Untreated anxiety among adult primary care patients in a Health Maintenance Organization.
Untreated anxiety among adult primary care patients in a Health Maintenance Organization.
复制标题
健康维护组织中成年初级保健患者未经治疗的焦虑症。
DOI：
--
复制
发表时间：
1994
影响因子：
--
通讯作者：
D. Buesching
中科院分区：
文献类型：
--
作者：
S. Fifer;S. Mathias;D. Patrick;Peter J Mazonson;D. Lubeck;D. Buesching
背景
对于初级保健医生来说，未经治疗的焦虑症可能尤其难以识别和诊断，因为对于患有这种疾病的患者，没有可靠的人口统计学或医学档案，而且这些患者存在高比例的并存心理状况，使治疗选择复杂化。
方法
初级保健患者中未经治疗的焦虑症状和障碍的前瞻性评估。
结果
在一家混合模式的健康维护组织的诊所候诊室进行筛查的合格患者中，约有10%报告了未被识别和治疗的焦虑症状和/或障碍的增加。这些未经治疗的焦虑症患者报告的身体和情绪指标上的功能水平都明显低于没有焦虑的对照组患者；事实上，这些患者报告的功能水平降低，在糖尿病和充血性心力衰竭等慢性身体疾病患者的预期范围内。据报道，功能下降最严重的是未经治疗的患者，他们的焦虑与抑郁症状或障碍混合在一起。
结论
初级保健医生可能受益于心理健康专家的筛查工具和咨询，以帮助识别和诊断单独的焦虑症状和障碍以及与抑郁症混合的焦虑症状和障碍。
BACKGROUND
Untreated anxiety may be particularly difficult for primary care physicians to recognize and diagnose because there are no reliable demographic or medical profiles for patients with this condition and because these patients present with a high rate of comorbid psychological conditions that complicate selection of treatment.
METHOD
A prospective assessment of untreated anxiety symptoms and disorders among primary care patients.
RESULTS
Approximately 10% of eligible patients screened in clinic waiting rooms of a mixed-model health maintenance organization reported elevated symptoms and/or disorders of anxiety that were unrecognized and untreated. These patients with untreated anxiety reported significantly worse functioning on both physical and emotional measures than "not anxious" comparison patients; in fact these patients reported reduced functioning levels within ranges that would be expected for patients with chronic physical diseases, such as diabetes and congestive heart failure. The most severe reductions in functioning were reported by untreated patients whose anxiety was mixed with depression symptoms or disorders.
CONCLUSION
Primary care physicians may benefit from screening tools and consultations by mental health specialists to assist in recognition and diagnosis of anxiety symptoms and disorders alone and mixed with depression.
登录
查看更多内容
精神病学进展（2）。
DOI：
10.1056/nejm199308263290908
发表时间：
1993
期刊：
The New England journal of medicine
影响因子：
--
作者：
Michels,R;Marzuk,PM
通讯作者：
Marzuk,PM
DOI：
10.1001/jama.1989.03430070062031
发表时间：
1989-08
期刊：
JAMA
影响因子：
--
作者：
K. Wells;A. Stewart;Ron D. Hays;M. Burnam;W. Rogers;M. Daniels;S. Berry;S. Greenfield;J. Ware-J.
通讯作者：
K. Wells;A. Stewart;Ron D. Hays;M. Burnam;W. Rogers;M. Daniels;S. Berry;S. Greenfield;J. Ware-J.
检测接受预付费或按服务收费护理的患者的抑郁症。
DOI：
--
发表时间：
1989
期刊：
JAMA : the journal of the American Medical Association
影响因子：
--
作者：
Wells,KB;Hays,RD;Burnam,MA;Rogers,W;Greenfield,S;WareJr,JE
通讯作者：
WareJr,JE
患有焦虑、情感和药物滥用障碍的普通人群样本中的慢性疾病。
DOI：
10.1176/ajp.146.11.1440
发表时间：
1989
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Wells,KB;Golding,JM;Burnam,MA
通讯作者：
Burnam,MA