Anxiety Disorders in Primary Care Patients FREE

Anxiety and depression are common disorders in patients who receive their medical care from a primary care physician. Because depression causes so much misery and even death from suicide, it has received much attention in research and care that focus on mental health disorders in primary care patients. Anxiety disorders are also common but have attracted much less attention from doctors and researchers.

To learn more about anxiety disorders and their effects and to test a short questionnaire to detect anxiety disorders.

965 patients who had an appointment with their primary care physician.

The patients completed a 4-page questionnaire about symptoms of anxiety, their ability to function in daily life, the number of days when they were disabled, and the number of visits to the doctor. Within 1 week, each person was interviewed by a mental health professional to find out whether the patient had an anxiety disorder. The interviewer inquired about symptoms of 4 types of anxiety disorders: generalized anxiety disorder, panic disorder, social anxiety disorder, and posttraumatic stress disorder.

Of the 965 patients, 19.5% of the patients had at least 1 anxiety disorder and many had more than 1 anxiety disorder. People with anxiety disorders could not function as well as people without anxiety disorders, and they had more disability days and more doctor visits. These problems were all worse in patients with more than 1 anxiety disorder and with worse anxiety. Surprisingly, 41% of the patients with an anxiety disorder were not receiving treatment. The authors found that both a 7-item questionnaire and a 2-item questionnaire detected most patients with anxiety, regardless of the type of anxiety that the patients had.

The authors did not inquire about other medical conditions. Although the study results suggest that anxiety was causing the patients' disability, poor function, and doctor visits, patients may have had anxiety because they had serious diseases that were interfering with their lives.

Anxiety disorders are very common and interfere with people's lives, yet they often go unrecognized or untreated. Screening for depression is becoming more common in primary care practice. Screening for anxiety should also become more common. The authors' anxiety questionnaire does a good job of detecting anxiety.