Anxiety in primary care

被引：17

作者：

Demertzis K.H. ^{[1
]}

Craske M.G. ^{[1
]}

机构：

[1] UCLA, Department of Psychology, Los Angeles, CA 90095-1563

来源：

Current Psychiatry Reports | 2006年 / 8卷 / 4期

关键词：

Anxiety Disorder; Generalize Anxiety Disorder; Primary Care Provider; Social Phobia; Panic Disorder;

D O I：

10.1007/s11920-006-0065-4

中图分类号：

学科分类号：

摘要：

Anxiety disorders are common within primary care (PC) settings and are associated with patient functional impairment, distress, and high utilization of medical care services. Data from PC settings indicate that detection of anxiety disorders is low. Furthermore, adequate psychosocial and pharmacologic treatment of anxiety disorders in accordance with empirically validated guidelines remains low in PC. When patients do receive treatment or referrals from their PC providers, a bias exists for pharmacologic over psychological interventions despite theoretical strengths, empirical evidence, and long-term cost efficiency supporting the use of psychotherapeutic interventions such as cognitive-behavioral therapy (CBT). Objectives of this article include increasing awareness of the prevalence of anxiety disorders in PC, impairment associated with anxiety disorders, issues of detection of anxiety in PC, treatment model and components of CBT, and data supporting the application of CBT to PC to improve patient functioning. Copyright © 2006 by Current Science Inc.

引用

页码：291 / 297

页数：6

共 47 条

[1]

American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), (1994)

[2]

Chavira D.A., Stein M.B., Bailey K., Stein M.T., Child anxiety in primary care: Prevalent but untreated, Depress Anxiety, 20, pp. 155-164, (2004)

[3]

Kessler R.C., McGonagle K.A., Zhao S., Et al., Lifetime and 12-month prevalence of DSM-III-R psychiatric disorders in the United States: Results from the National Comorbidity Survey, Arch Gen Psychiatry, 51, pp. 8-19, (1994)

[4]

Stein M., Sherbourne C., Craske M., Et al., Quality of care for primary care patients with anxiety disorders, Am J Psychiatry, 161, pp. 2230-2237, (2004)

[5]

Sartorius N., Ustun T.B., Lecrubier Y., Wittchen H.U., Depression comorbid with anxiety: Results from the WHO study on psychological disorders in primary care health care, Br J Psychiatry Suppl, 30, pp. 38-43, (1996)

[6]

Weiller E., Bisserbe J.C., Maier W., Et al., Prevalence and recognition of anxiety syndromes in five European primary care settings: A report from the WHO study on psychological problems in general health care, Br J Psychiatry, 34, pp. 18-23, (1998)

[7]

Harman J.S., Rollman B.L., Hanusa B.H., Et al., Physician office visits of adults for anxiety disorders in the United States, 1985-1998, J Gen Intern Med, 17, pp. 165-172, (2002)

[8]

Young A.S., Klap R., Sherbourne C.D., Wells K.B., The quality of care for depressive and anxiety disorders in the United States, Arch Gen Psychiatry, 58, pp. 55-61, (2001)

[9]

Stein M., Attending to anxiety disorders in primary care, J Clin Psychiatry, 64, SUPPL. 15, pp. 35-39, (2003)

[10]

Magee W.J., Eaton W.W., Wittchen H.U., Et al., Agoraphobia, simple phobia, and social phobia in the National Comorbidity Survey, Arch Gen Psychiatry, 53, pp. 159-168, (1996)

← 1 2 3 4 5 →