从1998年到2008年，GP记录的焦虑诊断的发生率从7.9/1000 PYAR下降到4.9/1000 PYAR，而焦虑症状的发生率从3.9/1000 PYAR上升到5.8/1000 PYAR。混合性焦虑/抑郁的发病率从4.0/1000 PYAR下降到2.2/1000 PYAR，惊恐障碍的发病率从1998年的0.9/1000 PYAR下降到2008年的0.5/1000 PYAR。所有这些条目在妇女中大约是两倍，在贫困地区更常见。GP记录的焦虑诊断、症状和混合焦虑/抑郁在45-64岁年龄段最常见，而惊恐障碍/发作在16-44岁年龄段更常见。在英国，全科医生主要使用广泛的非特异性代码来记录焦虑问题。全科医生记录的焦虑诊断已经下降，而记录的焦虑症状随着时间的推移而增加。GP记录的焦虑诊断的发生率低于初级保健筛查人群。这种明显的记录不足的原因，以及它是否代表被看到的人的检测不足，不愿意向他们的家庭医生报告焦虑，或者家庭医生不愿意给焦虑的人贴上标签，需要调查。
Anxiety is common, with significant morbidity, but little is known about presentations and recording of anxiety diagnoses and symptoms in primary care. This study aimed to determine trends in incidence and socio-demographic variation in General Practitioner (GP) recorded diagnoses of anxiety, mixed anxiety/depression, panic and anxiety symptoms. Annual incidence rates of anxiety diagnoses and symptoms were calculated from 361 UK general practices contributing to The Health Improvement Network (THIN) database between 1998 and 2008, adjusted for year of diagnosis, gender, age, and deprivation. Incidence of GP recorded anxiety diagnosis fell from 7.9 to 4.9/1000PYAR from 1998 to 2008, while incidence of anxiety symptoms rose from 3.9 to 5.8/1000PYAR. Incidence of mixed anxiety/depression fell from 4.0 to 2.2/1000PYAR, and incidence of panic disorder fell from 0.9/1000PYAR in 1998 to 0.5/1000PYAR in 2008. All these entries were approximately twice as common in women and more common in deprived areas. GP-recorded anxiety diagnoses, symptoms and mixed anxiety/depression were commonest aged 45–64 years, whilst panic disorder/attacks were more common in those 16–44 years. GPs predominately use broad non-specific codes to record anxiety problems in the UK. GP recording of anxiety diagnoses has fallen whilst recording of anxiety symptoms has increased over time. The incidence of GP recorded diagnoses of anxiety diagnoses was lower than in screened populations in primary care. The reasons for this apparent under-recording and whether it represents under-detection in those being seen, a reluctance to report anxiety to their GP, or a reluctance amongst GPs to label people with anxiety requires investigation.
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影响因子：
6.9
作者：
King, M.;Bottomley, C.;Nazareth, I.
通讯作者：
Nazareth, I.
影响因子：
3.1
作者：
Richards, David A.;Suckling, Rupert
通讯作者：
Suckling, Rupert
影响因子：
2.2
作者：
Martin-Merino, Elisa;Ruigomez, Ana;Alberto Garcia-Rodriguez, Luis
通讯作者：
Alberto Garcia-Rodriguez, Luis
影响因子：
5.3
作者：
Greenberg, PE;Sisitsky, T;Fyer, AJ
通讯作者：
Fyer, AJ
影响因子：
6.7
作者：
EATON, WW;KRAMER, M;LOCKE, BZ
通讯作者：
LOCKE, BZ